Long-term medical complications of heart transplantation: Information for the primary care physician

2000 ◽  
Vol 67 (9) ◽  
pp. 673-680 ◽  
Author(s):  
M. H. YAMANI ◽  
R. C. STARLING
Keyword(s):  
Primary Care ◽  
Heart Transplantation ◽  
Primary Care Physician ◽  
Care Physician ◽  
Medical Complications

scholarly journals Long-term management after liver transplantation: Primary care physician versus hepatologist

2009 ◽  
Vol 15 (10) ◽  
pp. 1330-1335 ◽  
Author(s):  
J. Christie Heller ◽  
Allan V. Prochazka ◽  
Gregory T. Everson ◽  
Lisa M. Forman
Keyword(s):  
Primary Care ◽  
Liver Transplantation ◽  
Primary Care Physician ◽  
Care Physician ◽  
Term Management

scholarly journals The Long-Term Effects of a Housing First Intervention on Primary Care and Non-Primary Care Physician Visits Among Homeless Adults with Mental Illness: A 7-Year RCT Follow-Up

2021 ◽  
Vol 12 ◽  
pp. 215013272110271
Author(s):  
Cilia Mejia-Lancheros ◽  
James Lachaud ◽  
Matthew J. To ◽  
Patsy Lee ◽  
Rosane Nisenbaum ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Primary Care Physician ◽  
Care Physician ◽  
Housing First ◽  
Long Term Effects ◽  
Homeless Adults ◽  
Adults With Mental Illness

Background: Housing First (HF)-based interventions have been implemented in North America and beyond to help people exit homelessness. The effect of these interventions on access to primary and specialist care services is not well-defined. This study assesses the long-term effects of an HF intervention for homeless adults with mental illness on primary care physician (PCP) and non-primary care physician (non-PCP) visits. Methods: This is a secondary analysis of the At Home/Chez Soi study, a randomized trial of HF for homeless adults with mental illness in Toronto, Canada. High-need (HN) participants were randomized to HF with assertive community treatment (HF-ACT) or treatment as usual (TAU). Moderate needs (MN) participants were randomized to HF with intensive case management (HF-ICM) or TAU. The primary outcomes were the incidence and the number of visits to a PCP and non-PCP over 7-years post-randomization, compared to the 1-year pre-randomization. Results: Of 575 enrolled participants, 527 (80 HN and 347 MN) participants were included in the analyses. HN participants who received HF-ACT had a significant reduction in the number of visits to a PCP compared to TAU participants (ratio of rate ratios (RRR): 0.66, 95% CI: 0.48-0.93) and a significant reduction in the number of non-PCP visits compared with TAU participants (RRR: 0.64, 95% CI: 0.42-0.97) in the 7-years post-randomization compared to the 1-year pre-randomization. MN participants who received HF-ICM had a significant increase in incident visits to a PCP compared to TAU participants (RRR: 1.66, 95% CI: 1.10-2.50). No effect of HF-ICM was observed on the incidence or number of non-PCP visits. Conclusion: HF has differing effects on visits to PCPs and non-PCPs among homeless people with high and moderate needs for mental health supports. HF does not result in a consistent increase in PCP and non-PCP visits over a 7-year follow-up period. The At Home/Chez Soi study is registered with ISRCTN (ISRCTN, ISRCTN42520374).

scholarly journals A rare cancer in men is breast cancer. The importance of long-term monitoring of the primary care physician status (based on own observations)

2020 ◽  
Vol 0 (1 (237)) ◽  
pp. 61-66
Author(s):  
V. M. Rudichenko ◽  
N. G. Karbivnycha ◽  
A. V. Kushneryk ◽  
G. M. Vynogradova ◽  
V. I. Byk ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Primary Care Physician ◽  
Care Physician ◽  
Rare Cancer ◽  
Long Term Monitoring ◽  
Term Monitoring

Otologic Photography: Indications and Technique

1995 ◽  
Vol 112 (5) ◽  
pp. P133-P133
Author(s):  
C. Bruce MacDonald
Keyword(s):  
Primary Care ◽  
Informed Consent ◽  
Primary Care Physician ◽  
Resident Education ◽  
Care Physician ◽  
Patient Counseling ◽  
Educational Objectives

Educational objectives: To understand the benefits of photodocumentation of otologic disease with respect to patient counseling, informed consent, billing, long-term patient follow-up, and primary care physician and resident education.

scholarly journals Long-term urological follow-up of multicystic dysplastic kidneys: Is it still indicated in 2007?

2012 ◽  
Vol 1 (2) ◽  
Author(s):  
Karen Psooy
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Literature Search ◽  
Care Physician ◽  
Renal Ultrasound ◽  
Contralateral Kidney ◽  
Increased Risk ◽  
Dysplastic Kidneys

Objective: To determine whether the current indications for the long-term urologicalfollow-up of children with multicystic dysplastic kidneys (MCDKs) are supported by the literature.Methods: The membership of the Pediatric Urologists of Canada was surveyedto determine if long-term urological follow-up was being performed, and if so, for what indications. A literature search using PubMed, EMBASE and aConference Papers Index was performed to determine whether the indicationslisted were supported by the literature.Results: A response rate of 72% was achieved for the survey, with most respondentsfollowing children with MCDK long-term. The main indications for long term follow-up were the increased risk of Wilms’ tumour (54%) and hypertension(32%), observation of the contralateral kidney (43%) and involutionof the MCDK (36%). The literature search did not support long-term urological follow-up for any of these indications, provided unilateral MCDK was anisolated genitourinary abnormality. Although it is rare, a primary care physician could monitor for hypertension.Conclusion: Long-term urological follow-up of children with “simple MCDK”is not supported by the literature, provided the diagnosis has been confirmedwith a follow-up renal ultrasound at 12–24 months. Blood pressure monitoringby a primary care physician is recommended.

scholarly journals Accountable Care Organizations and Spending for Patients Undergoing Long-Term Dialysis

2020 ◽  
Vol 15 (12) ◽  
pp. 1777-1784
Author(s):  
Shivani Bakre ◽  
John M. Hollingsworth ◽  
Phyllis L. Yan ◽  
Emily J. Lawton ◽  
Richard A. Hirth ◽  
...  
Keyword(s):  
Primary Care ◽  
Time Series ◽  
Confidence Interval ◽  
Primary Care Physician ◽  
Accountable Care Organization ◽  
Care Physician ◽  
Accountable Care Organizations ◽  
Care Organization ◽  
Accountable Care

Background and objectivesDespite representing 1% of the population, beneficiaries on long-term dialysis account for over 7% of Medicare’s fee-for-service spending. Because of their focus on care coordination, Accountable Care Organizations may be an effective model to reduce spending inefficiencies for this population. We analyzed Medicare data to examine time trends in long-term dialysis beneficiary alignment to Accountable Care Organizations and differences in spending for those who were Accountable Care Organization aligned versus nonaligned.Design, setting, participants, & measurementsIn this retrospective cohort study, beneficiaries on long-term dialysis between 2009 and 2016 were identified using a 20% random sample of Medicare beneficiaries. Trends in alignment to an Accountable Care Organization were compared with alignment of the general Medicare population from 2012 to 2016. Using an interrupted time series approach, we examined the association between Accountable Care Organization alignment and the primary outcome of total spending for long-term dialysis beneficiaries from prior to Accountable Care Organization implementation (2009–2011) through implementation of the Comprehensive ESRD Care model in October 2015. We fit linear regression models with generalized estimating equations to adjust for patient characteristics.ResultsDuring the study period, 135,152 beneficiaries on long-term dialysis were identified. The percentage of long-term dialysis beneficiaries aligned to an Accountable Care Organization increased from 6% to 23% from 2012 to 2016. In the time series analysis, spending on Accountable Care Organization–aligned beneficiaries was $143 (95% confidence interval, $5 to $282) less per beneficiary-quarter than spending for nonaligned beneficiaries. In analyses stratified by whether beneficiaries received care from a primary care physician, savings by Accountable Care Organization–aligned beneficiaries were limited to those with care by a primary care physician ($235; 95% confidence interval, $73 to $397).ConclusionsThere was a substantial increase in the percentage of long-term dialysis beneficiaries aligned to an Accountable Care Organization from 2012 to 2016. Moreover, in adjusted models, Accountable Care Organization alignment was associated with modest cost savings among long-term dialysis beneficiaries with care by a primary care physician.

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