Primary health care research & development最新文献

{"title":"Factors affecting cost-related medication non-adherence among US population with cardiovascular risk factors.","authors":"Nikhila Gandrakota, Manju Ramakrishnan, Kavya Sudireddy, Megha K Shah","doi":"10.1017/S1463423626101054","DOIUrl":"10.1017/S1463423626101054","url":null,"abstract":"<p><strong>Introduction: </strong>In the US, cardiovascular diseases (CVD) are the leading cause of death and disability. Cost-related medication non-adherence (CRMN) can have serious consequences and worsen CVD outcomes. We examined the relationship between CVD risk factors and CRMN among US adults.</p><p><strong>Methods: </strong>CDC's 2019-2021 National Health Interview Survey (NHIS) data were used to examine CRMN among adults, categorized into three groups based on reported risk factors. We used chi-square tests, and logistic regression to determine factors associated with CRMN.</p><p><strong>Results: </strong>Among 49,464 participants, young, unmarried individuals, females, less educated, and participants from the South had higher CRMN than older, married individuals, males, and those with higher education residing in the other regions. Current smokers and those with more CVD risk factors also reported higher CRMN than former and never-smokers. Conversely, those aged 65 or older, with high-income, and excellent self-rated health had lower CRMN than younger participants, low-income families, and those with poor self-rated health. Public insurance and Medicaid participants had lower CRMN than uninsured (OR 0.13, 95% CI, 0.04-0.45, and OR 0.24, 95% CI, 0.15-0.36). Stratified analysis by diabetes, hypertension, and hyperlipidemia, revealed participants with high-income had lower odds of CRMN (OR 0.38, 95% CI, 0.28-0.50; OR 0.39, 95% CI, 0.28-0.58; OR 0.37, 95% CI, 0.27-0.51 respectively) than those with lower- incomes.</p><p><strong>Conclusion: </strong>Adults under 65 with more CVD risk factors and lacking insurance coverage are at higher risk of CRMN. Therefore, strengthening prescription drug coverage and targeted interventions are necessary to reduce CRMN among those with cardiovascular risk factors.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e42"},"PeriodicalIF":1.7,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522920","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":"Chronic care management in primary care for patients with type 2 diabetes mellitus in Amazonas.","authors":"Johrdy Amilton da Costa Braga, Lucas Santos Fernandes, Maria Natália Cardoso, Elizabete Regina Araújo de Oliveira, Jhonnata Bezerra de Carvalho, Hércules Lázaro Morais Campos, Elisa Brosina de Leon","doi":"10.1017/S1463423626101005","DOIUrl":"10.1017/S1463423626101005","url":null,"abstract":"<p><strong>Background: </strong>Conducting health systems assessments helps highlight weaknesses and strengths to be explored to improve care delivery. The Assessment of Chronic Illness Care (ACIC) considers the perspective of professionals who work in the care-providing institution. Its structure comprises seven dimensions that provide specific data about the care offered. Objectives: (1) evaluate the institutional capacity for Type 2 Diabetes Mellitus (T2DM) management in the interior of the State of Amazonas from the perspective of health professionals; (2) verify the association between socio-educational, work and geographic location variables with the dimensions of the ACIC.</p><p><strong>Methods: </strong>A cross-sectional study carried out between October 2020 and December 2022 in 36 Primary Health Units (PHUs) of the seven cities of the Amazonas, totaling 230 participants. Excel 2019 and R (4.2.1) were used for data analysis. The association between independent variables and ACIC dimensions was analyzed using multiple logistic regression analysis.</p><p><strong>Result: </strong>The PHUs in the rural Amazonas have the basic capacity to care for patients with T2DM. Analysis of each dimension of the ACIC demonstrated that geographic location was the most relevant factor, showing an association with all instrument dimensions.</p><p><strong>Conclusions: </strong>Socioeducational variables showed an association with the dimensions of Decision Support, Design of the Service Delivery System, Clinical Information System, and Integration of components of the Care Model for Chronic Conditions. Work-related variables, on the other hand, were associated with the dimensions of Organization of Health Care, Community Resources, Support for Self-Management and Integration of the components of the Chronic Conditions Care Model.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e38"},"PeriodicalIF":1.7,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517412","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":"<i>MassCas</i> tabletop game as a training tool in mass casualty incidents for primary healthcare doctors and nurses: a pilot study.","authors":"Tatiana Cuartas-Alvarez, Gracia Garijo Gonzalo, Eva Valiño Otero, Cesar Luis Roza Alonso, Cecilia Naves Gomez, Rubén Villa Estébanez, Rafael Castro-Delgado","doi":"10.1017/S1463423626101108","DOIUrl":"10.1017/S1463423626101108","url":null,"abstract":"<p><strong>Introduction: </strong>Mass casualty incidents (MCI) are a challenge for prehospital response. The global response may include primary health care teams (PHCT), even more in remote and rural areas. As training in MCI response is complex, it is essential to simplify it when focused in PHCT as it is a low frequency phenomenon in their context. Our objective is to measure self-perception and the impact of a brief training experience using a mass casualty incident tabletop game with primary care doctors and nurses.</p><p><strong>Methods: </strong>Descriptive study of the impact of a training intervention on 27 primary care physicians and nurses in the Principality of Asturias. A 2-h training experience was carried out using a tabletop game. Self-perception was measured using a Likert's scale on methodology, knowledge and skills, as well as a multiple-choice knowledge test after two months. Strengths and weaknesses of the methodology were also identified using open-ended questions, as well as attitudes towards incidents with mass casualty incidents.</p><p><strong>Results: </strong>85% of participants improved their level of knowledge without providing them study material. Self-perception measured 27 items in 3 dimensions: methodology (Median = 9; interquartile range (IQR) = 2), knowledge (Median = 10; IQR = 1), and skills (Median = 9; IQR = 1). All items except one had a median greater than or equal to 9.</p><p><strong>Conclusions: </strong>Gamification using the <i>MassCas</i> tabletop game for mass casualty incidents is perceived by primary care doctors and nurses as a useful tool in their training for mass casualty incidents, as well as for acquiring specific knowledge and skills in this area.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e39"},"PeriodicalIF":1.7,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517423","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":"National pilot of innovative early years skill mix working in five Start for Life sites in England: study protocol.","authors":"Jane Barlow, Michael Fanner, Michelle Sleed, Laurie Day, Gabriella Conti, Gabriel Weber Costa","doi":"10.1017/S1463423626100966","DOIUrl":"10.1017/S1463423626100966","url":null,"abstract":"<p><strong>Background: </strong>England's Family Hubs and Start for Life (SfL) Programme Guidance recommends strengthening early years services by increasing workforce capacity and capability through innovative skill mix models. However, evidence regarding how different innovative early years skill mix workforce models operate, function, and influence outcomes remains limited. To address this gap, five local authorities in England that are existing SfL sites received funding from the Department of Health and Social Care (DHSC) to design and pilot innovative early years skill mix workforce models to enhance their Family Hub offers and better support families with children under two.</p><p><strong>Methods: </strong>The evaluation is guided by each site's Theory of Change and uses a mixed-methods design. The study consists of five workstreams. First, pilot models will be mapped through documentary analysis, including content analysis of role descriptions and audits of workforce activities recorded in clinical diaries. Second, system-level mechanisms, facilitators, and barriers to implementation will be examined through reviews of service and management data and semi-structured interviews with key stakeholders. Third, relational structures underpinning effective practice will be explored using 75 family-level case studies and Social Network Analysis to assess professional networks and their influence on family and practitioner experiences. Fourth, impacts will be estimated using Synthetic Control Methods to assess effects on Healthy Child Programme outcomes, alongside cost and cost-benefit analyses. Finally, the broader application of skill mix working will be explored through semi-structured interviews and case studies across additional local authorities.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e45"},"PeriodicalIF":1.7,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517418","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":"Nurses' experiences of competence development in home care.","authors":"Liisa Ranta, Marja Kaunonen","doi":"10.1017/S1463423626101029","DOIUrl":"10.1017/S1463423626101029","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to describe nurses' experiences of competence development in home care.</p><p><strong>Background: </strong>Home care services are increasingly used to support clients' coping at home. As the number of clients with multiple diseases is growing, continuous competence development is needed.</p><p><strong>Methods: </strong>Qualitative cross-sectional study. Four registered nurses (RNs) and seven licenced practical nurses (LPNs) from one well-being services county in Finland participated in interviews. The data were analysed with thematic analysis.</p><p><strong>Findings: </strong>Three themes were found in the analysis: having adequate competence to work as a nurse in home care, being a competent and developing licenced practical nurse, and being an improving and developing registered nurse. Competence development requires continuous training. Nurses need various practises to update their knowledge and skills. Managers have an important role in supporting, organizing, and timing competence development opportunities.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e37"},"PeriodicalIF":1.7,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500570","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":"Perceptions of primary care among medical students in Lima, Peru: a cross-sectional study in two universities.","authors":"Sebastian A Medina-Ramirez, Camila A Arones-Santayana, Alvaro Taype-Rondan","doi":"10.1017/S146342362610084X","DOIUrl":"10.1017/S146342362610084X","url":null,"abstract":"<p><strong>Objective: </strong>To describe the perception of primary care (PC) among medical students from two universities in Peru.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among third- to seventh-year medical students from two universities in Lima, Peru. A questionnaire was applied to evaluate perceptions of PC. Crude and adjusted prevalence ratios (aPR) with their 95% confidence intervals (95% CI) were calculated to assess factors associated with a favorable perception.</p><p><strong>Results: </strong>Data from 418 medical students were analyzed (women: 60.8%, mean age: 23.4 years). Only 2.2% expected to work in PC after graduation. Regarding perceptions of PC, 82% agreed or strongly agreed that PC is a preparatory step toward medical residency, 55% felt cases were less interesting, and 44% believed the income was lower compared to hospital work. Being enrolled at Universidad Peruana Unión (aPR: 3.35, 95% CI: 1.85-6.05) and having completed an external rotation in PC (aPR: 1.36, 95% CI: 1.03-1.80) were associated with a favorable perception.</p><p><strong>Conclusion: </strong>Among the assessed students, most viewed PC as a step toward residency, and nearly half considered cases less interesting and income lower compared to hospital work. A favorable perception was associated with university affiliation and having completed external rotations in PC during training.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e36"},"PeriodicalIF":1.7,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379784","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":"Self-management interventions in primary care practices in France between 2010 and 2022: a descriptive national study.","authors":"Emmanuel Allory, Marion Delaurens, Ronan Garlantézec, Rémi Gagnayre","doi":"10.1017/S1463423626100929","DOIUrl":"10.1017/S1463423626100929","url":null,"abstract":"<p><strong>Aim: </strong>Our objective was to describe the self-management intervention (SMI) programmes carried out in primary care practices (PCPs) in France between 2010 and 2022.</p><p><strong>Background: </strong>SMIs are included in the recommendations for chronic disease management, but access remains inequal. Primary care has been identified as a favourable setting for their development.</p><p><strong>Methods: </strong>In partnership with the French Ministry of Health Office of Non-Communicable Diseases, we contacted all Regional Health Agencies (<i>n</i> = 18) to collect the following information from the self-management programme forms: year of authorization/declaration, SMI type, administrative structure, self-management and coordination team, and programme content.</p><p><strong>Findings: </strong>At the 13 participating Regional Health Agencies, we identified 4,922 SMI programmes among which 18% (<i>n</i> = 889) were developed in primary care settings and 5.5% (<i>n</i> = 271) in PCPs. Among the 127 forms on SMI programmes at PCPs (2.6%), multi-professional PCPs (57.5%, <i>n</i> = 73) and healthcare centres (25.9%, <i>n</i> = 33) were the most represented. All programmes had a coordinator (mostly general practitioners, 34.7%, <i>n</i> = 24) among whom 69.7% (<i>n</i> = 69) were trained in coordination. The self-management team included a mean of 8.1 (5.5) primary care providers. The main themes were diabetes (34.6%, <i>n</i> = 44), diabetes and cardiovascular diseases (15.6%, <i>n</i> = 20), and cardiovascular disease (10.2%, <i>n</i> = 13). In France, self-management programmes in PCPs are still rare, lack a multimorbidity approach, and are carried out mainly in PCPs with inter-professional collaboration. A qualitative study to identify the barriers and levers to SMI programmes in PCPs may be particularly relevant.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e34"},"PeriodicalIF":1.7,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12979017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367635","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":"Life satisfaction and subjective well-being in urban slums of Gorakhpur, India: psychometric validation of the satisfaction with life scale (SWLS) and socio-demographic assessment.","authors":"U Venkatesh, Arshad Ahmed, Ashoo Grover, Om Prakash Bera, Anand Mohan Dixit, Hari Shanker Joshi","doi":"10.1017/S1463423626100991","DOIUrl":"10.1017/S1463423626100991","url":null,"abstract":"<p><strong>Background: </strong>Life satisfaction, a core component of subjective well-being, has not been comprehensively explored among urban slum populations. This study aimed to psychometrically assess the Satisfaction with Life Scale (SWLS) and examine socio-demographic correlates of life satisfaction among adults in Gorakhpur, India.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 406 participants (52.5% male, 47.5% female) selected through multistage random sampling across eight urban slums in Gorakhpur. Eligible individuals were aged 18 years or above and residents of the selected slum areas. Data were collected using a pre-validated version of the SWLS and a structured socio-demographic questionnaire, administered via the EpiCollect5 through face-to-face interviews. Descriptive and comparative analyses were used to assess group differences across socio-demographic variables.</p><p><strong>Results: </strong>The SWLS showed good internal consistency (<i>α</i> = 0.842) and satisfactory inter-item correlations (<i>r</i> = 0.375-0.654, <i>p</i> < 0.01). Males reported significantly higher life satisfaction than females, particularly among married and cohabiting individuals (27.30 vs. 23.75, <i>p</i> = 0.001) and non-vegetarian consumers (27.28 vs. 24.25, <i>p</i> < 0.001). Participants from joint families showed higher satisfaction than those in nuclear households (26.79 vs. 20.29, <i>p</i> = 0.011). Women aged 56-65 had the lowest satisfaction scores (14.50 ± 0.71), with half reporting neutrality or dissatisfaction.</p><p><strong>Conclusion: </strong>The findings highlight the importance of gender, family structure and dietary habits as key socio-cultural correlates of life satisfaction in urban slum communities. The presence of moderate satisfaction levels despite material hardship highlights the need for context-sensitive well-being frameworks and community-informed interventions in similar low-resource settings.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e35"},"PeriodicalIF":1.7,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12979020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367651","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":"Person-centred, community-oriented, and diversity sensitive primary care for migrants; a EFPC position paper.","authors":"Tessa van Loenen, Marika Podda Connor, Silvia Wojczewski, Zaza Tsereteli, Oleksii Korzh, Isabel Monteiro, Pim de Graaf, Kalimah Ibrahiim, Sevil Güner, Stinne Glasdam, Samar Al-Tashi, Mehmet Ungan, Maria van den Muijsenbergh","doi":"10.1017/S1463423626101017","DOIUrl":"10.1017/S1463423626101017","url":null,"abstract":"<p><strong>Aim: </strong>This paper aims to describe what constitutes good-quality, accessible, affordable and acceptable primary care for migrants. This includes identifying system adaptations and offering evidence- and practice-based recommendations and guidance for primary care organizations and professionals on how to deliver such care.</p><p><strong>Background: </strong>Migration has significantly diversified European populations. Migrants often face structural, linguistic, cultural, and systemic barriers in accessing appropriate primary care. While these challenges are well-documented, implementation of effective, inclusive care remains inconsistent across countries.</p><p><strong>Methods: </strong>This position paper presents a narrative synthesis of existing literature, expert opinions, and recent policy developments. It draws on evidence from healthcare research, policy analyses, and recommendations developed by the <i>European Forum for Primary Care</i> working group on migrants, primarily covering developments from the past decade.</p><p><strong>Findings: </strong>High-quality primary care for migrants requires coordinated action across care delivery, capacity building, and system-level structures. Care delivery must be person-centred and comprehensive, supported by interprofessional collaboration and professional interpretation. Capacity building depends on training and education that embed diversity-sensitive care, cultural humility, and structural competency. At the system level, policies should guarantee equitable access, continuity of care, and inclusive quality monitoring, while fostering intersectoral partnerships and community engagement.</p><p><strong>Conclusion: </strong>Embedding person-centred, diversity-sensitive, and community-oriented principles into primary care systems is essential for achieving equitable healthcare for migrant populations. This is an urgent plea to healthcare policymakers, organizations, and professionals to undertake action to realise these reforms as they not only improve care for migrants but contribute to stronger, sustainable and more resilient health systems overall.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e33"},"PeriodicalIF":1.7,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349273","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":"Adverse childhood experiences and burnout among health care providers in primary care: the moderating role of resilience.","authors":"Emma C Lathan, Madeline Cohodes, Hailie R Suarez-Rivas, Ryan A Langhinrichsen-Rohling, Vedaja Surapaneni, Tamara Haynes, Stan C Sonu, Abigail Powers","doi":"10.1017/S1463423626100851","DOIUrl":"10.1017/S1463423626100851","url":null,"abstract":"<p><p>Health care providers (HCPs) with histories of adverse childhood experiences (ACEs) are at increased risk for burnout, which can threaten healthcare quality. This study examines the relation between ACEs and burnout among HCPs in primary care clinics at a safety-net hospital and whether this association is buffered by resilience. Sixty-seven HCPs (68.7% women; 44.8% White; <i>M</i> _<i>age</i> = 36.7 years, <i>SD</i> _<i>age</i> = 9.8) recruited from a large, public U.S. healthcare system participated in an anonymous study assessing their ACE history, resilience, and burnout symptoms. ACE scores were positively correlated with burnout, <i>r</i> =.25, <i>p</i> =.048. A moderation analysis revealed main effects of ACEs, <i>B</i> = .17, <i>SE</i> = .07, <i>p</i> = .013, and resilience, <i>B</i> = -.34, <i>SE</i> = .08, <i>p</i> = .000, on HCP burnout, when controlling for years in healthcare. ACEs and resilience interacted to predict burnout, <i>n</i> = 55, <i>B</i> = -.11, <i>SE</i>=.05, <i>p</i> = .029. A positive relation was found between ACEs and burnout for HCPs who reported low, <i>t</i> = 3.21, <i>p</i> = .002, and average, <i>t</i> = 2.57, <i>p =</i> .013, resilience levels. Resilience appears to mitigate, or even prevent, burnout among HCPs, although it may be most helpful for those with ACE histories. Healthcare systems can build a more resilient workforce by offering routine, system-wide exposure to trauma-informed professional development or self-care opportunities to their HCPs.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e32"},"PeriodicalIF":1.7,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328311","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}