Poster 139 Primary Care: A Health Care Home for Persons with Disabilities and Complex Health Conditions

2011 ◽  
Vol 92 (10) ◽  
pp. 1731-1732
Author(s):  
Nancy Flinn ◽  
Erin Simunds ◽  
Guthrie Byard
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Care Home ◽  
Health Conditions ◽  
Persons With Disabilities ◽  
Health Care Home

scholarly journals ‘We can work together, talk together’: an Aboriginal Health Care Home

2018 ◽  
Author(s):  
Greg Smith ◽  
Renae Kirkham ◽  
Charlie Gunabarra ◽  
Valda Bokmakarray ◽  
C. Paul Burgess
Keyword(s):  
Health Care ◽  
Care Home ◽  
Aboriginal Health ◽  
Health Care Home

On the same page or in a different book? A pilot project on the perceptions of educational needs in an era of shifting mental health care to primary care (Preprint)

2021 ◽  
Author(s):  
Stephanie Sutherland ◽  
Dahn Jeong ◽  
Michael Cheng ◽  
Mireille St-Jean ◽  
Alireza Jalali
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Medical Management ◽  
Family Physicians ◽  
Educational Needs ◽  
Health Conditions ◽  
Care Providers ◽  
Mental Health Conditions

BACKGROUND There is an unmet need for mental health care in Canada. Seventy-five percent of visits for mental health services are related to mood and anxiety disorder, which occur most frequently in the primary care setting. Primary care providers such as general practitioners and family physicians are essential part of mental health care services. However, it is currently not well known what is needed to increase care providers’ willingness, comfort and skills to adequately provide care. OBJECTIVE The aim of this study was to understand the caregiver and family physician needs regarding the care and medical management of individuals with mental health conditions. METHODS A needs assessment was designed to understand the educational needs of caregivers and family physicians with regard to the provision of mental health care, specifically, to seek advice of the format and delivery mode for an educational curriculum to be accessed by both stakeholder groups. Exploratory qualitative interviews were conducted and data was collected and analysed iteratively until thematic saturation was achieved. RESULTS Caregivers of individuals with mental health conditions (n=24) and family physicians (n=10) were interviewed. Both caregivers and family physicians expressed dissatisfaction with the status quo regarding the provision of mental health care at the family physician’s office. They stated that there was a need for more educational materials as well as additional supports. Caregivers expressed a general lack of confidence in family physicians to manage their son/daughter’s mental health condition, while family physicians sought more networking opportunities to improve and facilitate provision of mental health care. CONCLUSIONS Robust qualitative studies are necessary to identify the educational and medical management needs of caregivers and family physicians. Understanding each other’s perspectives is an essential first step to collaboratively designing, implementing, and the subsequent evaluation of community-based mental health care. Fortunately, there are initiatives underway already to address these need areas (e.g. websites such as eMentalHealth.ca/PrimaryCare as well as mentorship and collaborative care network) and information from this study can help inform the gaps in those existing initiatives. CLINICALTRIAL NA

Is the Future of Health Care Home-Based?

NEJM Catalyst ◽  
2021 ◽  
Vol 2 (12) ◽  
Author(s):  
Jonathan Bees
Keyword(s):  
Health Care ◽  
Care Home ◽  
Home Based ◽  
The Future ◽  
Health Care Home

scholarly journals OPTIMAL STAFFING MODELS TO CARE FOR FRAIL ELDERLY ADULTS IN PRIMARY CARE AND GERIATRIC PRACTICES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S66-S66
Author(s):  
David I Auerbach ◽  
Carie Michael ◽  
Douglas Levy ◽  
Peter Maramaldi ◽  
Robert Dittus ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Frail Elderly ◽  
Elderly Population ◽  
Care Home ◽  
Care Practice ◽  
Clinical Practices ◽  
Frail Elders ◽  
The Us ◽  
Health Care Home

Abstract As the US population ages, primary care is expected to be the health care “home” for older adults, and several initiatives are aimed at helping to transform primary care practice to care for this population. Wide variation in staffing has been observed. Meyers et al proposed ideal models of primary care staffing for a general population and for a frail elderly population (2018). We developed the 2018 Survey of Primary Care and Geriatric Clinicians to measure optimal team configuration in clinical practices caring for older adults. A majority employed NPs, MDs and PAs, with [r = -.53] between % of clinician labor of NPs and physicians). High-NP practices are more likely located in states with full scope of practice, perform well for frail elders and are less expensive. Meyers' models, with fewer physicians, more SW and CHWs, more RNs, perform better for frail elders, and are less expensive.

scholarly journals Outcomes of mental health pharmacist-managed electronic consults at a Veterans Affairs health care system

2017 ◽  
Vol 7 (3) ◽  
pp. 131-136 ◽  
Author(s):  
Christina Herbert ◽  
Holly Winkler ◽  
Troy A. Moore
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Health Care System ◽  
Health Conditions ◽  
Veterans Health ◽  
Improvement Project ◽  
Mental Health Conditions ◽  
The Impact ◽  
Care System

Abstract Introduction: The demand for mental health services has increased as more veterans have been diagnosed with—and sought care for—one or more mental health conditions. Within the South Texas Veterans Health Care System (STVHCS), providers may submit electronic consults (e-consults) to mental health clinical pharmacy specialists for medication review and recommendations. These consults aim to manage veterans with uncomplicated mental health conditions in primary care, making specialty mental health providers more available for those who need such services. Pharmacists have improved outcomes and access to care for conditions such as diabetes and hypertension, but currently, there is limited evidence demonstrating the impact of pharmacists in mental health. Methods: This quality improvement project assessed the effectiveness of the e-consult service. Information was collected through a retrospective chart review of STVHCS veterans with the corresponding consult note placed in their chart from May 2014 through December 2015. Numbers of recommendations implemented and veterans maintained in primary care were analyzed as markers of effectiveness. Time and cost savings were secondarily explored. Results: A total of 361 consults were submitted for 353 unique patients. Of the 322 patients included in analyses, a total of 301 unique patients (93.5%) were maintained in primary care for at least 3 months. Of the 21 not maintained in primary care, 15 recommendations were implemented; of those maintained in primary care, 271 recommendations were implemented. Discussion: This service improves mental health care—and patient access—by promoting successful management and maintenance of less complicated patients in primary care.

scholarly journals Integrating Clinical Advisory Pharmacists in the Health Care Home

2017 ◽  
Vol 17 (3) ◽  
pp. 5
Author(s):  
Linda Julia Bryant ◽  
John Dunlop ◽  
Kerry Muller ◽  
Penny Clark
Keyword(s):  
Health Care ◽  
Care Home ◽  
Health Care Home

Will the health care home help to reduce the health cost for drug users in Medicaid?

2014 ◽  
Vol 140 ◽  
pp. e120
Author(s):  
Kit Sang Leung ◽  
J.M. Topolski ◽  
A. Ben Abdallah ◽  
J. Parks
Keyword(s):  
Health Care ◽  
Drug Users ◽  
Care Home ◽  
Health Cost ◽  
Home Help ◽  
Health Care Home
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