scholarly journals Management and prevalence of long-term conditions in primary health care for adults with intellectual disabilities compared with the general population: A population-based cohort study

2017 ◽  
Vol 31 ◽  
pp. 68-81 ◽  
Author(s):  
Sally-Ann Cooper ◽  
Laura Hughes-McCormack ◽  
Nicola Greenlaw ◽  
Alex McConnachie ◽  
Linda Allan ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
General Population ◽  
Intellectual Disabilities ◽  
Population Based ◽  
Long Term Conditions ◽  
Primary Health ◽  
Adults With Intellectual Disabilities

Patients' experiences of nurse case management in primary care: a meta-synthesis

2017 ◽  
Vol 23 (5) ◽  
pp. 420 ◽  
Author(s):  
Anna Askerud ◽  
Jenny Conder
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Case Management ◽  
Research Question ◽  
Health Conditions ◽  
Long Term Conditions ◽  
Nurse Case Management ◽  
Primary Health

The health system in New Zealand and Australia requires health practitioners to prepare for the challenge of long-term conditions. Wagner’s 1998 Chronic Care Model advocates a move away from the traditional acute model of primary health care to a model that addresses the long-term episodic nature of chronic disease. Nurse case management has been developed over the last 2 decades as a means to coordinate health services for people with long-term conditions. This meta-synthesis combines the results of 15 qualitative research studies that have a similar research question regarding peoples’ perceptions of nurse case management. The research synthesises the experiences of people with long-term conditions on the quality of care under a nurse case management model of primary health care. Over 1000 people were represented across the studies, and the results suggest that people had a high degree of confidence and trust in their nurse case manager, were better able to manage their health conditions with nurse case management support, and had better access to appropriate health care. This research suggests that nurse case management is an effective model of care and may contribute to improved quality of life and better health care for those with long-term health conditions.

scholarly journals Barriers and facilitators to primary health care for people with intellectual disabilities and/or autism: an integrative review

BJGP Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. bjgpopen20X101030 ◽  
Author(s):  
Alison Jayne Doherty ◽  
Helen Atherton ◽  
Paul Boland ◽  
Richard Hastings ◽  
Lucy Hives ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
General Population ◽  
Intellectual Disabilities ◽  
Research Policy ◽  
Health Needs ◽  
Barriers And Facilitators ◽  
Integrative Review ◽  
Primary Health ◽  
People With Intellectual Disabilities

BackgroundGlobally, people with intellectual disabilities and/or autism experience health inequalities. Death occurs at a younger age and the prevalence of long-term morbidities is higher than in the general population. Despite this, their primary healthcare access rates are lower than the general population, their health needs are often unmet, and their views and experiences are frequently overlooked in research, policy, and practice.AimTo investigate the barriers and facilitators reported by individuals with intellectual disabilities, autism, or both, and/or their carers, to accessing and utilising primary health care for their physical and mental health needs.Design & settingAn integrative review was undertaken, which used systematic review methodology.MethodElectronic databases MEDLINE, Embase, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Cochrane were searched for relevant studies (all languages) using a search strategy. Two researchers independently screened the results and assessed the quality of the studies.ResultsSixty-three international studies were identified. Six main themes relating to barriers and facilitators emerged from an analysis of these studies. The main themes were: training; knowledge and awareness; communication; fear and embarrassment; involvement in healthcare decision-making; and time. All the themes were underpinned by the need for greater care, dignity, respect, collaborative relationships, and reasonable adjustments. Opposing barriers and facilitators were identified within each of the main themes.ConclusionAdolescents and adults with intellectual disabilities and/or autism experience several barriers to accessing and utilising primary health care. The findings highlight the reasonable adjustments and facilitators that can be implemented to ensure that these individuals are not excluded from primary health care.

Telephone communication between practice nurses and older patients with long term conditions – a systematic review

2016 ◽  
Vol 23 (1) ◽  
pp. 142-148 ◽  
Author(s):  
Deborah Raphael ◽  
Susan Waterworth ◽  
Merryn Gott
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Older People ◽  
Older Patients ◽  
Health Indicators ◽  
Long Term Conditions ◽  
Telephone Communication ◽  
Practice Nurses ◽  
Primary Health

Background and aims Long term conditions are a significant health problem faced by older people worldwide. Telephone communication is often used to deliver health care to patients and is an important tool in improving access to care. Previous research has shown that primary health care nurses communicate with patients by telephone, but little is known about the way in which telephone communication can be used to benefit older patients with long term conditions. The aims of this review were to identify the range and scope of telephone use between practice nurses working in primary health care and older people with long term conditions, explore which elements of this communication has been successful, and determine whether older people see telephone communication as useful for their needs. Methods A systematic search of the literature was conducted through CINAHL, Medline, Web of Science and EMBASE between July and August 2015. Included were English language articles containing older adults, primary care nurses and both qualitative and quantitative designs. Results Five studies met the inclusion criteria. All were intervention studies, and none looked at routine telephone communication between nurse and patient. Most studies showed that telephone based interventions were successful in improving pre-determined disease-specific health indicators. Conclusions All telephone communication interventions in this review focused on a specific long term condition, which they aimed to help patients self-manage. While all studies' samples included older patients, they did not consider them separately in relation to the effectiveness of the intervention. What was also lacking was the patient perspective regarding effectiveness in all but one study.

scholarly journals Prenatal exposure to antipsychotic medication and use of primary health care system in childhood: a population-based cohort study in Denmark

2017 ◽  
Vol Volume 9 ◽  
pp. 657-666 ◽  
Author(s):  
Anne Mette Lund Würtz ◽  
Claus Høstrup Vestergaard ◽  
Dorte Rytter ◽  
Merete Juul Sørensen ◽  
Jakob Christensen ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Health Care System ◽  
Prenatal Exposure ◽  
Antipsychotic Medication ◽  
Population Based ◽  
Primary Health Care System ◽  
Primary Health ◽  
Care System

scholarly journals Long-term condition management in adults with intellectual disability in primary care: a systematic review

BJGP Open ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. bjgpopen18X101445 ◽  
Author(s):  
Peter Hanlon ◽  
Sara MacDonald ◽  
Karen Wood ◽  
Linda Allan ◽  
Sally-Ann Cooper
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Intellectual Disability ◽  
General Population ◽  
Intellectual Disabilities ◽  
Barriers And Facilitators ◽  
Long Term Conditions ◽  
Health Checks ◽  
Adults With Intellectual Disabilities

BackgroundAdults with intellectual disabilities have higher morbidity and earlier mortality than the general population. Access to primary health care is lower, despite a higher prevalence of many long-term conditions.AimTo synthesise the evidence for the management of long-term conditions in adults with intellectual disabilities and identify barriers and facilitators to management in primary care.Design & settingMixed-methods systematic review.MethodSeven electronic databases were searched to identify both quantitative and qualitative studies concerning identification and management of long-term conditions in adults with intellectual disability in primary care. Both the screening of titles, abstracts, and full texts, and the quality assessment were carried out in duplicate. Findings were combined in a narrative synthesis.ResultsFifty-two studies were identified. Adults with intellectual disabilities are less likely than the general population to receive screening and health promotion interventions. Annual health checks may improve screening, identification of health needs, and management of long-term conditions. Health checks have been implemented in various primary care contexts, but the long-term impact on outcomes has not been investigated. Qualitative findings highlighted barriers and facilitators to primary care access, communication, and disease management. Accounts of experiences of adults with intellectual disabilities reveal a dilemma between promoting self-care and ensuring access to services, while avoiding paternalistic care.ConclusionAdults with intellectual disabilities face numerous barriers to managing long-term conditions. Reasonable adjustments, based on the experience of adults with intellectual disability, in addition to intervention such as health checks, may improve access and management, but longer-term evaluation of their effectiveness is required.

scholarly journals Maternal depression and primary healthcare use for children: a population-based cohort study in Denmark

2018 ◽  
Vol 69 (680) ◽  
pp. e182-e189 ◽  
Author(s):  
Bente K Lyngsøe ◽  
Dorte Rytter ◽  
Trine Munk-Olsen ◽  
Claus H Vestergaard ◽  
Kaj S Christensen ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Maternal Depression ◽  
Population Based ◽  
Secondary Outcome ◽  
Birth Cohort Study ◽  
Healthcare Use ◽  
Primary Health

BackgroundDepression is a common mental illness worldwide. The offspring of a mother with depression has higher risk of developing mental and physical illness.AimThis study aimed to investigate the association between the timing of maternal depression and the use of primary health care for the offspring.Design and settingA population-based birth cohort study in Danish primary care using Danish national registers.MethodAll Danish children born between 1 January 2000 and 31 December 2013 (n = 869 140 children) were included in the study. The primary outcome was number and type of annual contacts with the GP. The secondary outcome was specific services used by the GP to assess inflammatory and infectious disease in the children. Exposure was maternal depression of four categories: non-depressed, recent, previous, and past depression. The association was expressed as adjusted incidence rate ratios (IRR) with 95% confidence intervals (CI).ResultsMaternal depression was associated with a higher use of primary health care for all three categories of depression. The strongest association was found for children of a mother with recent depression; they had 16% more contacts than children of a non-depressed mother (adjusted IRR = 1.16, 95% CI = 1.15 to 1.17), and 19–24% more positive infectious-related tests were found in this group.ConclusionExposure to maternal depression was associated with a significantly higher use of primary health care for the offspring for all exposure categories. These findings reveal that healthcare use is higher for the offspring exposed to maternal depression, even several years after expected remission. The higher ratio of positive tests indicates that exposed children are ill with infectious disease more often.

Sign in / Sign up

Export Citation Format

Share Document