Self‐assessment and subsequent external review as an effective model for improving drug use for elderly in primary care: A descriptive study of SÄKLÄK2

2019 ◽  
Vol 26 (4) ◽  
pp. 1235-1241
Author(s):  
Jessica Skoog ◽  
Sara Modig
Keyword(s):  
Primary Care ◽  
Drug Use ◽  
Descriptive Study ◽  
Effective Model ◽  
Self Assessment ◽  
External Review

scholarly journals Patterns of antimicrobial drug use in veterinary primary care and specialty practice: A 6‐year multi‐institution study

2021 ◽  
Author(s):  
Robert Goggs ◽  
Julie M. Menard ◽  
Craig Altier ◽  
Kevin J. Cummings ◽  
Megan E. Jacob ◽  
...  
Keyword(s):  
Primary Care ◽  
Drug Use ◽  
Antimicrobial Drug ◽  
Specialty Practice

scholarly journals Analysis of knowledge on drug delivery

2015 ◽  
Vol 5 (2) ◽  
pp. 233-241
Author(s):  
Juan M. Carmona ◽  
Ana M. Baena ◽  
Ana C. Berral ◽  
Quintiliano Sotelo ◽  
Beatriz Recio ◽  
...  
Keyword(s):  
Drug Delivery ◽  
Health Professionals ◽  
Health Workers ◽  
Descriptive Study ◽  
Medication Administration ◽  
Prior Training ◽  
Self Assessment ◽  
Cross Sectional ◽  
Analysis Of Knowledge ◽  
Improve Health

The objective of this study was to determine the knowledge of health professionals Hospital of Montilla on the administration of drugs in emergencies. Material: cross-sectional descriptive study conducted at the Hospital of Montilla (Córdoba). A questionnaire to doctors and nurses were distributed by random sampling during the month of December 2014. A survey of Machado de Azevedo et al. (2012) that consists of 9 items for the assessment of knowledge on medication administration was used. Results: The sample was composed of 59.1% of physicians and 40.9% of nurses with an average age of 38.05 (SD±8.981). Regarding the situation of respondents, 72.7% had received prior training. Regarding their own self-assessment, 72.7% considered to have a satisfactory knowledge of drug administration. 90.9% of respondents known to exist protocols on the administration of drugs in his unit. Discussion: Although the knowledge of drug delivery is acceptable for health workers, there are differences between the two analyzed collectives. Therefore, it would be ideal to perform adequate training and retraining of staff for optimal knowledge and, in this way, improve health care.

Tobacco, Alcohol, and Drug Use in a Primary Care Sample

1998 ◽  
Vol 17 (1) ◽  
pp. 67-81 ◽  
Author(s):  
Linda Baier Manwell ◽  
Michael F. Fleming ◽  
Kristen Johnson ◽  
Kristen Lawton Barry
Keyword(s):  
Primary Care ◽  
Drug Use ◽  
Alcohol And Drug Use

scholarly journals eVITAL: A Preliminary Taxonomy and Electronic Toolkit of Health-Related Habits and Lifestyle

2012 ◽  
Vol 2012 ◽  
pp. 1-14 ◽  
Author(s):  
Luis Salvador-Carulla ◽  
Carolyn Olson Walsh ◽  
Federico Alonso ◽  
Rafael Gómez ◽  
Carlos de Teresa ◽  
...  
Keyword(s):  
Primary Care ◽  
Models Of Care ◽  
International Classification Of Functioning ◽  
Evaluation Tool ◽  
Self Assessment ◽  
Evaluation Protocol ◽  
Health Related ◽  
Person Centered Approach ◽  
Adult Volunteers

Objectives. To create a preliminary taxonomy and related toolkit of health-related habits (HrH) following a person-centered approach with a focus on primary care.Methods. From 2003–2009, a working group (n=6physicians) defined the knowledge base, created a framing document, and selected evaluation tools using an iterative process. Multidisciplinary focus groups (n=29health professionals) revised the document and evaluation protocol and participated in a feasibility study and review of the model based on a demonstration study with 11 adult volunteers in Antequera, Spain.Results. The preliminary taxonomy contains 6 domains of HrH and 1 domain of additional health descriptors, 3 subdomains, 43 dimensions, and 141 subdimensions. The evaluation tool was completed by the 11 volunteers. The eVITAL toolkit contains history and examination items for 4 levels of engagement: self-assessment, basic primary care, extended primary care, and specialty care. There was positive feedback from the volunteers and experts, but concern about the length of the evaluation.Conclusions. We present the first taxonomy of HrH, which may aid the development of the new models of care such as the personal contextual factors of the International Classification of Functioning (ICF) and the positive and negative components of the multilevel person-centered integrative diagnosis model.

scholarly journals Approaches for Implementing App-Based Digital Treatments for Drug Use Disorders Into Primary Care: A Qualitative, User-Centered Design Study of Patient Perspectives (Preprint)

2020 ◽  
Author(s):  
Joseph E Glass ◽  
Theresa E Matson ◽  
Catherine Lim ◽  
Andrea L Hartzler ◽  
Kilian Kimbel ◽  
...  
Keyword(s):  
Primary Care ◽  
Drug Use ◽  
Opioid Use Disorder ◽  
User Centered Design ◽  
Opioid Use ◽  
Kaiser Permanente ◽  
Secure Messaging ◽  
Phone Calls ◽  
Drug Use Disorders ◽  
User Centered

BACKGROUND Digital interventions, such as websites and smartphone apps, can be effective in treating drug use disorders (DUDs). However, their implementation in primary care is hindered, in part, by a lack of knowledge on how patients might like these treatments delivered to them. OBJECTIVE This study aims to increase the understanding of how patients with DUDs prefer to receive app-based treatments to inform the implementation of these treatments in primary care. METHODS The methods of user-centered design were combined with qualitative research methods to inform the design of workflows for offering app-based treatments in primary care. Adult patients (n=14) with past-year cannabis, stimulant, or opioid use disorder from 5 primary care clinics of Kaiser Permanente Washington in the Seattle area participated in this study. Semistructured interviews were recorded, transcribed, and analyzed using qualitative template analysis. The coding scheme included deductive codes based on interview topics, which primarily focused on workflow design. Inductive codes emerged from the data. RESULTS Participants wanted to learn about apps during visits where drug use was discussed and felt that app-related conversations should be incorporated into the existing care whenever possible, as opposed to creating new health care visits to facilitate the use of the app. Nearly all participants preferred receiving clinician support for using apps over using them without support. They desired a trusting, supportive relationship with a clinician who could guide them as they used the app. Participants wanted follow-up support via phone calls or secure messaging because these modes of communication were perceived as a convenient and low burden (eg, no copays or appointment travel). CONCLUSIONS A user-centered implementation of treatment apps for DUDs in primary care will require health systems to design workflows that account for patients’ needs for structure, support in and outside of visits, and desire for convenience.

scholarly journals Anti-Nuclear Antibodies in Daily Clinical Practice: Prevalence in Primary, Secondary, and Tertiary Care

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Thomas Y. Avery ◽  
Mart van de Cruys ◽  
Jos Austen ◽  
Frans Stals ◽  
Jan G. M. C. Damoiseaux
Keyword(s):  
Primary Care ◽  
Clinical Practice ◽  
Tertiary Care ◽  
Descriptive Study ◽  
Clinical Settings ◽  
Antibody Prevalence ◽  
Autoimmune Rheumatic Diseases ◽  
Dsdna Antibody ◽  
Alternative Approaches ◽  
Positive Results

For the diagnosis of systemic autoimmune rheumatic diseases (SARD), patients are screened for anti-nuclear antibodies (ANA). ANA, as assessed by indirect immunofluorescence (IIF), have a poor specificity. This hampers interpretation of positive results in clinical settings with low pretest probability of SARD. We hypothesized that the utility of positive ANA IIF results increases from primary to tertiary care. We retrospectively determined ANA, anti-ENA, and anti-dsDNA antibody prevalence in patient cohorts from primary (n=1453), secondary (n=1621), and tertiary (n=1168) care settings. Results reveal that from primary care to tertiary care, ANA prevalence increases (6.2, 10.8, and 16.0%, resp.). Moreover, in primary care low titres (70% versus 51% and 52% in secondary and tertiary care, resp.) are more frequent and anti-ENA/dsDNA reactivities are less prevalent (21% versus 39% in secondary care). Typically, in tertiary care the prevalence of anti-ENA/dsDNA reactivities (21%) is lower than expected. From this descriptive study we conclude that positive ANA IIF results are more prone to false interpretation in clinical settings with low pretest probabilities for SARD, as in primary care. Whether alternative approaches, that is, immunoadsorption of anti-DFS70 antibodies or implementation of anti-ENA screen assays, perform better, needs to be determined.

Impact of Hypertension Guideline Implementation on Blood Pressure Control and Drug Use in Primary Care Clinics

1999 ◽  
Vol 25 (2) ◽  
pp. 68-77 ◽  
Author(s):  
Patrick J. O’Connor ◽  
Elaine S. Quiter ◽  
William A. Rush ◽  
Mark Wiest ◽  
Jeffrey T. Meland ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Drug Use ◽  
Blood Pressure Control ◽  
Guideline Implementation ◽  
Pressure Control ◽  
Primary Care Clinics ◽  
Hypertension Guideline
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