Journal of Primary Care and Community Health最新文献

{"title":"A 2-Year Retrospective Clinical Evaluation of a Novel Virtual Ward Model.","authors":"Juliana Pugmire, Abdul Ashish, Alison Chadwick, Matt Wilkes, Daniel Meekin, Ben Zaniello, Nicole Zahradka","doi":"10.1177/21501319251326750","DOIUrl":"10.1177/21501319251326750","url":null,"abstract":"<p><strong>Objective: </strong>The Wrightington, Wigan, and Leigh NHS Teaching Hospitals Foundation Trust (WWL) developed a novel virtual ward (VW) service that integrated with community and primary care, supported healthcare throughout a patient's journey, and had a clinical workflow that could step-up or step-down care as needed. We described their VW and evaluated clinical outcomes, adherence, safety, and patient satisfaction.</p><p><strong>Methods: </strong>Retrospective, single-center study of patients admitted to the WWL VW service from January 14, 2022 to January 31, 2024. Clinical data collected by WWL in their database for patients admitted to the VW, were matched to data captured automatically by the Current Health (CH) platform linked to the CH remote monitoring kits assigned to patients on the VW. The CH kits enabled the VW care at WWL and included a wearable device for continuous vital signs monitoring, a blood pressure cuff, and tablet. Evaluation metrics included clinical scope, clinical outcomes, adherence, safety, and patient satisfaction.</p><p><strong>Results: </strong>There were 1835 admissions and a 93% match rate between the clinical and CH databases. About 38% of referrals were step-up (31% ambulatory care and 7% primary care) and 62% of referrals were step-down (100% inpatients). Most specialty referrals were from thoracic and acute medicine (77%). The median length of stay on the VW was 8 days [IQR 5-13], 209 (12%) admissions were escalated to the hospital, 179 (11%) escalated to the emergency department out of hours, and 29 (2%) signposted to urgent medical services. Adherence to the wearable device was 92%. There were 38 minor safety incidents (typically hypersensitivity reactions or administrative errors) and 17 expected deaths. About 94% of admissions rated the VW experience as \"excellent\" or \"good.\" Results were similar between step-up and step-down referrals.</p><p><strong>Conclusion: </strong>We have shown the VW service yielded acceptable clinical outcomes, was safe with no serious adverse events or negative impact on mortality rate. Patient adherence to the technology and satisfaction with the VW service were high. The VW service was innovative in its acceptance of a broad range of patients, expanding services beyond respiratory medicine, and in developing a step-up pathway, preventing some patients from ever taking up an acute bed in the hospital.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251326750"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study of Cesarean Deliveries From a Single Midwestern Residency Program: Total Surgical Time, Incision-to-Delivery Time, and Neonatal Apgar Scores.","authors":"Jeremy King, Jenenne Geske, Chanont Sricharoen, Birgit Khandalavala","doi":"10.1177/21501319251320175","DOIUrl":"10.1177/21501319251320175","url":null,"abstract":"<p><strong>Background: </strong>Cesarean delivery surgical quality indicators and outcomes support the surgical skills of family medicine physicians. These data have educational and clinical implications yet are largely unexplored. Our study updated cesarean surgical times, incision-to-delivery time, and neonatal Apgar scores from a midwestern family medicine residency program.</p><p><strong>Methods: </strong>All cesarean deliveries performed by family medicine faculty from January 2012 to March 2021 were reviewed. Total surgical time, incision-to-delivery time, Apgar scores at 1 and 5 min, and maternal demographic information were recorded.</p><p><strong>Results: </strong>320 cesarean deliveries were reviewed. The average total surgical procedure time was 64.3 min (SD = 17.9) and incision-to-delivery time was 9.5 min (SD = 4.9). The average 1-min Apgar score was 7.5 (SD = 1.8) and the average 5-min Apgar score was 8.7 (SD = 1.0). There were no significant correlations between 1- and 5-min Apgar scores and procedure times.</p><p><strong>Conclusion: </strong>Cesarean delivery quality indicators from family medicine faculty are updated and appear similar to those reported previously in studies that did not include the presence of learners. This EMR-based study provides baseline information for future surgical cesarean delivery quality improvement and outcomes research.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251320175"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Older Adults' Intention to Use Telehealth: A Qualitative Study Using the UTAUT Framework.","authors":"Anne Fleischer, Joneen Lowman, Kristen Strader","doi":"10.1177/21501319251320180","DOIUrl":"10.1177/21501319251320180","url":null,"abstract":"<p><strong>Introduction/objectives: </strong>As healthcare embraces telehealth, a need exists to understand factors that promote older adults' telehealth usage, including the influence of age-related sensory impairments. The objective of this study was to describe older adults' perceptions of telehealth and factors they considered before using telehealth within the framework of The Unified Theory of Acceptance and Use of Technology (UTAUT).</p><p><strong>Methods: </strong>This descriptive qualitative study collected data through semi-structured interviews. Twenty-four older adults were randomly selected from a pool of 103 participants who completed the initial UTAUT survey study. Individual interviews were conducted by telephone. Reflective thematic analysis was used to identify themes within the UTAUT construct that influence older adults' use of telehealth.</p><p><strong>Results: </strong>Older adults identified preparedness, receptiveness, and willingness to use telehealth as important overarching factors to consider when using telehealth. These are connected to the UTAUT constructs: facilitating conditions, social influence, effort expectancy, and performance expectancy.</p><p><strong>Conclusions: </strong>This study supports UTAUT as an appropriate framework for assessing telehealth readiness and predicting behavioral intention to use telehealth. Our findings provide limited evidence that sensory impairments do not impact telehealth readiness unless the individual lacks appropriate adaptations.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251320180"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an Undiagnosed Mass Registry: Lessons Learned From Our First 100 Patients.","authors":"Steven W Ressler, Ivana T Croghan, Marlene E Girardo, John P Fasolino, Elizabeth A Gilman, Nate P Erwin, Nancy L Dawson, Joan M Irizarry-Alvarado, Ryan T Hurt, Karthik Ghosh","doi":"10.1177/21501319251325650","DOIUrl":"10.1177/21501319251325650","url":null,"abstract":"<p><strong>Introduction: </strong>The Undiagnosed Mass Clinic (UMC) at our institution is a clinical and research program created to address gaps in the early diagnostic phase of the cancer care continuum for patients with potential malignant neoplasms. All patients referred to the UMC are invited to participate in the UMC registry, which tracks operational and clinical metrics while maintaining a repository of blood and tissue specimens for future research.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of the first 100 patients enrolled in the UMC registry. We analyzed patient demographics, final diagnoses, and the time from initial consultation to final diagnosis.</p><p><strong>Results: </strong>Most participants were White (86%), non-Hispanic (93%), and married (72%). The mean (SD) age was 64 (13.9) years. The final diagnoses of the masses were categorized as malignant/neoplastic with malignant potential (n = 53), benign (n = 36), or requiring diagnostic surveillance (n = 10). The mean (SD) time from initial consultation to final diagnosis of malignant/neoplastic with malignant potential masses significantly improved from 37.4 (36.6) days for the first 50 participants to 17.3 (19.7) days for the next 50 participants (<i>P</i> = .006).</p><p><strong>Conclusions: </strong>These initial insights from the UMC registry will help direct future efforts to improve the care of patients with potential malignant neoplasms.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251325650"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Effectiveness of Parent Training Pamphlets: An Intervention Study Among Parents at Child Health Checkups.","authors":"Kazuko Akutsu, Aya Goto, Fareeda Abo-Rass, Hiroyuki Yokoyama","doi":"10.1177/21501319251317340","DOIUrl":"10.1177/21501319251317340","url":null,"abstract":"<p><strong>Introduction: </strong>Parent training (PT) programs are recognized as effective interventions that enhance parenting techniques and improve the parent-child relationship. In Japan, these programs are increasingly implemented to help parents manage behavioral issues in children. This study evaluated the effectiveness of PT pamphlets designed and distributed in Shioya Town, Japan, by comparing outcomes between the intervention and control groups and within subgroups of parents, categorized based on their children's need for follow-up health checkups.</p><p><strong>Methods: </strong>The study included an intervention group that received PT pamphlets during their 1.5-year health checkups and a control group that did not. Data were collected through self-administered questionnaires at the 3.5-year health checkups, assessing adherence to 3 recommended parenting techniques. The analysis focused on comparing intervention and control groups, evaluating adherence to 2 recommended parenting techniques versus one or none. The study also analyzed adherence to each recommended parenting technique within subgroups of parents whose children needed follow-up health checkups and those whose children did not.</p><p><strong>Results: </strong>The study included 114 participants, with 55 in the intervention group and 59 in the control group. Analysis revealed that 29.1% of the intervention group adhered to 2 recommended parenting techniques, compared with 24.6% in the control group. However, no significant differences were observed between the intervention and control groups in adherence to 2 recommended techniques versus one or none, or to any single technique among the 3. Subgroup analyses revealed significant differences in adherence among parents whose children were identified to have developmental concerns at the 1.5-year health checkup and were required to have follow-up checkups, specifically in the \"avoid immediate reactions\" approach between intervention and control groups.</p><p><strong>Conclusions: </strong>The PT pamphlets effectively increased adherence to recommended parenting techniques in the intervention group among children requiring follow-ups. This underscores the importance of culturally adapted PT programs and demonstrates the potential of simple educational interventions in improving parenting styles.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251317340"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Nobody Seemed to Notice My Work\": The Lived Experiences of Home Care Workers Assisting People With Chronic Diseases: A Phenomenological Study.","authors":"Valentina Cacciapuoti, Silvio Simeone, Michele Virgolesi, Medeline R Sterling, Elisa Dallago, Ercole Vellone, Rosaria Alvaro, Gianluca Pucciarelli","doi":"10.1177/21501319241276805","DOIUrl":"10.1177/21501319241276805","url":null,"abstract":"<p><strong>Introduction: </strong>Home care workers (HCWs) are paid caregivers who provide support to patients with chronic conditions and functional limitations. Additionally, they provide emotional support to patients and familial support. Although several qualitative studies have been conducted on HCWs, they focused more on studying prevalently the lived experiences about the workplace violence, the end of life, stressor and resilience, during the COVID-19 pandemic or focused more in dementia and heart failure, but not on feelings and working conditions.</p><p><strong>Methods: </strong>The study was carried out using Cohen's phenomenological methodology. The subjects were enrolled in several cities of Central Italy and interviewed with open questions to allow them full freedom of expression and asked to describe their lived experience of HCWs who helped people with chronic diseases. Each interview was recorded audio and lasted between 20 and 60 min. Researchers involved in the analysis were independently immersed in the data by reading and rereading the transcripts to gain a sense of the entire data set. The extrapolation of the themes followed. The individual researchers compared the various extrapolated themes.</p><p><strong>Results: </strong>Seventeen HCWs, all women, with a mean age of 54 years were enrolled in this study. All had more than a year (from 4 to 26 years) of experience in Italy, and almost the whole sample lived with the person they were assisting. Three themes were identified in the interviews: (1) feeling inadequate as a nurse, (2) feeling valued in this role, and (3) uncertain future. Feeling inadequate due to lack of training, difficulties related to the Italian language, or uncertainty about their future were topics identified by the HCWs.</p><p><strong>Conclusions: </strong>Since HCWs represent an important resource which, if properly trained, could positively influence the quality of life of the elderly population and a valid support for their families, understanding the lived experience can suggest interventions that could be implemented by a health care professional and provide evidence to inform political decision makers to increase the support for HCWs.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319241276805"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hiding in the Folds: Case Report Highlighting the Role of Imaging in Detecting Dermatofibrosarcoma Protuberans.","authors":"Carlie A Aurubin, Lorvens Decosma, Olayemi Sokumbi, Aneesah P Garrett, Cara C Prier","doi":"10.1177/21501319251314855","DOIUrl":"10.1177/21501319251314855","url":null,"abstract":"<p><p>Dermatofibrosarcoma protuberans (DFSP) is a rare slow-growing skin cancer with a great capacity for local destruction. DFSP can manifest in a myriad of ways. This case report aims to contribute to the literature by increasing awareness of this condition, along with common diagnostic practices and treatment regimens. We present a 52-year-old Filipino woman who was evaluated for dyspnea with an incidental finding of an indeterminate nodule on imaging. A comprehensive diagnostic workup confirmed dermatofibrosarcoma protuberans (DFSP), which was ultimately treated with surgical resection. Clinically, about 52% of patients are misdiagnosed, leading to poor outcomes. Therefore, awareness, early detection, multidisciplinary treatment, and lifelong screening are essential for optimal outcomes.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251314855"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Associations Between Sleep Duration and Various Metabolic Health Indices Among Adults in the United States: A Multivariate Analysis of Variance (MANOVA) Using National Health and Nutrition Examination Survey (NHANES) 2021 to 2023 Dataset.","authors":"Shuo Feng, Jeong-Hui Park, Qiyue Zhang, Ping Ma, Jung-Min Lee, Jong Cheol Shin","doi":"10.1177/21501319251315599","DOIUrl":"10.1177/21501319251315599","url":null,"abstract":"<p><strong>Objective: </strong>This study explores the associations between various sleep durations and metabolic health indices, including systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol levels, high-density lipoprotein (HDL) cholesterol, and waist circumference.</p><p><strong>Methods: </strong>Data from the National Health and Nutrition Examination Survey (NHANES) 2021 to 2023, were analyzed. MANOVA and Bonferroni-adjusted ANOVAs were conducted to examine the relationships between sleep duration (sleep deprivation (≤5 h), short sleep (5-7 h), recommended sleep (7-9 h), and long sleep (>9 h)) and metabolic health indices.</p><p><strong>Results: </strong>MANOVA revealed significant group differences between sleep duration and metabolic health indices, with Wilks' Lambda (Λ) = .98, <i>F</i> (3, 5095) = 4.26, <i>P</i> < .001. Compared to recommended sleep duration, both sleep deprivation and short sleep were associated with higher DBP (<i>P</i>s < .01) and waist circumference (<i>P</i>s < .001), and lower HDL levels (<i>P</i>s < .05) Long sleep was associated with lower HDL levels (<i>P</i> < .01) and lower total cholesterol (<i>P</i> < .01).</p><p><strong>Conclusion: </strong>The study highlights the detrimental associations of both sleep deprivation and short sleep with metabolic health, such as elevated blood pressure and waist circumference, and lowered HDL cholesterol. Long sleep may also negatively impact metabolic health by reducing HDL.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251315599"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transportation Barriers and Diabetes Outcomes: A Longitudinal Analysis.","authors":"Seth A Berkowitz, Aileen Ochoa, Myklynn LaPoint, Marlena L Kuhn, Jenine Dankovchik, Jenna M Donovan, Mufeng Gao, Sanjay Basu, Michael G Hudgens, Rachel Gold","doi":"10.1177/21501319251320709","DOIUrl":"10.1177/21501319251320709","url":null,"abstract":"<p><strong>Objective: </strong>To estimate associations between transportation barriers and diabetes outcomes.</p><p><strong>Methods: </strong>Longitudinal cohort study; 86 977 adults with type 2 diabetes mellitus in community-based health centers were assessed for transportation barriers, with up to 36 months of follow-up after initial assessment. We compared scenarios in which individuals did not experience transportation barriers to scenarios in which they did, to estimate differences in mean hemoglobin a1c (HbA1c), systolic and diastolic blood pressure (SBP and DBP), and LDL cholesterol. For analysis, we used targeted minimum loss estimation at the following timepoints after initial transportation barrier assessment: 12 (primary), 6, 18, 24, 30, and 36 months. The study period was June 24, 2016 to April 30, 2023.</p><p><strong>Results: </strong>We estimated that if participants did not experience transportation barriers, mean HbA1c would have been 0.09% lower (95% CI = -0.14% to -0.04%, <i>P</i> = .0002) at 12 months, compared to a scenario in which they did experience transportation barriers. These results were similar at other time points. We also estimated that absence of transportation barriers was associated with, at 12 months, lower SBP (-0.6mm Hg, 95% CI = -1.0mm Hg to -0.2mm Hg, <i>P</i> = .004) and DBP (-0.3mm Hg, 95% CI = -0.5mm Hg to -0.1mm Hg, <i>P</i> = .02), but not LDL (-1.1mg/dL, 95% CI = -2.6 mg/dL to 0.5 mg/dL, <i>P</i> = .19). Results at other time points for SBP, DBP, and LDL outcomes were similar.</p><p><strong>Conclusions: </strong>Absence of transportation barriers was associated with slightly lower hemoglobin A1c and blood pressure, but the small magnitude of the differences suggests that also addressing other factors may be needed to improve diabetes outcomes more meaningfully.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251320709"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Multi-Disciplinary Team in Implementing Clinical Audit Recommendations to Improve Health Educators' Practice at Primary Care in Qatar.","authors":"Ansif Pallath Majeed, Kiran Harikumar, Hanan Al Mujalli, Abdul Ali Shah, Noora Alkubaisi, Sharifullah Khan, Faiza Aiman","doi":"10.1177/21501319241279656","DOIUrl":"10.1177/21501319241279656","url":null,"abstract":"<p><strong>Background: </strong>Health educators play a vital role in primary care by educating patients on the significance of maintaining good health and preventive measures, especially in the case of chronic illnesses. Evaluating the impact of their efforts is essential to ensure the delivery of high-quality patient care.</p><p><strong>Method: </strong>A multi-layered process involves pre-intervention analysis of 180 health records, followed by a SWOT analysis to identify necessary interventions, facilitated by a multidisciplinary team to enhance the quality of practice. Subsequently, a post-intervention re-audit is conducted with a sample size of 236 health records to assess any changes in measured parameters.</p><p><strong>Results: </strong>The initial health education and learning needs assessment compliance was 41% during the baseline evaluation but increased to 81% (<i>P</i> = .001) post-intervention. Social history review improved from 54% to 75% (<i>P</i> = .198) following the intervention. Mental health screening for anxiety and depression was done on 67% of patients initially, but compliance rose to 98% (<i>P</i> ≤ .001) post-intervention. Problem list documentation reached 100%(<i>P</i> ≤ .001) compliance post-intervention, up from 44% during the baseline assessment. In the initial evaluation, it was found that 56% of patients were provided with health education and follow-up guidance. After the intervention, this number increased to 79%(<i>P</i> = .013). During the baseline assessment, 35% of patients underwent follow-up assessments, including a review of previous goals and their achievement status. This percentage significantly improved to 92%(<i>P</i> = .001) after the intervention. Additionally, 47% of patients received a follow-up plan with new goals and instructions before the intervention, but this improved to 90% (<i>P</i> = .004) afterwards. The overall compliance rate during the baseline assessment was 51%, which increased to 88% following the intervention, indicating a significant improvement in the health educator's practice.</p><p><strong>Conclusion: </strong>The involvement of a multidisciplinary team in implementing multifaceted post baseline recommendations was instrumental in enhancing the overall performance of health educators. The study results underscore the positive impact of this cooperation among different departments on the efficacy of health educators' practice. The SWOT analysis helped to examine various possibilities for implementing interventions to address existing gaps and enhance the quality of practice through positive changes.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319241279656"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}