scholarly journals Using SF-36 survey to facilitate the redesign of home care services in chronic patients in a primary care setting

2017 ◽  
Vol 17 (5) ◽  
pp. 588
Author(s):  
Oscar Bueno ◽  
María Angeles Sebastián ◽  
Sandra Cusac ◽  
Teresa Font ◽  
Laia Poblet ◽  
...  
Keyword(s):  
Primary Care ◽  
Home Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Home Care Services ◽  
Chronic Patients ◽  
Care Services ◽  
Sf 36

scholarly journals Interprofessional Stroke Rehabilitation for Stroke Survivors Using Home Care

2011 ◽  
Vol 38 (2) ◽  
pp. 317-334 ◽  
Author(s):  
Maureen Markle-Reid ◽  
Camille Orridge ◽  
Robin Weir ◽  
Gina Browne ◽  
Amiram Gafni ◽  
...  
Keyword(s):  
Home Care ◽  
Stroke Rehabilitation ◽  
Intervention Group ◽  
Home Care Services ◽  
Stroke Survivors ◽  
Interprofessional Team ◽  
Care Services ◽  
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Objective:To compare a specialized interprofessional team approach to community-based stroke rehabilitation with usual home care for stroke survivors using home care services.Methods:Randomized controlled trial of 101 community-living stroke survivors (<18 months post-stroke) using home care services. Subjects were randomized to intervention (n=52) or control (n=49) groups. The intervention was a 12-month specialized, evidence-based rehabilitation strategy involving an interprofessional team. The primary outcome was change in health-related quality of life and functioning (SF-36) from baseline to 12 months. Secondary outcomes were number of strokes during the 12-month follow-up, and changes in community reintegration (RNLI), perceived social support (PRQ85-Part 2), anxiety and depressive symptoms (Kessler-10), cognitive function (SPMSQ), and costs of use of health services from baseline to 12 months.Results:A total of 82 subjects completed the 12-month follow-up. Compared with the usual care group, stroke survivors in the intervention group showed clinically important (although not statistically significant) greater improvements from baseline in mean SF-36 physical functioning score (5.87, 95% CI -3.98 to 15.7; p=0.24) and social functioning score (9.03, CI-7.50 to 25.6; p=0.28). The groups did not differ for any of the secondary effectiveness outcomes. There was a higher total per-person costs of use of health services in the intervention group compared to usual home care although the difference was not statistically significant (p = 0.76).Conclusions:A 12-month specialized, interprofessional team is a feasible and acceptable approach to community-based stroke rehabilitation that produced greater improvements in quality of life compared to usual home care. Clinicaltrials.gov identifier: NCT00463229

scholarly journals The role of primary care in the organisation of home care services

2013 ◽  
Vol 13 (6) ◽  
Author(s):  
Pemra C. Unalan ◽  
Selçuk Akturan ◽  
Serap Çifçili
Keyword(s):  
Primary Care ◽  
Home Care ◽  
Home Care Services ◽  
Care Services

Evolution of a health navigator model of care within a primary care setting: a case study

2013 ◽  
Vol 37 (4) ◽  
pp. 523 ◽  
Author(s):  
Fiona Doolan-Noble ◽  
Danielle Smith ◽  
Robin Gauld ◽  
Debra L. Waters ◽  
Anthony Cooke ◽  
...  
Keyword(s):  
Primary Care ◽  
New Zealand ◽  
Service Provision ◽  
Cancer Care ◽  
Care Setting ◽  
Patient Navigation ◽  
Primary Care Setting ◽  
Rural Setting ◽  
Care Services

Objective. Patient navigation originated as an approach for reducing disparities in cancer care and consequent health outcomes. Over time navigator models have evolved and been used to address various health issues in differing contexts. This case study outlines the evolution, purpose and effects of a lay-led health navigator model in a deprived, sparsely populated, New Zealand rural setting, where primary care services are frequently understaffed and routinely overstretched. Methods. Routinely collected service utilisation data, survey results and health navigator interview data were utilised to illustrate the client group the service works with, why primary care refer to the service, as well as lessons learned from implementation to ongoing service provision. Results. Those referred to the navigator service generally represented the most vulnerable in the community. Survey respondents, overall, were highly satisfied with the service. Navigators identified barriers and facilitators to implementation, as well as ongoing obstacles and enablers to service provision. Conclusions. This lay-led navigator service provided support to a group of unwell individuals, with few resources and multiple barriers to negotiate, and has effectively engaged with health and social care services, while overcoming various barriers and obstacles to its establishment and ongoing operation. What is known about the topic? Patient navigation models of care were first employed in the 1990s, as a strategy to increase the uptake of cancer screening among disadvantaged women. They have since expanded across the cancer care continuum, but despite favourable findings, information regarding their potential in other settings is limited. What does this paper add? This paper provides a perspective on lay-led navigation services within a rural New Zealand primary care setting. The views of primary care professionals regarding the role and value of the service are provide, as is a summary of the key lessons learnt over the implementation, establishment and ongoing service delivery phases of the programme. What are the implications for practitioners? This case study proposes that lay-led navigation services can provide practical support to primary care; assisting it to meet the needs of patients living with multiple chronic conditions and social challenges.

Health status, resource consumption, and costs of dysthymic patients in Italian primary care

2004 ◽  
Vol 13 (2) ◽  
pp. 120-125 ◽  
Author(s):  
Corrado Barbui ◽  
Livio Garattini ◽  
Iva Krulichova ◽  
Giovanni Apolone
Keyword(s):  
Primary Care ◽  
Health Status ◽  
Clinical Assessment ◽  
Care Setting ◽  
Primary Care Setting ◽  
Resource Consumption ◽  
Dysthymic Disorder ◽  
Everyday Clinical Practice ◽  
Policy Perspective ◽  
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SummaryAims – To describe the health status, resource consumption and costs of patients with dysthymic disorder in the Italian primary care setting. Methods – A total of 79 general practitioners (GPs) participated the study. Diagnosis was based on each GP's clinical assessment. At entry the Mini-International Neuropsychiatric Interview (MINI) was used as a supporting diag- nostic aid. Health status was measured with the SF-36 questionnaire. Resource consumption and costs regarded the six months before enrolment. Results – Out of 598 patients enrolled by GPs according to their clinical assessment, 503 fulfilled the MINI cri- teria and 95 did not. The latter had a better perception of their health than the former. Resource consumption was similar in the two groups; and the total per patient six-month costs did not differ significantly. Conclusions – The study confirms there may be a gap between standardised criteria for defining dysthymia and everyday clinical practice. All dysthymic patients diagnosed by GPs might be considered together from a health policy perspective.Declaration of Interest: this research was partly supported by a contribution from Sanofi-Synthelabo Italy.

Clinical Validity and Reliability of the Malay Language Translations of Gastroesophageal Reflux Disease Questionnaire and Quality of Life in Reflux and Dyspepsia Questionnaire in a Primary Care Setting

2018 ◽  
Vol 37 (2) ◽  
pp. 100-107 ◽  
Author(s):  
Sangeta Vadivelu ◽  
Zheng Feei Ma ◽  
Ean Wah Ong ◽  
Norhaliza Hassan ◽  
Nik Fariza Husna Nik Hassan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Erosive Esophagitis ◽  
Validity And Reliability ◽  
Sf 36 ◽  
Reflux Disease Questionnaire ◽  
Disease Questionnaire

Background: Gastroesophageal Reflux Disease Questionnaire (GERDQ) and Quality of Life in Reflux and Dyspepsia Questionnaire (QOLRAD) are reliable tools for evaluation of GERD. Aim: We aimed to test validity and reliability of Malay language translations of GERDQ and QOLRAD in a primary care setting. Methods: The questionnaires were first translated into the Malay language (GERDQ-M and QOLRAD-M). Patients from primary care clinics with suspected GERD were recruited to complete GERDQ-M, QOLRAD-M, and Malay-translated 36-item short-form health survey (SF-36 or SF-36-M), and underwent endoscopy and 24-h pH-impedance test. Results: A total of 104 (mean age 47.1 years, women 51.9%) participants were enrolled. The sensitivity and specificity for GERDQ-M cut-off score ≥8 were 90.2 and 77.4%, respectively. Based on this cut-off score, 54.7% had a high probability of GERD diagnosis. GERD-M score ≥8 vs. < 8 was associated with erosive esophagitis (p < 0.001), hiatus hernia (p = 0.03), greater DeMeester score (p = 0.001), and Zerbib scores for acid refluxes (p < 0.001) but not non-acid refluxes (p = 0.1). Mean total scores of QOLRAD-M and SF-36-M were correlated (r = 0.74, p < 0.001). GERDQ-M ≥8, erosive esophagitis, and DeMeester ≥14.72 were associated with impaired QOLRAD-M in all domains (all p < 0.02) but this was not seen with SF-36. Conclusions: GERDQ-M and QOLRAD-M are valid and reliable tools applicable in a primary care setting.

Treating COPD in Chronic Patients in a Primary-Care Setting

2011 ◽  
Vol 47 (11) ◽  
pp. 561-570 ◽  
Author(s):  
Maria Antònia Llauger Roselló ◽  
Maria Antònia Pou ◽  
Leandra Domínguez ◽  
Montse Freixas ◽  
Pepi Valverde ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Chronic Patients
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