How much do primary care givers know about tracheostomy and home ventilator emergency care?

2010 ◽  
Vol 45 (3) ◽  
pp. 270-274 ◽  
Author(s):  
Sheila S. Kun ◽  
Sally L. Davidson-Ward ◽  
Linda M. Hulse ◽  
Thomas G. Keens
Keyword(s):  
Primary Care ◽  
Emergency Care ◽  
Care Givers

Educational Pediatrics

PEDIATRICS ◽  
1974 ◽  
Vol 53 (1) ◽  
pp. 124-125
Author(s):  
Philip R. Nader ◽  
Warren F. Dodge
Keyword(s):  
Primary Care ◽  
Special Interest ◽  
Health Programs ◽  
Adolescent Medicine ◽  
Full Time ◽  
Education Services ◽  
Care Givers

In our view the establishment of a subspecialty of "educational pediatrics" holds a dangerous possibility for further compartmentalization of the delivery of useful health and education services in schools. One of the historic difficulties has been the lack of a link between primary care givers and health programs within schools. Subspecialization may widen this gap. Many practicing pediatricians have areas of special interest such as adolescent medicine, growth problems, diabetes or neonatology, without devoting full time to this single area of practice.

scholarly journals The Cochrane 2018 Review on Brief Interventions in Primary Care for Hazardous and Harmful Alcohol Consumption: A Distillation for Clinicians and Policy Makers

2019 ◽  
Vol 54 (4) ◽  
pp. 417-427 ◽  
Author(s):  
F R Beyer ◽  
F Campbell ◽  
N Bertholet ◽  
J B Daeppen ◽  
J B Saunders ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Alcohol Consumption ◽  
Brief Intervention ◽  
Emergency Care ◽  
Total Duration ◽  
Brief Interventions ◽  
Men And Women ◽  
Harmful Alcohol ◽  
The Impact

Abstract Aims An updated Cochrane systematic review assessed effectiveness of screening and brief intervention to reduce hazardous or harmful alcohol consumption in general practice or emergency care settings. This paper summarises the implications of the review for clinicians. Methods Cochrane methods were followed. Reporting accords with PRISMA guidance. We searched multiple resources to September 2017, seeking randomised controlled trials of brief interventions to reduce hazardous or harmful alcohol consumption in people attending general practice, emergency care or other primary care settings for reasons other than alcohol treatment. Brief intervention was defined as a conversation comprising five or fewer sessions of brief advice or brief lifestyle counselling and a total duration of less than 60 min. Our primary outcome was alcohol consumption, measured as or convertible to grams per week. We conducted meta-analyses to assess change in consumption, and subgroup analyses to explore the impact of participant and intervention characteristics. Results We included 69 studies, of which 42 were added for this update. Most studies (88%) compared brief intervention to control. The primary meta-analysis included 34 studies and provided moderate-quality evidence that brief intervention reduced consumption compared to control after one year (mean difference −20 g/wk, 95% confidence interval −28 to −12). Subgroup analysis showed a similar effect for men and women. Conclusions Brief interventions can reduce harmful and hazardous alcohol consumption in men and women. Short, advice-based interventions may be as effective as extended, counselling-based interventions for patients with harmful levels of alcohol use who are presenting for the first time in a primary care setting.

scholarly journals Counter-referral in Emergency Care Units: discourse of the collective speech

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 143-150
Author(s):  
Patrícia Madalena Vieira Hermida ◽  
Eliane Regina Pereira do Nascimento ◽  
Maria Elena Echevarría-Guanilo ◽  
Selma Regina de Andrade ◽  
Ângela Maria Blatt Ortiga
Keyword(s):  
Primary Care ◽  
Interpersonal Relationships ◽  
Emergency Care ◽  
Theoretical Basis ◽  
National Policy ◽  
Structured Interview ◽  
Local Health ◽  
State Method ◽  
Local Health System ◽  
Emergency Care Units

ABSTRACT Objective: To describe the facilities and difficulties of the counter-referral of an Emergency Care Unit in Santa Catarina State. Method: Descriptive, qualitative study, with the participation of three nurses and 17 physicians. The data were collected through a semi-structured interview and analyzed using the Discourse of the Collective Subject technique. For the theoretical basis, the Política Nacional de Atenção às Urgências (National Policy of Emergency Care) and the Rede de Atenção às Urgências (Network of Care to the Emergencies) was used. Results: The facilities of the counter-referral correspond to the strategies of communication with the Primary Care: embracement; good interpersonal relationships; and electronic medical record network. The difficulties are related to the deficiencies of Primary Care and specialized services, such as the insufficient number of physicians and the delay in scheduling consultations and more complex exams. Final considerations: The difficulties highlighted indicate significant challenges of the local health system in the search for integration between emergency care points.

scholarly journals Emergency care units and dimensions of accessibility to health care for the elderly

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 811-817 ◽  
Author(s):  
Giovana Aparecida de Souza Scolari ◽  
Leidyani Karina Rissardo ◽  
Vanessa Denardi Antoniassi Baldissera ◽  
Lígia Carreira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Elderly Patients ◽  
Emergency Care ◽  
Elderly Population ◽  
The Elderly ◽  
Care For The Elderly ◽  
Emergency Care Units

ABSTRACT Objective: to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units. Methodo: a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference. Results: According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services. Final considerations: Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.

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