Primary Health Care Research & Development最新文献

{"title":"Implementation of NHS Health Checks in general practice: variation in delivery between practices and practitioners","authors":"J. Krska, R. du Plessis, Hannah Chellaswamy","doi":"10.1017/S1463423615000493","DOIUrl":"https://doi.org/10.1017/S1463423615000493","url":null,"abstract":"Aim To evaluate NHS Health Check implementation in terms of frequency of data recording, advice provided, referrals to community-based lifestyle support services, statin prescribing and new diagnoses, and to assess variation in these aspects between practices and health professionals involved in delivery. Background Most NHS Health Checks are delivered by general practices, but little detail is known about the extent of variation in how they are delivered in different practices and by different health professionals. Methods This was an observational study conducted in a purposively selected sample of 13 practices in Sefton, North West England. Practices used previously recorded information from their clinical management systems to identify patients with cardiovascular disease (CVD) risk ⩾20%, a potentially cost-effective approach. The evaluation was conducted during the first year of delivery in Sefton. Data were extracted from medical records of all patients identified, regardless of Health Check attendance. Findings Of the 2892 patients identified by the 13 practices, 1070 had received an NHS Health Check at the time of the study. Of these, only 936 (87.5%) had a recorded CVD risk score, with risk ⩾20% confirmed in 92.0%. Estimated risk category was correct in 456/677 (67.4%) of patients with estimated and actual risk scores. Significant variation was found between practices and health professionals in parameters recorded, tests requested, advice given and referrals for lifestyle support. Only 45.3% of patients had body mass index, smoking, alcohol, exercise, blood pressure and cholesterol all recorded. Lifestyle advice and referral into lifestyle services were documented in 80.6% and 6.4% of attenders, respectively, again with significant variation between practices and professionals. Statin prescribing rose in attenders from 19.6% to 34.6%. A similar proportion of attenders and non-attenders received new diagnoses. Conclusion Effort is required to reduce variation in how practices deliver and follow-up NHS Health Checks, to ensure the consistency of the programme.","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"4 1","pages":"385 - 392"},"PeriodicalIF":0.0,"publicationDate":"2015-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88653052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression, patient characteristics, and attachment style: correlates and mediators of medication treatment adherence in a racially diverse primary care sample","authors":"Lisa M. Hooper, S. Tomek, D. Roter, K. Carson, George C. T. Mugoya, L. Cooper","doi":"10.1017/S1463423615000365","DOIUrl":"https://doi.org/10.1017/S1463423615000365","url":null,"abstract":"Background The depth and breadth of problems related to depressive symptomatology and optimal treatment outcomes, including medication treatment adherence, have long been documented in the literature. Missing are clear explanations as to what factors and patient characteristics may account for lack of medication treatment adherence. Objectives The two objectives of the current study were to examine the predictive strength of depression, patient characteristics, and patient attachment style regarding medication treatment adherence and to consider the extent to which attachment styles mediate the relation between depression and medication treatment adherence. Method Participants in the present study were 237 racially diverse American primary care patients with a diagnosis of hypertension who were participants in a clinical trial. Depression, patient characteristics, attachment style, and medication treatment adherence were assessed. Results Partly consistent with our four hypotheses, the following results were found: (a) Black American, younger, never married, and poorer patients had lower medication treatment adherence (b) depression was significantly associated with lower self-reported medication adherence; (c) insecure–dismissing attachment style was related to lower medication adherence; and (d) insecure–dismissing attachment style mediates the relation between depression and medication treatment adherence by exacerbating the negative association. Conclusion Physicians and other primary care providers should consider how depressive symptomatology, patient characteristics, and attachment style may inform the treatment plans they put forward and the extent to which patients may adhere to those treatment plans.","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"18 1","pages":"184 - 197"},"PeriodicalIF":0.0,"publicationDate":"2015-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80036554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opportunities and barriers to enhance research capacity and outputs among academic family physicians in the Arab world","authors":"Maya Romani, G. Hamadeh, D. Mahmassani, Adel A K AlBeri, Abdul-Munem Y AlDabbagh, T. Farahat, Mohammed A. AlShafaee, Najla A Lakkis","doi":"10.1017/S1463423615000377","DOIUrl":"https://doi.org/10.1017/S1463423615000377","url":null,"abstract":"Aim To explore the current status of academic primary care research in Arab countries and investigate the barriers to its adequate implementation. Background Research is an essential building block that ensures the advancement of the discipline of Family Medicine (FM). FM research thus ought to be contributed to by all family physicians; nevertheless, its development is being hindered worldwide by several challenges. The amount of research conducted by academic academic family physicians and general practitioners is scant. This phenomenon is more pronounced in the Arab countries. Methods An online questionnaire was emailed to all academic family physicians practicing in member Arab countries of the World Organization of Family Doctors WONCA-East Mediterranean Region. Findings Seventy-six out of 139 academic family physicians from eight Arab countries completed the questionnaire. Around 75% reported that they are required to conduct research studies, yet only 46% contributed to at least one publication. While 75% and 52.6% disclosed their interest in participating in a research team and in leading a research team respectively, 64.5% reported being currently involved in research activities. Of all, 56% have attended a research ethics course. Lack of training in research, the unavailability of a healthcare system that is supportive of research, insufficient financial resources, and the unavailability of electronic health records were perceived as major barriers in conducting FM research. Conclusion Although many physicians in Arab academic institutions expressed enthusiasm to conduct research projects, FM research infrastructure remains to be weak. This demonstrates the need for immense efforts from different parties particularly governments and academic institutions.","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"5 1","pages":"98 - 104"},"PeriodicalIF":0.0,"publicationDate":"2015-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76050171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cochrane review summary: specialist home-based nursing services for children with acute and chronic illnesses","authors":"D. Trivedi","doi":"10.1017/S1463423614000127","DOIUrl":"https://doi.org/10.1017/S1463423614000127","url":null,"abstract":"TheDepartment ofHealth’s review onCommunity Children’s Nursing Services highlights the need for a comprehensive out of hospital service involving nursing and primary care as well as multi-agency services to meet the complex needs of children with acute and chronic conditions (Department of Health, 2011). This systematic review has summarised all the available evidence for specialist home-based nursing services for children with acute and chronic illnesses (Parab et al., 2013).","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"1 1","pages":"117 - 121"},"PeriodicalIF":0.0,"publicationDate":"2014-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88943223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PHC volume 14 supplement 1 Cover and Front matter","authors":"","doi":"10.1017/s1463423614000073","DOIUrl":"https://doi.org/10.1017/s1463423614000073","url":null,"abstract":"","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"1 1","pages":"f1 - f1"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83942157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professor Helen Lester (1961–2013)","authors":"D. Sharp","doi":"10.1017/S1463423613000212","DOIUrl":"https://doi.org/10.1017/S1463423613000212","url":null,"abstract":"","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"55 1","pages":"324 - 325"},"PeriodicalIF":0.0,"publicationDate":"2013-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72662350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bytheway B.. 2011: Unmasking age: the significance of age for social research . Bristol, UK: The Policy Press. 243 pp, paperback edition. ISBN 978 1 84742 617 8.","authors":"Sarah Amador","doi":"10.1017/S1463423613000066","DOIUrl":"https://doi.org/10.1017/S1463423613000066","url":null,"abstract":"","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"67 1","pages":"323 - 323"},"PeriodicalIF":0.0,"publicationDate":"2013-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85053337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PHC volume 13 issue S1 Cover and Front matter","authors":"","doi":"10.1017/s1463423612000709","DOIUrl":"https://doi.org/10.1017/s1463423612000709","url":null,"abstract":"","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"80 1","pages":"f1 - f1"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86189204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"D. Holmes, T. Rudge and A. Perron 2012: (Re)Thinking violence in health care settings: a critical approach. Farnham: Ashgate. 342 pp. + xxiv including index, ISBN 978 1409432661, hbk, £65.","authors":"B. Littlechild","doi":"10.1017/S1463423612000382","DOIUrl":"https://doi.org/10.1017/S1463423612000382","url":null,"abstract":"","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"39 1","pages":"106 - 106"},"PeriodicalIF":0.0,"publicationDate":"2012-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73627816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PHC volume 13 issue 4 Cover and Back matter","authors":"","doi":"10.1017/s1463423612000539","DOIUrl":"https://doi.org/10.1017/s1463423612000539","url":null,"abstract":"","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"9 1","pages":"b1 - b2"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78377666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}