London journal of primary care最新文献

{"title":"Erratum.","authors":"","doi":"10.1080/17571472.2018.1499425","DOIUrl":"https://doi.org/10.1080/17571472.2018.1499425","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1080/17571472.2018.1485262.].</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 4","pages":"i"},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1499425","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36375747","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 transformational moment for London Journal of Primary Care.","authors":"Mayur Lakhani,&nbsp;David Morris","doi":"10.1080/17571472.2018.1486501","DOIUrl":"https://doi.org/10.1080/17571472.2018.1486501","url":null,"abstract":"This bumper issue of London Journal of Primary Care (LJPC) provides a fitting end to its ten years of activity. It signals a PAUSE to prepare for a new stage of translating into practice the ideas that LJPC has been promoting about community-oriented integrated care. LJPC started in 2008 as the Journal of the three London RCGP faculties. Now it has out-stripped its original intention. It has gone beyond London RCGP Faculties and is now an international, peer-reviewed journal registered on PubMed Central. It has become more than journal – it is a community of practice that includes policy-makers, practitioners, managers, educationalists and researchers who want to understand community-oriented integrated care. It is concerned with more than primary care – it is concerned with integrating the contributions to health and care of everyone in society. The ideas developed by LJPC in the past ten years will be built on in the future by the University of Central Lancashire, with RCGP collaboration. This is likely to include a network of case study sites, a new publishing platform, and a new name to enable further progress in understanding how to build and sustain collaboration at local level for health and for care. This final issue contains papers that demonstrate the power of the LJPC approach.","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 4","pages":"71-72"},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1486501","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36376652","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":"Improving outcomes for patients discharged early using a home assessment scheme.","authors":"Lucy Meehan,&nbsp;Ricky Banarsee,&nbsp;Val Dunn-Toroosian,&nbsp;Shafeeq Tejani,&nbsp;Alireza Yazdi","doi":"10.1080/17571472.2018.1489467","DOIUrl":"https://doi.org/10.1080/17571472.2018.1489467","url":null,"abstract":"<p><strong>Background: </strong>With increased delayed discharges from acute NHS hospitals, especially for older patients, solutions like the 'Discharge to Assess' (D2A) scheme aim to facilitate quicker discharge and improve experiences for patients and carers.</p><p><strong>Setting: </strong>This report examines the quality process from the patient perspective of the D2A scheme implemented in a London Northwest Healthcare NHS Trust (LNWHT). A retrospective audit was conducted using the first cohort of patients discharged through this pilot scheme from April to July 2017.</p><p><strong>Question: </strong>A brief study to explore patient views of their experience of the D2A scheme.</p><p><strong>Methods: </strong>An opportunistic audit comprised of brief telephone interviews with patients following discharge from hospital through the D2A scheme.</p><p><strong>Results: </strong>30 patients who had been discharged with the D2A scheme, agreed to participate. Overall, patients were positive about their experience and valued the support and services provided. However, there were concerns on the issue of communication. The scheme effectiveness from the patient's perspective improved over the duration of the evaluation.</p><p><strong>Discussion: </strong>Patients' views about their experiences changed over time, which included patients' perceptions of the discharge process, patients' expectations and the way in which they were able to access services.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 3","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2018-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1489467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36339949","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":"Child and adolescent mental health service, Terengganu, Malaysia: how we are thinking about making a difference.","authors":"Rahima Dahlan,&nbsp;Mohd Nizam Abd Ghani,&nbsp;Rosliza Yahaya,&nbsp;Tuan Saripah Tuan Hadi","doi":"10.1080/17571472.2018.1484333","DOIUrl":"https://doi.org/10.1080/17571472.2018.1484333","url":null,"abstract":"To effectively deliver child and adolescent mental health (CAMH) services in resource-constrained settings, it is vital to be smart in utilizing such resources efficiently, and this requires strategic planning. Of paramount importance is in-service training of primary care professionals aimed to consolidate existing knowledge and employ evidence-based strategies to manage child mental health care and to successfully integrate further these services into other mainstream healthcare facilities. The implementation of CAMH services in Terengganu has served to facilitate numerous improvements such as promoting and increasing awareness of young people with mental health problems within their general practices. Furthermore, planning and implementing fully integrated child mental health service in Terengganu and the East Coast of Malaysia has served to enhance our understanding and yielded valuable insights which include:","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 4","pages":"118-120"},"PeriodicalIF":0.0,"publicationDate":"2018-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1484333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36376076","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":"Global child and adolescent mental health: challenges and advances","authors":"Lauren Bruha, Valentini Spyridou, Georgia Forth, Dennis Ougrin","doi":"10.1080/17571472.2018.1484332","DOIUrl":"https://doi.org/10.1080/17571472.2018.1484332","url":null,"abstract":"Global mental health has never been more topical. The true global burden of mental illness has only recently been understood. Mental health disorders account for 32.4% of years lived with disabilit...","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 1","pages":"108 - 109"},"PeriodicalIF":0.0,"publicationDate":"2018-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1484332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46261363","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":"The impact of delayed paper communication to primary care from secondary care and out of hours services.","authors":"Dominic Crocombe,&nbsp;Mayukh Bhattacharyya","doi":"10.1080/17571472.2018.1490314","DOIUrl":"https://doi.org/10.1080/17571472.2018.1490314","url":null,"abstract":"<p><p>The safe and effective treatment of patients accessing multiple NHS services relies upon efficient communication between primary care, secondary care, and out of hours providers. There is a theoretical risk to patient safety from delays in these processes, to which paper communications are particularly vulnerable. When letters are received they must be reviewed and prioritised in order of clinical importance, a process that requires both time and clinical resources. This is relevant to the challenge of resource allocation to maximise patient benefit. This retrospective study investigated the impact on patient safety of 249 clinical letters reporting routine clinical encounters in secondary care and out of hours services that were delayed by an average of 18-24 months to a suburban London general practice. No clinical harm could be attributed to the delay. This small study did not suggest delays in routine communications pose a significant risk to patient safety. Conversely, it questions the efficiency and benefit to patients of prioritising clinical time to reviewing routine letters. The adoption of fully integrated, shared electronic patient records with the function to highlight clinically urgent or important communications might ease clinician workload, to the ultimate benefit of patient care.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 3","pages":"59-61"},"PeriodicalIF":0.0,"publicationDate":"2018-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1490314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36339948","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":"One hundred years ago … there was a jigsaw puzzle of a farmer: teaching and learning with Kasimir Malevich.","authors":"Francesco Carelli","doi":"10.1080/17571472.2018.1485262","DOIUrl":"https://doi.org/10.1080/17571472.2018.1485262","url":null,"abstract":"","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 4","pages":"126-127"},"PeriodicalIF":0.0,"publicationDate":"2018-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1485262","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36376079","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":"Child and Adolescent Mental Health Service (CAMHS), Terengganu, Malaysia: milestones so far and the paths to the future.","authors":"Rahima Dahlan,&nbsp;Mohd Nizam Abd Ghani,&nbsp;Rosliza Yahaya,&nbsp;Tuan Sharipah Tuan Hadi","doi":"10.1080/17571472.2018.1484318","DOIUrl":"10.1080/17571472.2018.1484318","url":null,"abstract":"<p><p>This study aims to provide an overview of mental health problems of children and adolescents in Malaysia in general and the state of Terengganu in particular. It also highlights the challenges and the opportunities in the establishment of child and adolescent mental health services (CAMHS). CAMHS in Malaysia are developing slowly but have not reached the standards found in developed countries. Significant improvements are needed to ensure that the service can provide optimal help to children and adolescent as well as their families. Constraining factors such as a lack of trained workers, limited financial resources for training and inadequate facilities are among the challenges. Despite all these challenges, specific strategies are required to optimally utilise the potential existing resources. The Ministry of Health initiatives in creating and implementing the national mental health policy and increasing mental health awareness campaigns for children and adolescents are of paramount importance. To overcome the lack of resources in the implementation of CAMH services, in-service education and training, integration of mental health services with the existing primary health care facilities and cultivation of cooperative and communicative networks between primary care professionals, mental health workers and other relevant agencies are crucial steps.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 4","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2018-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1484318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36376075","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":"Hokusai: beyond the Great Wave.","authors":"Francesco Carelli","doi":"10.1080/17571472.2018.1486504","DOIUrl":"https://doi.org/10.1080/17571472.2018.1486504","url":null,"abstract":"Katsushika Hokusai (1760–1849) has long enjoyed a strong international reputation and is considered by many to be Japan’s greatest artist. The British Museum staged in 2017 the first exhibition in the UK to focus on his later years’ life and art. This features his iconic print ‘The Great Wave’ [c. 1831], and continuing to the sublime painted works produced right up to his death at the age of 90. Supported by the Mitsubishi Corporation, Hokusai: beyond the Great Wave has provided new insight into the prodigiously productive last thirty years of Hokusai’s life and art from around 1820–1849. The exhibition has adopted a new approach to explore Hokusai’s later career in thematic as well as chronological terms. The exhibition has shed light on Hokusai’s personal beliefs, as well as his spiritual and artistic quest through major paintings, drawings, woodblock prints and illustrated books. Many have never been seen before in the UK and indeed can only be displayed for a limited length of time. Half the artworks have been rotated midway through the exhibition run for conservation reasons. Due to their light sensitivity some works can only be displayed for a limited amount of time, and this preserves their vivid colours. Each rotation tells the same story, but with the opportunity to see a selection of different works. The exhibition featured around 110 works in each rotation. From iconic landscapes and wave pictures to deities and mythological beasts, from flora and fauna to beautiful women, from collaborations with other painters and writers to still lives, the works on show are extraordinarily varied, with objects drawn from the British Museum’s superb collection and many loans from Japan, Europe and the United States. The Great Wave was acquired in 2008 by the British Museum with the assistance of the Art Fund. Hokusai created this world renowned masterpiece when he was about seventy. Mt Fuji and its wider spiritual significance was a model for Hokusai in his quest for immortality during his later years. The print series Thirty-Six Views of Mt Fuji (published around 1831–33) revived Hokusai’s career after some personal challenges of the late 1820s. The Great Wave, with its use of deep perspective and imported Prussian blue pigment, reflects how Hokusai adapted and experimented with European artistic style. Also shown was a rare group of paintings from the National Museum of Ethnology, Leiden, done in a unique European influenced style, which were commissioned from Hokusai by employees of the Dutch East India Company in about 1824–1826. Throughout his career, and particularly in the later years, Hokusai’s paintings brought vividly to life an extraordinary bestiary of dragons, Chinese lions, phoenixes and eagles, and forcefully energised depictions of mythological figures and holy men. He published numerous brush drawing manuals, notably Hokusai manga (Hokusai’s Sketches, 15 vols, 1814–1878) which spread his artistic style and reputation widely. Hokusai","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 4","pages":"128-129"},"PeriodicalIF":0.0,"publicationDate":"2018-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1486504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36376080","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":"Paving the way for the future of child and adolescent mental health in Japan.","authors":"Mari Sakano,&nbsp;Natasha Snowden","doi":"10.1080/17571472.2018.1483002","DOIUrl":"https://doi.org/10.1080/17571472.2018.1483002","url":null,"abstract":"<p><p>Japan's healthcare system is primarily focused on general care, and psychiatric services are mainly concerned with institutional solutions to serious mental health issues. As a result, child and adolescent mental health services (CAMHS) have been slow to develop, and there is a limited evidence base to guide treatment. As such, providing treatment to this population is a challenging endeavour. This landscape piece aims to illustrate the current state of child and adolescent services in Japan and provides a description of a recently opened private clinic for children with mental health conditions in Kuroyashi, a city in the Tottori prefecture. The vignette describes steps taken by the clinic's director to overcome systemic challenges and increase access to mental health services to children and adolescents.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"10 4","pages":"123-125"},"PeriodicalIF":0.0,"publicationDate":"2018-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2018.1483002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36376078","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}