A new generation of Primary Care Service Areas or general practice catchment areas

2017 ◽  
Vol 21 (6) ◽  
pp. 1379-1390 ◽  
Author(s):  
Soumya Mazumdar ◽  
Ludovico Pinzari ◽  
Nasser Bagheri ◽  
Paul Konings ◽  
Federico Girosi ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Service ◽  
Primary Care Service ◽  
Catchment Areas ◽  
Service Areas ◽  
New Generation

scholarly journals Daytime use of general practice and use of the Out-of-Hours Primary Care Service for patients with chronic disease: a cohort study

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Lone Flarup ◽  
Grete Moth ◽  
Morten Bondo Christensen ◽  
Mogens Vestergaard ◽  
Frede Olesen ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Cohort Study ◽  
Chronic Disease ◽  
Care Service ◽  
Primary Care Service ◽  
Out Of Hours

scholarly journals Geographic dissemination of endovascular stroke thrombectomy in Catalonia within the 2011–2015 period

2017 ◽  
Vol 2 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Sònia Abilleira ◽  
Cristian Tebé ◽  
Natalia Pérez de la Ossa ◽  
Marc Ribó ◽  
Pere Cardona ◽  
...  
Keyword(s):  
Primary Care ◽  
Ischemic Stroke ◽  
Confidence Interval ◽  
Acute Ischemic Stroke ◽  
Care Service ◽  
Primary Care Service ◽  
Large Artery ◽  
Endovascular Thrombectomy ◽  
Service Areas ◽  
Over Time

Introduction Endovascular thrombectomy was recently established as a new standard of care in acute ischemic stroke patients with large artery occlusions. Using small area health statistics, we sought to assess dissemination of endovascular thrombectomy in Catalonia throughout the period 2011–2015. Patients and methods We used registry data to identify all endovascular thrombectomies for acute ischemic stroke performed in Catalonia within the study period. The SONIIA registry is a government-mandated, population-based and externally audited data base that includes all reperfusion therapies for acute ischemic stroke. We linked endovascular thrombectomy cases identified in the registry with the Central Registry of the Catalan Public Health Insurance to obtain the primary care service area of residence for each treated patient, age and sex. We calculated age-sex standardized endovascular thrombectomy rates over time according to different territorial segmentation patterns (metropolitan/provincial rings and primary care service areas). Results Region-wide age-sex standardized endovascular thrombectomy rates increased significantly from 3.9 × 100,000 (95% confidence interval: 3.4–4.4) in 2011 to 6.8 × 100,000 (95% confidence interval: 6.2–7.6) in 2015. Such increase occurred in inner and outer metropolitan rings as well as provinces although highest endovascular thrombectomy rates were persistently seen in the inner metropolitan area. Changes in endovascular thrombectomy access across primary care service areas over time were more subtle, but there was a rather generalized increase of standardized endovascular thrombectomy rates. Discussion This study demonstrates temporal and territorial dissemination of access to endovascular thrombectomy in Catalonia over a 5-year period although variation remains at the completion of the study. Conclusion Mapping of endovascular thrombectomy is essential to assess equity and propose actions for access dissemination.

scholarly journals Primary Care Service Areas: A New Tool for the Evaluation of Primary Care Services

2003 ◽  
Vol 38 (1p1) ◽  
pp. 287-309 ◽  
Author(s):  
David C. Goodman ◽  
Stephen S. Mick ◽  
David Bott ◽  
Therese Stukel ◽  
Chiang-hua Chang ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Service ◽  
Primary Care Service ◽  
Care Services ◽  
Primary Care Services ◽  
Service Areas

How useful are Primary Care Service Areas? Evaluating PCSAs as a tool for measuring Primary Care Practitioner access

2016 ◽  
Vol 72 ◽  
pp. 47-54 ◽  
Author(s):  
Soumya Mazumdar ◽  
Danielle Butler ◽  
Nasser Bagheri ◽  
Paul Konings ◽  
Federico Girosi ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Service ◽  
Primary Care Service ◽  
Primary Care Practitioner ◽  
Service Areas

Methods of working with primary care

2000 ◽  
Vol 6 (6) ◽  
pp. 442-449 ◽  
Author(s):  
Linda Gask ◽  
Justine Croft
Keyword(s):  
Primary Care ◽  
General Practice ◽  
General Practitioners ◽  
Gradual Increase ◽  
Care Service ◽  
Primary Care Service ◽  
Psychiatric Nurses ◽  
England And Wales ◽  
Community Psychiatric

By the 1980s, one-fifth of all general psychiatrists in England and Wales (Strathdee & Williams, 1984) and one-half in Scotland (Pullen & Yellowlees, 1988) were spending some proportion of their time working in primary care. Rather than limit this process, the growth of general practice fundholding fostered it and developments in general practice total purchasing and extended fundholding have encouraged it further (Lee et al, 1999). At the same time, nationally there has been a gradual increase in referrals directly from general practitioners (GPs) to community psychiatric nurses (CPNs). Referrals from GPs constituted 37% of all referrals to CPNs in 1990 and 46% in 1996 (Brooker & White, 1997: further details available from L.G. upon request), even though there has been a trend away from the primary care service base (21% in 1990 compared with 14% in 1996).

Estimating Traffic Exposure in Primary Care Service Areas

Epidemiology ◽  
2009 ◽  
Vol 20 ◽  
pp. S203
Author(s):  
Eleni Sofianopoulou ◽  
Tanja Pless-Mulloli ◽  
Stephen Rushton
Keyword(s):  
Primary Care ◽  
Care Service ◽  
Primary Care Service ◽  
Service Areas ◽  
Traffic Exposure

scholarly journals A national evaluation of the Irish public health counselling in primary care service– examination of initial effectiveness data

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Charles Brand ◽  
Fiona Ward ◽  
Niamh MacDonagh ◽  
Sharon Cunningham ◽  
Ladislav Timulak
Keyword(s):  
Primary Care ◽  
Large Scale ◽  
Care Service ◽  
Outcome Data ◽  
Primary Care Service ◽  
Observational Research ◽  
Research Approach ◽  
Growth Curve Analysis ◽  
Republic Of Ireland ◽  
Post Therapy

Abstract Background The Counselling in Primary Care service (CIPC) is the first and only nationally available public counselling service in the Republic of Ireland. This study provides initial data for the effectiveness of short-term psychotherapy delivered in a primary care setting in Ireland for the first time. Method A practice-based observational research approach was employed to examine outcome data from 2806 clients receiving therapy from 130 therapists spread over 150 primary care locations throughout Ireland. Pre-post outcomes were assessed using the CORE-OM and reliable and clinically significant change proportions. Binary logistic regression examined the effect of pre therapy symptom severity on the log odds of recovering. Six and 12 month follow up data from a subsample of 276 clients were also analysed using growth curve analysis. Results Of 14,156 referred clients, 5356 presented for assessment and 52.3% (N = 2806) consented to participate. Between assessment and post-therapy a large reduction in severity of symptoms was observed- Cohen’s d = 0.98. Furthermore, 47% of clients achieved recovery,a further 15.5% reliably improved, 2.7% reliably deteriorated and34.7% showed no reliable improvement. Higher initial severity was associated with less chance of recovering at post-therapy. Significant gains were maintained between assessment and12 months after therapy- Cohen’s d = 0.50. Conclusions Outcomes for clients in the CIPC service compared favourably with large scale counselling and psychotherapy services in jurisdictions in the U.K., the U.S.A., Norway and Sweden. This study expands the international primary care psychotherapy research base to include the entire Republic of Ireland jurisdiction.

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