scholarly journals Integrating health planning and primary care infrastructure for COVID‐19 and tuberculosis care in India: Challenges and opportunities

2021 ◽  
Author(s):  
Prakrati Yadav ◽  
Chirag Vohra ◽  
Maya Gopalakrishnan ◽  
Mahendra Kumar Garg
Keyword(s):  
Primary Care ◽  
Health Planning ◽  
Challenges And Opportunities ◽  
Tuberculosis Care

scholarly journals Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clinic

2017 ◽  
Vol 43 (3) ◽  
pp. 127-137 ◽  
Author(s):  
Nicholas A. Rattray ◽  
Jason J. Sico ◽  
LeeAnn M. Cox ◽  
Alissa L. Russ ◽  
Marianne S. Matthias ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Transitions Of Care ◽  
Care Clinic ◽  
Challenges And Opportunities

Developing a Competitive City through Healthy Decision-Making

2012 ◽  
pp. 808-822
Author(s):  
Ori Gudes ◽  
Elizabeth Kendall ◽  
Tan Yigitcanlar ◽  
Jung Hoon Han ◽  
Virendra Pathak
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Information Science ◽  
Health Planning ◽  
Healthy City ◽  
Web Based ◽  
Comprehensive Information ◽  
Challenges And Opportunities ◽  
Planning Methods ◽  
Information Framework

This chapter investigates the challenges and opportunities associated with planning for a competitive city. The chapter is based on the assumption that a healthy city is a fundamental prerequisite for a competitive city. Thus, it is critical to examine the local determinants of health and factor these into any planning efforts. The main focus of the chapter is on e-health planning by utilising Web-based geographic decision support systems. The proposed novel decision support system would provide a powerful and effective platform for stakeholders to access essential data for decision-making purposes. The chapter also highlights the need for a comprehensive information framework to guide the process of planning for healthy cities. Additionally, it discusses the prospects and constraints of such an approach. In summary, this chapter outlines the potential insights of using an information science-based framework and suggests practical planning methods as part of a broader e-health approach for improving the health characteristics of competitive cities.

Development and Implementation of a Team-Based, Primary Care Delivery Model: Challenges and Opportunities

2019 ◽  
Vol 94 (7) ◽  
pp. 1298-1303 ◽  
Author(s):  
Jay D. Mitchell ◽  
Jordan D. Haag ◽  
Eric Klavetter ◽  
Rachel Beldo ◽  
Nilay D. Shah ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Delivery ◽  
Delivery Model ◽  
Primary Care Delivery ◽  
Care Delivery Model ◽  
Challenges And Opportunities

scholarly journals IMPLEMENTING A WHOLE HEALTH MODEL IN HOME-BASED PRIMARY CARE: STRENGTHS, CHALLENGES AND OPPORTUNITIES FOR GROWTH

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 145-145
Author(s):  
A Schwabenbauer ◽  
M Mlinac ◽  
R Smith ◽  
C Knight ◽  
A Northern ◽  
...  
Keyword(s):  
Primary Care ◽  
Home Based Primary Care ◽  
Home Based ◽  
Challenges And Opportunities ◽  
Health Model

Changing Roles for Primary-Care Physicians: Addressing Challenges and Opportunities

2005 ◽  
Vol 8 (2) ◽  
pp. 70-81 ◽  
Author(s):  
C.P. McLaughlin ◽  
A.D. Kaluzny ◽  
D.C. Kibbe ◽  
R. Tredway
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Challenges And Opportunities ◽  
Changing Roles

scholarly journals Challenges and opportunities in planetary health for primary care providers

2018 ◽  
Vol 2 (5) ◽  
pp. e185-e187 ◽  
Author(s):  
Edward Xie ◽  
Enrique Falceto de Barros ◽  
Alan Abelsohn ◽  
Airton Tetelbom Stein ◽  
Andy Haines
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Planetary Health ◽  
Challenges And Opportunities

scholarly journals Adapting a nurse-led primary care initiative to cardiovascular disease control in Ghana: A qualitative study

2020 ◽  
Author(s):  
Leah A. Haykin ◽  
Jordan A. Francke ◽  
Aurelia Abapali ◽  
Elliasu Yakubu ◽  
Edith Dambayi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Primary Care ◽  
Community Education ◽  
Health Planning ◽  
Preventive Health Services ◽  
Community Members ◽  
Cvd Risk ◽  
Care Community ◽  
Transportation Equipment

Abstract Background : Cardiovascular Disease (CVD) is a growing cause of morbidity and mortality in Ghana, where rural primary health care is provided mainly by the Community-based Health Planning and Services (CHPS) initiative. CHPS locates nurses in community-level clinics for basic curative and preventive health services and provides home and outreach services. But CHPS currently lacks capacity to screen for or treat CVD and its risk factors. Methods : In two rural districts, we conducted in-depth interviews with 21 nurses and 10 nurse supervisors to identify factors constraining or facilitating CVD screening and treatment. Audio recordings were transcribed, coded for content, and analyzed for key themes. Results : Respondents emphasized three themes: community demand for CVD care; community access to CVD care; and provider capacity to render CVD care. Nurses and supervisors noted that community members were often unaware of CVD, despite high reported prevalence of risk factors. Community members were unable to travel for care or afford treatment once diagnosed. Nurses lacked relevant training and medications for treating conditions such as hypertension. Respondents recognized the importance of CVD care, expressed interest in acquiring further training, and emphasized the need to improve ancillary support for primary care operations. Conclusions : CHPS staff expressed multiple constraints to CVD care, but also cited actions to address them: CVD-focused training, provision of essential equipment and pharmaceuticals, community education campaigns, and referral and outreach transportation equipment. Results attest to the need for trial of these interventions to assess their impact on CVD risk factors such as hypertension, depression, and alcohol abuse.

scholarly journals Adapting a nurse-led primary care initiative to cardiovascular disease control in Ghana: A qualitative study

2020 ◽  
Author(s):  
Leah A. Haykin ◽  
Jordan A. Francke ◽  
Aurelia Abapali ◽  
Elliasu Yakubu ◽  
Edith Dambayi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Primary Care ◽  
Community Education ◽  
Health Planning ◽  
Preventive Health Services ◽  
Community Members ◽  
Cvd Risk ◽  
Care Community ◽  
Transportation Equipment

Abstract Background : Cardiovascular Disease (CVD) is a growing cause of morbidity and mortality in Ghana, where rural primary health care is provided mainly by the Community-based Health Planning and Services (CHPS) initiative. CHPS locates nurses in community-level clinics for basic curative and preventive health services and provides home and outreach services. But CHPS currently lacks capacity to screen for or treat CVD and its risk factors. Methods : In two rural districts, we conducted in-depth interviews with 21 nurses and 10 nurse supervisors to identify factors constraining or facilitating CVD screening and treatment. Audio recordings were transcribed, coded for content, and analyzed for key themes. Results : Respondents emphasized three themes: community demand for CVD care; community access to CVD care; and provider capacity to render CVD care. Nurses and supervisors noted that community members were often unaware of CVD, despite high reported prevalence of risk factors. Community members were unable to travel for care or afford treatment once diagnosed. Nurses lacked relevant training and medications for treating conditions such as hypertension. Respondents recognized the importance of CVD care, expressed interest in acquiring further training, and emphasized the need to improve ancillary support for primary care operations. Conclusions : CHPS staff expressed multiple constraints to CVD care, but also cited actions to address them: CVD-focused training, provision of essential equipment and pharmaceuticals, community education campaigns, and referral and outreach transportation equipment. Results attest to the need for trial of these interventions to assess their impact on CVD risk factors such as hypertension, depression, and alcohol abuse.

scholarly journals COVID-19 collateral: Indirect acute effects of the pandemic on physical and mental health in the UK

2020 ◽  
Author(s):  
Kathryn E Mansfield ◽  
Rohini Mathur ◽  
John Tazare ◽  
Alasdair D Henderson ◽  
Amy Mulick ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Planning ◽  
Unmet Need ◽  
Health Conditions ◽  
Chronic Obstructive ◽  
Physical And Mental Health ◽  
Mental Health Conditions ◽  
Copd Exacerbations ◽  
The Uk

ABSTRACTBackgroundConcerns have been raised that the response to the UK COVID-19 pandemic may have worsened physical and mental health, and reduced use of health services. However, the scale of the problem is unquantified, impeding development of effective mitigations. We asked what has happened to general practice contacts for acute physical and mental health outcomes during the pandemic?MethodsUsing electronic health records from the Clinical Research Practice Datalink (CPRD) Aurum (2017-2020), we calculated weekly primary care contacts for selected acute physical and mental health conditions (including: anxiety, depression, acute alcohol-related events, asthma and chronic obstructive pulmonary disease [COPD] exacerbations, cardiovascular and diabetic emergencies). We used interrupted time series (ITS) analysis to formally quantify changes in conditions after the introduction of population-wide restrictions (‘lockdown’) compared to the period prior to their introduction in March 2020.FindingsThe overall population included 9,863,903 individuals on 1st January 2017. Primary care contacts for all conditions dropped dramatically after introduction of population-wide restrictions. By July 2020, except for unstable angina and acute alcohol-related events, contacts for all conditions had not recovered to pre-lockdown levels. The largest reductions were for contacts for: diabetic emergencies (OR: 0.35, 95% CI: 0.25-0.50), depression (OR: 0.53, 95% CI: 0.52-0.53), and self-harm (OR: 0.56, 95% CI: 0.54-0.58).InterpretationThere were substantial reductions in primary care contacts for acute physical and mental conditions with restrictions, with limited recovery by July 2020. It is likely that much of the deficit in care represents unmet need, with implications for subsequent morbidity and premature mortality. The conditions we studied are sufficiently severe that any unmet need will have substantial ramifications for the people experiencing the conditions and healthcare provision. Maintaining access must be a key priority in future public health planning (including further restrictions).FundingWellcome Trust Senior Fellowship (SML), Health Data Research UK.RESULTS IN CONTEXTEvidence before this studyA small study in 47 GP practices in a largely deprived, urban area of the UK (Salford) reported that primary care consultations for four broad diagnostic groups (circulatory disease, common mental health problems, type 2 diabetes mellitus and malignant cancer) declined by 16-50% between March and May 2020, compared to what was expected based on data from January 2010 to March 2020. We searched Medline for other relevant evidence of the indirect effect of the COVID-19 pandemic on physical and mental health from inception to September 25th 2020, for articles published in English, with titles including the search terms (“covid*” or “coronavirus” or “sars-cov-2”), and title or abstracts including the search terms (“indirect impact” or “missed diagnos*” or “missing diagnos*” or “delayed diagnos*” or ((“present*” or “consult*” or “engag*” or “access*”) AND (“reduction” or “decrease” or “decline”)). We found no further studies investigating the change in primary care contacts for specific physical- and mental-health conditions indirectly resulting from the COVID-19 pandemic or its control measures. There has been a reduction in hospital admissions and presentations to accident and emergency departments in the UK, particularly for myocardial infarctions and cerebrovascular accidents. However, there is no published evidence specifically investigating the changes in primary care contacts for severe acute physical and mental health conditions.Added value of this studyTo our knowledge this is the first study to explore changes in healthcare contacts for acute physical and mental health conditions in a large population representative of the UK. We used electronic primary care health records of nearly 10 million individuals across the UK to investigate the indirect impact of COVID-19 on primary care contacts for mental health, acute alcohol-related events, asthma/chronic obstructive pulmonary disease (COPD) exacerbations, and cardiovascular and diabetic emergencies up to July 2020. For all conditions studied, we found primary care contacts dropped dramatically following the introduction of population-wide restriction measures in March 2020. By July 2020, with the exception of unstable angina and acute alcohol-related events, primary care contacts for all conditions studied had not recovered to pre-lockdown levels. In the general population, estimates of the absolute reduction in the number of primary care contacts up to July 2020, compared to what we would expect from previous years varied from fewer than 10 contacts per million for some cardiovascular outcomes, to 12,800 per million for depression and 6,600 for anxiety. In people with COPD, we estimated there were 43,900 per million fewer contacts for COPD exacerbations up to July 2020 than what we would expect from previous years.Implicatins of all the available evidenceWhile our results may represent some genuine reduction in disease frequency (e.g. the restriction measures may have improved diabetic glycaemic control due to more regular daily routines at home), it is more likely the reduced primary care conatcts we saw represent a substantial burden of unmet need (particularly for mental health conditions) that may be reflected in subsequent increased mortality and morbidity. Health service providers should take steps to prepare for increased demand in the coming months and years due to the short and longterm ramifications of reduced access to care for severe acute physical and mental health conditions. Maintaining access to primary care is key to future public health planning in relation to the pandemic.

Sign in / Sign up

Export Citation Format

Share Document