problems unique to females in primary care

... pulling ideas together: how is activity related to health? Maintaining mental wellbeing • sleep as an activity • keeping mentally active • memory Maintaining physical wellbeing • nutrition • pain ... NICE guidance on supporting people with dementia and their carers in health and social care, managing depression in primary and secondary care, assessing and preventing falls in older people, obesity, ... should include: − meeting or maintaining healthcare needs (for example, eye, hearing and foot care) − nutrition (for example, healthy eating on a budget) − personal care (for example, shopping,...

Ngày tải lên: 05/03/2014, 18:20

... offering six ‘Main-Pro-C’ [34] continuing medical education credits to encourage full completion of the worksheet and to permit monitoring of plans by the investigators; allowing participants to ... type of intervention to family physicians is novel The worksheet in this intervention is similar in concept to commitment -to- change procedures that are increasingly used in the continuing medical ... albumin -to- creatinine ratio, ASA = aspirin, ACE/ARB = angiotensin-modifying agent guidelines for glucose, LDL, and BP; and the prescriptions rates for insulin, beta blockers, angiotensin-modifying...

Ngày tải lên: 10/08/2014, 10:23

... facilitators to the dissemination of DECISION+, a continuing medical education program for optimizing decisions about antibiotics for acute respiratory infections in primary care: A study protocol ... practices needed for SDM to occur in primary care [9] The DECISION+ training program is a CME program designed to improve family physicians’ knowledge and skills in SDM, in order to optimize the prescription ... suggest modifications to DECISION+ Discussion Our findings will allow us to adapt and modify the DECISION+ program in order to facilitate its dissemination in the practice of primary care CME is an...

Ngày tải lên: 10/08/2014, 10:23

... factors influencing the tailoring process To measure the experiences, semistructured interviews are conducted, and reports of the interviews are made To get an insight into the factors that influence ... option to complete the questionnaire in writing or digitally Inclusion in the study will be definite if the patient returns the baseline questionnaire and gives informed consent for participation in ... psychological complaints (anxiety, worrying, sorrow/grief, stress, feeling down and sleeping disorder, unexplainable somatic complaints); (c) the International Classification of Primary Care- 1 (ICPC-1)...

Ngày tải lên: 10/08/2014, 11:20

... meeting (minutes) Proportion of doctors declining installation of software Doctors' attitude toward using software* Doctors' attitude toward printing out patient-information* Doctors' attitude toward ... receiving the guidelines* Doctors' attitude toward recommendation of cardiovascular risk-assessment* Doctors' interest in topic* Doctors' attitude toward pharmacist* Doctors' attitude toward ... Explanatory variable (Constant) Proportion of doctors present at meeting Doctors' attitude towards recommendation of cardiovascular risk-assessment* Doctors' interest in topic* Are reminders working...

Ngày tải lên: 11/08/2014, 05:22

... What we know about primary care teams that would inform the development of a more effective intervention to overcome these barriers in primary care settings? Primary care clinics are complex adaptive ... staff and clinicians; and 3) to advance the science of translational research in primary care settings by examining the sustainability of the intervention The specific objectives are to: Evaluate ... facilitation intervention in the practices initially randomized to the control group This design allows initial learning about intervention techniques to be rapidly tested in the delayed intervention...

Ngày tải lên: 11/08/2014, 05:22

... clinical inertia in primary care physicians Aim of the study Our program goal is to improve adherence to evidencebased guidelines and to reduce clinical inertia in primary care physicians, and to therefore ... guidelines and to reduce 'clinical inertia' in primary care physicians [2123] Clinical inertia is defined as a lack of treatment initiation or intensification in a patient that is not achieving evidence-based ... clinical inertia: physician factors, patient factors, and office system and organizational factors [28-30] Physician factors that contribute to clinical inertia include an overestimation of care...

Ngày tải lên: 11/08/2014, 16:21

... difficulties in disseminating research findings to primary care providers Research on implementing screening and brief alcohol intervention showed personal meetings to effect most behaviour change in GPs, ... individual counselling and therapy for the family treatment options including medication to relieve the physical effects of stopping drinking and to help to reduce the incidence of drinking in the longer ... rewards, any changes or statements that the drinker makes towards stopping or reducing the drinking, and to nothing to enable or reward drinking The treating team lays down the groundwork for rapid...

Ngày tải lên: 08/03/2014, 14:20

... were working in an urban or suburban area, nine in a rural area All GPs were working in a primary care practice; some of them had an additional education in geriatrics Physician factors Barriers ... Discussion Main findings Among the participating GPs, definitions of health promotion interventions in the elderly widely varied The opinion regarding the effectiveness of health promotion in the elderly ... promotion in the elderly H Incentives for GPs to provide health promotion in the elderly I Incentives for patients to accept health promotion in the elderly J Possible interventions to advance...

Ngày tải lên: 22/03/2014, 14:20

... poorly to insulin, exhibiting insulin resistance that can be overcome by increasing concentrations of circulating insulin In the majority of cases it is still not known what defect in the insulin ... receptors After incubating cells with a submaximal concentration of insulin the insulin-induced increase in receptor autophosphorylation was comparable in the isolated caveolae fraction and in ... cytosol or bound to intracellular membranes and the cytoskeleton, pointing to the importance of exercising great caution when extrapolating to the situation in human beings from findings in animal cells...

Ngày tải lên: 23/03/2014, 12:20

... QoL in diabetics, especially in unselected patients as in primary care [5,6] With increasing age QoL depends more and more on the individual health status and resulting impairments [7-9] In general ... Form (SF-36) with regard to differences in the additional impact of common comorbidities within a large sample of patients with type diabetes in primary care In order to assess the possible impact ... reasonable [41] Furthermore the BMI and the percentage of smokers in our study sample were comparable to findings in the primary care population in the US and Germany [42-44] http://www.hqlo.com/content/7/1/19...

Ngày tải lên: 18/06/2014, 19:20

... ratings were made according to normal clinical routines There were no instructions given to the GP or nurse as to what to base this rating on It was left to their discretion to this according to ... distributed Floor and ceiling effects were negligible (1.8% in the symptoms domain, less in other domains) Distributions in the functional and mental state domains were skewed In the entire population ... add value to the primary care consultation The SGRQ has properties allowing use at the individual level, but it is extensive and not adapted for everyday use in primary care The scoring system...

Ngày tải lên: 18/06/2014, 19:20

... we think as the health of the family increases, so will the likelihood of retirement investing So these elements move in the same direction UNDERSTANDING THE SYSTEM ALLOWS US TO IDENTIFY POINTS ... DISCRETIONARY INCOME RETIREMENT INVESTING HEALTH OF THE FAMILY CLARITY OF OPTIONS WE WANT TO CONNECT THE DOTS BETWEEN OUR OBJECTIVE AND ITS INFLUENCES AND HOW THESE ELEMENTS INTERACT WITH ONE ANOTHER TO ... CRISIS DEMONSTRATED WITH CASCADING DESTRUCTION JUST HOW INTERCONNECTED AND INTERRELATED ALL OF INDUSTRY AND HUMANITY TRULY IS TWENTY-FIRST CENTURY PROBLEMS WILL CONTINUE TO ELUDE TWENTIETH CENTURY...

Ngày tải lên: 11/07/2014, 21:45

... higher cost increments A similar phenomenon was observed using the BPI using the pain interference index For example, an increase in the degree of pain interference by point (0- to 10-point scale) ... developed in an attempt to capture the total spectrum of problems related to FM and responses to therapy The FIQ is a self-administered instrument that takes approximately to minutes to complete ... confidence interval; GP, general practitioner The intensity of the pain present in the patient, according to the BPI pain severity subscale, also correlated in a significant and moderate way to the total...

Ngày tải lên: 09/08/2014, 14:20

... addressing decision making in primary care, the sector in which most individuals seek health-related advice [4] The importance of translating shared decision making into primary care Growing numbers ... this international collaboration will bring together the expertise and the resources needed to develop an interdisciplinary research team dedicated to the study of translating SDM into primary care ... effective CPD for translating SDM into primary care It will make it possible to identify the individuals or groups initiating CPD activities, the content and quality of CPD training, the strategies...

Ngày tải lên: 10/08/2014, 10:23

... has provided incentives and support to private practitioners to construct such primary care groups in order to improve accessibility and continuity of care and facilitate interdisciplinary collaborations ... meeting) Intervention (the DECISION+ program) The intervention was based on a conceptual framework integrating the principles of SDM, including evidencebased medicine and patients’ involvement in ... needs to be carefully thought out Although demanding for principal investigators, having a meeting with members of the FMGs seems to be useful, as it could have reinforced the decision to participate...

Ngày tải lên: 10/08/2014, 10:23

... healthcare system includes a well-developed primary care system with financial incentives to provide chronic care in primary care settings, so the results cannot be generalized to other settings ... is worth mentioning that the variation in our outcome ‘disease monitoring’ was mainly related to varying levels of creatinine testing, i.e., monitoring of kidney functioning Clinical research ... this in both diabetes patients and CHF patients In diabetes, testing for creatinine is important in identifying affected kidney functioning due to damaged blood vessels and nerves, resulting in...

Ngày tải lên: 10/08/2014, 11:20

... giving PA advice [13] Furthermore, taking a patient’s history, addressing alcohol consumption and smoking, checking body mass index, and addressing well-being and stress are perceived by GPs to ... were measured at baseline using single items (to maximise response rates) in a single block prefaced with ‘Please rate the following statements based on the following action: In the next two weeks, ... strong intention and PBC over giving PA advice, health professionals who perceived their competing GDBs as helpful and not hindering reported giving PA advice to more patients The findings extend...

Ngày tải lên: 10/08/2014, 11:20

... angiotensin-converting enzyme inhibitor Painful swallowing Cough secondary to angiotensin converting enzyme inhibitor (ACE-I) Problems with swallowing Coughing Swallowing difficulty Cryptogenic ... training (if randomized to the intervention) Provider Training All providers allocated to the intervention received approximately 45 minutes of training on how the iCPRs are integrated into the ... of attempts to integrate CPRs into EHRs in the ambulatory setting, and only one instance of proposed integration in the inpatient setting [4] Two well-validated CPRs are the streptococcal pharyngitis...

Ngày tải lên: 10/08/2014, 11:20