Search results for "primary health care"
showing 10 items of 174 documents
Weekend courses on ultrasonography as a form of teaching knowledge and the skills necessary to perform ultrasounds in the family physician’s practice
2017
Background. Growth in ultrasound use by non-radiologists has outpaced radiologist-performed ultrasound in the last decade. Poland has a well-organized system of teaching ultrasonography. Objectives. To establish whether family physicians, after completion of weekend courses on ultrasound abdominal cavity imaging, recommend this form of training. To identify main reasons for family physician to attend training in USG, their preferences regarding the form of such courses and the difficulties most often faced by family physicians when performing a USG. Material and methods. This survey-based study using the authors’ own questionnaire was conducted in March 2016 among 81 primary care physicians…
Cost-effectiveness analysis of statins in primary care: results from the Arteris cohort study.
2021
BACKGROUND The Swiss Federal Office of Public Health performed a health technology assessment regarding statins in primary care. The chosen models may lead to a situation where a clinically indicated statin therapy is estimated not to be cost effective. METHODS We performed a cohort study regarding cardiovascular events, comparing SCORE and AGLA risk categories with tertiles of carotid plaque burden and used two models for cost-effectiveness analysis of high-potency statins. RESULTS Subjects (n = 2842) were followed up for 5.9 ± 2.9 years with the occurrence of 154 cardiovascular events (extrapolated 10-year risk was 9.2%). Carotid plaque imaging (total plaque area, TPA) significantly impro…
Assessment of the health care system functioning in Poland in light of the analysis of the indicators of the hospital emergency department (ED) and p…
2019
Background In the last three decades, in developed countries, the number of patients reporting to hospital emergency departments has dramatically increased. The number of visits to EDs can be an important indicator of the quality of primary health care. Objectives To analyse: 1) the frequency of admissions to EDs, 2) the type and number of medical procedures performed in EDs, and 3) the type and number of services provided by PHC in the Kedzierzyn-Kozle district. Material and methods A retrospective analysis of the statistical data regarding services provided by PHC in the Kedzierzyn-Kozle district within the National Health Fund (NHF) and data from the hospital emergency department in Kedz…
Experiences of family physicians after a CME ultrasound course
2017
Background. Ultrasonography is an inexpensive, safe, noninvasive tool for obtaining diagnoses without performing further imaging tests, and for the timely referral of patients to further diagnosis or specialist care. Objectives . To determine which ultrasound tests are most often performed by family physicians, and what factors contribute to their use of ultrasound imaging. Material and methods . This survey-based study using the authors’ questionnaire was conducted in March 2016 among 81 primary care physicians who had completed weekend courses on ultrasound abdominal cavity imaging. Results . Family physicians most often took ultrasounds of the abdominal cavity (35/50; 70%) and thyroid gl…
Patients' conceptions of undergoing physiotherapy for persistent low back pain delivered in Finnish primary healthcare by physiotherapists who had pa…
2020
To explore the conceptions of patients with persistent low back pain (LBP) of undergoing physiotherapy delivered in Finnish primary healthcare by physiotherapists who had participated in brief training in Cognitive Functional Therapy (CFT).As part of a feasibility implementation study exploring CFT in management of LBP in the Finnish primary healthcare system, we interviewed nine patients from four geographical areas in Finland after receiving care. We used a phenomenographic approach to explore the variation in their conceptions.The analysis revealed four descriptive categories: "hung out to dry," "stuck," "making sense and taking control," and "holistic approach to care and living," that …
Pieaugušo veselības izglītības organizācija un vadība primārās veselības aprūpes māsas praksē
2013
Anotācija Promocijas darba mērķis ir izpētīt faktorus, kas ietekmē pieaugušo veselības izglītības darba organizāciju un vadību primārās veselības aprūpes māsas praksē, ietverot arī indivīda veselības kompetenci veidojošos faktorus, un izveidot uz pierādījumiem balstītus metodiskus ieteikumus pieaugušo veselības izglītības darba organizācijai un vadībai, kas būtu izmantojami gan māszinību studiju programmās, gan primārās veselības aprūpes līmenī strādājošo māsu tālākizglītībā. N= 827 iedzīvotāji un N=106 māsas. Izmantota faktoru analīze, korelācijas analīze, ANOVA, Kruskall-Wallis tests. Noskaidrots, ka indivīda veselības kompetenci ietekmē vairāki galvenie faktori, papildus tiem, dzimums, i…
Patients’ conceptions of undergoing physiotherapy for persistent low back pain delivered in Finnish primary healthcare by physiotherapists who had pa…
2020
To explore the conceptions of patients with persistent low back pain (LBP) of undergoing physiotherapy delivered in Finnish primary healthcare by physiotherapists who had participated in brief training in Cognitive Functional Therapy (CFT). As part of a feasibility implementation study exploring CFT in management of LBP in the Finnish primary healthcare system, we interviewed nine patients from four geographical areas in Finland after receiving care. We used a phenomenographic approach to explore the variation in their conceptions. The analysis revealed four descriptive categories: “hung out to dry,” “stuck,” “making sense and taking control,” and “holistic approach to care and living,” tha…
Zespół słabości - wytyczne diagnostyki, terapii i prewencji
2017
Frailty syndrome is a state of decreased homeostatic capacity against stress. It is an independent risk factor for subsequent mortality, institutionalization, multimorbidity, falls, incontinence, and immobility. Frailty people have a significantly reduced quality of life, as well as being the largest users of health care services. Proven direct link between the increase in the number of people with the frailty syndrome and rising costs in the health and social care in spite of clearly progressive aging process and potential re�versibility of frailty, justifies the use of targeted interventions aimed at early diagnosis of frailty and to identify risk factors. General practitioners play a key…
The Importance of Patient Satisfaction in Primary Care - a Cross-Sectional Study
2019
Multidimensional instruments with an integral approach to identify frailty in community-dwelling people: protocol for a systematic psychometric review
2019
IntroductionAn increasing number of investigations highlight the complex nature of frailty; therefore, the use of multidimensional assessment instruments could be useful in clinical decision-making. Frail people are found mainly in the community setting which is why this is the ideal environment for early screening and intervention. For this purpose, it is necessary to have valid, time-effective and easy-to-use frailty assessment instruments. The aim of this review is to critically appraise, compare and summarise the quality of the measurement properties of all multidimensional instruments with an integral approach to identify frailty in community-dwelling people.Methods and analysisMedline…