scholarly journals The public health view on closing the gap between public health and primary care

2008 ◽  
Vol 25 (Supplement 1) ◽  
pp. i17-i19 ◽  
Author(s):  
S. Powell ◽  
A. Towers ◽  
P. Milne
Keyword(s):  
Public Health ◽  
Primary Care ◽  
The Public ◽  
Closing The Gap

scholarly journals Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Miguel A. Galán-Martín ◽  
Federico Montero-Cuadrado ◽  
Enrique Lluch-Girbes ◽  
M. Carmen Coca-López ◽  
Agustín Mayo-Iscar ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Primary Care ◽  
Chronic Pain ◽  
Clinical Practice ◽  
Physical Exercise ◽  
Public Health System ◽  
The Public ◽  
Neuroscience Education

Abstract Background Chronic musculoskeletal pain affects more than 20% of the population, and the prevalence is increasing, causing suffering, loss of quality of life, disability, and an enormous expenditure on healthcare resources. The most common location for chronic pain is the spine. Many of the treatments used are mainly passive (pharmacological and invasive) and poor outcomes. The treatments currently applied in the public health system do not comply with the recommendations of the main clinical practice guidelines, which suggest the use of educational measures and physical exercise as the first-line treatment. A protocol based on active coping strategies is described, which will be evaluated through a clinical trial and which could facilitate the transfer of the recommendations of the clinical practice guidelines to a primary care setting. Methods Randomised and multicentre clinical trials, which will be carried out in 10 Primary Care centres. The trial will compare the effect of a Pain Neuroscience Education program (six sessions, 10 h) and group physical exercise (18 sessions program carried out in six weeks, 18 h), with usual care physiotherapy treatment. Group physical exercise incorporates dual tasks, gaming, and reinforcement of contents of the educational program. The aim is to assess the effect of the intervention on quality of life, as well as on pain, disability, catastrophism, kinesiophobia, central sensitisation, and drug use. The outcome variables will be measured at the beginning of the intervention, after the intervention (week 11), at six months, and a year. Discussion Therapeutic interventions based on active coping strategies are essential for the treatment of chronic pain and the sustainability of the Public Health System. Demonstrating whether group interventions have an effect size is essential for optimising resources in such a prevalent problem. Trial registration NCT03654235 “Retrospectively registered” 31 August 2018.

Primary care and memory clinic in the assistance of patients with dementia: What implications for the public health?

2021 ◽  
Vol 429 ◽  
pp. 119046
Author(s):  
Francesco Mazzoleni ◽  
Domenico Italiano ◽  
Clara Ricci ◽  
Guido Bellomo ◽  
Eleonora Lacorte ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Memory Clinic ◽  
The Public

Better Health—But Not for All: The Swedish Public Health Report, 1987

1989 ◽  
Vol 19 (2) ◽  
pp. 221-255 ◽  
Author(s):  
Finn Diderichsen ◽  
Gudrun Lindberg
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Living Standards ◽  
Health Care Spending ◽  
Public Health Report ◽  
The Public ◽  
Health Report ◽  
Social And Economic Development

This article is a summary of the Public Health Report submitted to the Swedish Parliament in 1987. Health development, especially that of underprivileged groups, is regarded as an indicator of the quality of social and economic development of the country. Sweden is a very egalitarian country, but in spite of decreasing inequalities in living standards, the Report shows increasing inequalities in health. At the same time, the state has put restraints on health care spending, and the shift in the health care budget toward more primary care has stopped. This development seriously impairs the ability of the health and medical services to cope with inequities described in this Report.

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