scholarly journals Improving Compliance with Screening of Diabetic Patients for Microalbuminuria in Primary Care Practice

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Abeer Anabtawi ◽  
L. Mary Mathew
Keyword(s):  
Primary Care ◽  
Quality Control ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Primary Care Physicians ◽  
Primary Care Practice ◽  
Compliance Rate ◽  
Care Practice ◽  
Diabetic Patients ◽  
Modest Improvement

Studies showed suboptimal compliance rate of primary care physicians with microalbuminuria screening. This study evaluated impact of electronic medical records (EMR) and computerized physicians reminders on compliance rate and showed small to modest improvement. Combining EMR with quality control monitoring has significantly improved compliance [OR 1.556, 95% CI 1.251–1.935, ].

scholarly journals Call your doctor: prospective description study of telemedicine during the first COVID-19 outbreak in a Swiss primary care practice

2020 ◽  
Author(s):  
Joëlle Suillot ◽  
Sophie Zuercher ◽  
Lydie Zufferey ◽  
Julien Sagez
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Primary Care Practice ◽  
Emergency Services ◽  
Phone Call ◽  
Categorical Variables ◽  
Care Practice ◽  
Or Groups ◽  
Swiss Primary Care

Abstract Background: Telemedicine is a healthcare assistance method which has been promoted during the COVID-19 pandemic for the management of patients. The aim of this study is to quantify the type of request that primary care physicians are experiencing, as well as the healthcare assistance modalities and ultimately, how many physical consultations are necessary.Methods: We conducted a prospective, descriptive study in a primary care practice in Switzerland on telephone consultations related to COVID-19. The data collected included the reasons for the call, symptoms, healthcare assistance modalities and follow-up. The categorical variables are expressed as percentages of the total cases or groups.Results: We included 200 calls corresponding to 113 patients. The majority of patients (76.1%) were taken care of solely through telemedicine. The physical consultations were due to the need: for a swab test (12.4%), for a somatic assessment at the practice (9.7%) and for an emergency services consultation (1.8%). In 64.6% of cases, patient assistance required only one phone call. Calls lasted 7.85 minutes on average and were more frequent on Mondays (24%) and Fridays (18.5%). Calls led to the prescription of medication in 12.5% of cases, of a bronchodilator in 3% of cases and of an antibiotic in 0.5% of cases.Conclusion: A rigorous telephone follow-up strategy carried out by primary care physicians requires few physical consultations in patients showing symptoms of COVID-19.

scholarly journals What Results Should Be Returned from Opportunistic Screening in Translational Research?

2020 ◽  
Vol 10 (1) ◽  
pp. 13 ◽  
Author(s):  
Colin M. E. Halverson ◽  
Sarah H. Jones ◽  
Laurie Novak ◽  
Christopher Simpson ◽  
Digna R. Velez Edwards ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Primary Care Physicians ◽  
Ethical Issues ◽  
Opportunistic Screening ◽  
Test Results ◽  
Undue Burden ◽  
Positive Results

Increasingly, patients without clinical indications are undergoing genomic tests. The purpose of this study was to assess their appreciation and comprehension of their test results and their clinicians’ reactions. We conducted 675 surveys with participants from the Vanderbilt Electronic Medical Records and Genomics (eMERGE) cohort. We interviewed 36 participants: 19 had received positive results, and 17 were self-identified racial minorities. Eleven clinicians who had patients who had participated in eMERGE were interviewed. A further 21 of these clinicians completed surveys. Participants spontaneously admitted to understanding little or none of the information returned to them from the eMERGE study. However, they simultaneously said that they generally found testing to be “helpful,” even when it did not inform their health care. Primary care physicians expressed discomfort in being asked to interpret the results for their patients and described it as an undue burden. Providing genetic testing to otherwise healthy patients raises a number of ethical issues that warrant serious consideration. Although our participants were enthusiastic about enrolling and receiving their results, they express a limited understanding of what the results mean for their health care. This fact, coupled the clinicians’ concern, urges greater caution when educating and enrolling participants in clinically non-indicated testing.

scholarly journals Primary Care Practice Addressing Child Overweight and Obesity: A Survey of Primary Care Physicians at Four Clinics in Southern Appalachia

2011 ◽  
Vol 104 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Nicole Holt ◽  
Karen E. Schetzina ◽  
William T. Dalton ◽  
Fred Tudiver ◽  
Hazel Fulton-Robinson ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Primary Care Practice ◽  
Overweight And Obesity ◽  
Care Practice ◽  
Southern Appalachia ◽  
Child Overweight

scholarly journals Dyspepsia in primary care practice in Bangladesh

2014 ◽  
Vol 42 (2) ◽  
pp. 63-69 ◽  
Author(s):  
M Hasan
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Eradication Rate ◽  
Primary Care Practice ◽  
Treatment Options ◽  
Care Practice ◽  
Helicobactor Pylori ◽  
Primary Care Settings ◽  
H Pylori

Dyspepsia generally refers to pain or discomfort in epigastric region. It is a common problem in the community and clinical practice. It affects quality of life, productivity and causes significant resources utilization. There are a number of different causes of dyspepsia which varies from country to country. But the commonest cause in all the countries is functional dyspepsia. Investigations needed to diagnose the cause of dyspepsia are many and treatment options also vary. Consequently different scientific bodies have issued guidelines regarding the management strategy of this common disorder. But the strategy should depend on local prevalence of Helicobactor pylori infection, available health care resources and underlying serious diseases. Most dyspeptic patients are managed by primary care physicians. In Bangladesh, investigation facilities are lacking in most parts of the country. Furthermore, eradication rate of H. pylori is low and recurrence rate is high. In this article, we have reviewed the current evidences and recommendations on evaluation and treatment of dyspepsia and discussed the preferred option in primary care settings in Bangladesh. DOI: http://dx.doi.org/10.3329/bmj.v42i2.18989 Bangladesh Med J. 2013 May; 42 (2): 63-69

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