Do Ya Know What It Means to Miss New Orleans?: A Musicians' Clinic Creates Nimble Solutions to Keep Music Alive

2007 ◽  
Vol 22 (4) ◽  
pp. 135-139
Author(s):  
Bethany Ewald Bultman
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Medical School ◽  
New Orleans ◽  
Professional Musicians ◽  
School Today ◽  
Preventative Health ◽  
Part Time ◽  
Access To Primary Care

The New Orleans Musicians Clinic (NOMC) was founded in 1998 to help sustain Louisiana's musicians in mind, body, and spirit by developing access to primary care, preventative health services, and social and occupational outreach. Before Katrina, an estimated 3500 professional musicians were living and performing in New Orleans, and the NOMC had 1,300 musician-patients treated by a volunteer network of more than 300 nurses and doctors within the LSU Medical School. Today, there are less than 1800 professional musicians, who now struggle to survive as part-time musicians, and the Clinic likewise has changed to meet new and increasing demands for its services.

scholarly journals Investigating geographical variation in the use of mental health services by area of England: a cross-sectional ecological study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lucy Maconick ◽  
Luke Sheridan Rains ◽  
Rebecca Jones ◽  
Brynmor Lloyd-Evans ◽  
Sonia Johnson
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Geographical Variation ◽  
Ecological Study ◽  
Cross Sectional ◽  
Psychological Therapies ◽  
Access To Primary Care

Abstract Background There is evidence of geographical variation in the use of mental health services in the UK and in international settings. It is important to understand whether this variation reflects differences in the prevalence of mental disorders, or if there is evidence of variation related to other factors, such as population socioeconomic status and access to primary care services. Methods This is a cross-sectional ecological study using Public Health England data. The unit of analysis was the population served by clinical commissioning groups (CCGs), National Health Service (NHS) catchment areas. The analysis explored associations between area characteristics and the number of people in contact with mental health services using regression modelling. Explanatory variables included age, gender, prevalence of severe mental illness (SMI), prevalence of common mental disorder (CMD), index of multiple deprivation (IMD), unemployment, proportion of the population who are Black and Minority Ethnic (BAME), population density, access to and recovery in primary care psychological therapies. Unadjusted results are reported, as well as estimates adjusted for age, prevalence of CMD and prevalence of SMI. Results The populations of 194 CCGs were included, clustered within 62 trusts (NHS providers of mental health services). The number of people in contact with mental health services showed wide variation by area (range from 1131 to 5205 per 100,000 population). Unemployment (adjusted IRR 1.11; 95% CI 1.05 to 1.17; p < 0.001) and deprivation (adjusted IRR 1.02 95% CI 1.01 to 1.04; p < 0.001) were associated with more people being in contact with mental health services. Areas with a higher proportion of the population who are BAME (IRR 0.95 95% CI 0.92 to 0.99 p = 0.007) had lower service use per 100,000 population. There was no evidence for association with access to primary care psychological therapies. Conclusions There is substantial variation in the use of mental health services by area of England. Social factors including deprivation, unemployment and population ethnicity continued to be associated with the outcome after controlling for the prevalence of mental illness. This suggests that there are factors that influence the local population use of mental health services in addition to the prevalence of mental disorder.

scholarly journals Opportunities and Gaps in Primary Care Preventative Health Services for Transgender Patients: A Systematic Review

2016 ◽  
Vol 1 (1) ◽  
pp. 216-230 ◽  
Author(s):  
E. Kale Edmiston ◽  
Cameron A. Donald ◽  
Alice Rose Sattler ◽  
J. Klint Peebles ◽  
Jesse M. Ehrenfeld ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Health Services ◽  
Preventative Health

scholarly journals Integrative literature review: access to primary healthcare services

2018 ◽  
Vol 71 (3) ◽  
pp. 1178-1188 ◽  
Author(s):  
Maura Cristiane e Silva Figueira ◽  
Wellington Pereira da Silva ◽  
Eliete Maria Silva
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Health Plans ◽  
Access To Health Services ◽  
Primary Health ◽  
Study Selection ◽  
Access To Health ◽  
Access To Primary Care

ABSTRACT Objective: Analyze the scientific production that describes the type of access to primary healthcare services and identify specific populations that have differentiated access to health services. Method: An integrative review. For study selection, the following databases were used: PubMed, Scopus, Bireme, and Cinahl. The sample included 22 national and international articles. Results: The results describe the access of specific populations to health services, the access to primary care through health plans and proposed improvements to the access to primary care. Conclusion: The access to services is a challenge in many countries and some strategies and policies are implemented to solve and improve primary health care.

Barriers and facilitators to integrating behavioral health services and pediatric primary care.

2020 ◽  
Author(s):  
Keri J. S. Brady ◽  
Michelle P. Durham ◽  
Alex Francoeur ◽  
Cameron Henneberg ◽  
Avanti Adhia ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Behavioral Health ◽  
Barriers And Facilitators ◽  
Pediatric Primary Care ◽  
Behavioral Health Services
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