Integration of Primary Healthcare and Hospitals

BACKGROUND Diabetes is one of the most common medical conditions referred to medication review service run by pharmacists, OBJECTIVE This study aims to determine whether pharmacist-run MRS can be an effective intervention tool to improve patients’ participation in self-care of diabetes. METHODS This randomised controlled study was conducted in five public primary healthcare centres from December 2014 to October 2016. Participants were 40 to 80 years of age and had been diagnosed with type 2 diabetes. These participants were prescribed with five or more chronic medications, of which at least one was an antidiabetic medication, by the primary healthcare centres’ doctors. The participants were randomly recruited into the intervention or control arm. A self-developed questionnaire which incorporated the validated Diabetes Self-Management Questionnaire (DSMQ) was administered face-to-face by the study team to the participants prior to and after MRS. MRS was not administered to participants in the control group. RESULTS A total of 221 participants completed the follow up. There were 105 participants in the control arm and 116 in the intervention arm. The DSMQ Sum Scale score of the control group improved by 0.16 ± 1.11 (p= 0.136) while the intervention group improved by 0.40 ± 0.99 (p=0.000). Participants in the intervention group reported a better improvement in their self-care of diabetes, specifically in glucose management (0.38± 1.35, p=0.003), dietary control (0.26±1.66, p=0.096) and physical activity (0.67±2.36, p=0.003). CONCLUSIONS Pharmacist-run MRS is an effective intervention tool to improve participants’ self-care of diabetes, particularly in glucose management, dietary control and physical activity.

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Comparing structured versus non-structured breastfeeding programmes to support the initiation and duration of exclusive breastfeeding in acute and primary healthcare settings.

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/01938924-200705051-00008 ◽

2007 ◽

Vol 5 (Supplement) ◽

pp. 1-18

Keyword(s):

Primary Healthcare ◽

Exclusive Breastfeeding ◽

Healthcare Settings

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Primary Healthcare

10.1093/oso/9780198815761.003.0004 ◽

2018 ◽

Author(s):

Anders Forssell ◽

Lars Norén

Keyword(s):

Primary Healthcare ◽

Consumer Market ◽

The Creation ◽

Almost All ◽

New Consumer ◽

Basic Medical

In this chapter, we analyse how former healthcare monopolies run by counties were abolished so that all healthcare centres that meet basic medical requirements are allowed to compete for patients, who are free to choose their provider. We use theories from the field of marketing for analysing this reorganization and demonstrate that it can be seen as the creation of a new consumer market or a reorganization of the counties; it is equally accurate to describe the result as an organized market or a marketized organization. We argue that terms such as ‘quasi-markets’ and ‘quasi-organization’ are misleading, as they are based on the assumption that markets and organizations are pure and distinct opposites. Rather, we argue that almost all markets are more or less organized and that many organizations are more or less marketized.

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