Development of a periodontitis risk assessment model for primary care providers in an interdisciplinary setting

2020 ◽  
Vol 28 (2) ◽  
pp. 143-154
Author(s):  
Neel Shimpi ◽  
Susan McRoy ◽  
Huimin Zhao ◽  
Min Wu ◽  
Amit Acharya
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Primary Care Providers ◽  
Assessment Model ◽  
Risk Assessment Model ◽  
Care Providers ◽  
Interdisciplinary Setting

scholarly journals The Use of a Family History Risk Assessment Tool within a Community Health Care System: Views of Primary Care Providers

2012 ◽  
Vol 21 (5) ◽  
pp. 652-661 ◽  
Author(s):  
Carol A. Christianson ◽  
◽  
Karen Potter Powell ◽  
Susan Estabrooks Hahn ◽  
Susan H. Blanton ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Health Care ◽  
Family History ◽  
Community Health ◽  
Assessment Tool ◽  
Primary Care Providers ◽  
Community Health Care ◽  
Care Providers ◽  
Community Health Care System

scholarly journals Breast Cancer Risk Assessment and Chemoprevention Use Among Veterans Affairs Primary Care Providers: A National Online Survey

2019 ◽  
Vol 185 (3-4) ◽  
pp. 512-518
Author(s):  
Balmatee Bidassie ◽  
Amanda Kovach ◽  
Marissa A Vallette ◽  
Joseph Merriman ◽  
Yeun-Hee Anna Park ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Primary Care ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Primary Care Providers ◽  
Comfort Level ◽  
Cancer Risk Assessment ◽  
Care Providers ◽  
Breast Cancer Risk Assessment

Abstract Introduction Breast cancer is the most common cancer diagnosed among women and the second most common cause of cancer death among women. There are ways to reduce a woman’s risk of breast cancer; however, most eligible women in the United States are neither offered personalized screening nor chemoprevention. Surveys have found that primary care providers are largely unaware of breast cancer risk assessment models or chemoprevention. This survey aims to investigate Veterans Health Administration primary care providers’ comfort level, practice patterns, and knowledge of breast cancer risk assessment and chemoprevention. Materials and Methods An online, Research Electronic Data Capture-generated survey was distributed to VHA providers in internal medicine, family medicine, and obstetrics/gynecology. Survey domains were provider demographics, women’s health experience, comfort level, practice patterns, barriers to using risk models and chemoprevention, and knowledge of chemoprevention. Results Of the 167 respondents, 33.1% used the Gail model monthly or more often and only 2.4% prescribed chemoprevention in the past 2 years. Most VHA primary care providers did not answer chemoprevention knowledge questions correctly. Designated women’s health providers were more comfortable with risk assessment (P < 0.018) and chemoprevention (P < 0.011) and used both breast cancer risk models (P < 0.0045) and chemoprevention more often (P < 0.153). Reported barriers to chemoprevention were lack of education and provider time. Conclusions VHA providers and women Veterans would benefit from a system to ensure that women at increased risk of breast cancer are identified with risk modeling and that risk reduction options, such as chemoprevention, are offered when appropriate. VHA providers requested risk reduction education, which could improve primary care provider comfort level with chemoprevention.

scholarly journals Breast Cancer Risk Assessment and Primary Prevention Advice in Primary Care: A Systematic Review of Provider Attitudes and Routine Behaviours

Cancers ◽  
2021 ◽  
Vol 13 (16) ◽  
pp. 4150
Author(s):  
Sarah Bellhouse ◽  
Rhiannon E. Hawkes ◽  
Sacha J. Howell ◽  
Louise Gorman ◽  
David P. French
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Primary Care ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Primary Care Providers ◽  
Cancer Risk Assessment ◽  
Care Providers ◽  
Breast Cancer Risk Assessment ◽  
Risk Reducing

Implementing risk-stratified breast cancer screening is being considered internationally. It has been suggested that primary care will need to take a role in delivering this service, including risk assessment and provision of primary prevention advice. This systematic review aimed to assess the acceptability of these tasks to primary care providers. Five databases were searched up to July–August 2020, yielding 29 eligible studies, of which 27 were narratively synthesised. The review was pre-registered (PROSPERO: CRD42020197676). Primary care providers report frequently collecting breast cancer family history information, but rarely using quantitative tools integrating additional risk factors. Primary care providers reported high levels of discomfort and low confidence with respect to risk-reducing medications although very few reported doubts about the evidence base underpinning their use. Insufficient education/training and perceived discomfort conducting both tasks were notable barriers. Primary care providers are more likely to accept an increased role in breast cancer risk assessment than advising on risk-reducing medications. To realise the benefits of risk-based screening and prevention at a population level, primary care will need to proactively assess breast cancer risk and advise on risk-reducing medications. To facilitate this, adaptations to infrastructure such as integrated tools are necessary in addition to provision of education.

The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Socioeconomic Status ◽  
Thematic Analysis ◽  
Older Men ◽  
Primary Care Providers ◽  
Depression Treatment ◽  
Care Providers ◽  
Low Socioeconomic ◽  
Self Image ◽  
The Impact

Abstract. Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. Method: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. Results: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" Conclusion: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide.

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