scholarly journals Barriers to Integration of Primary Care into Emergency Care: Experiences in Germany

2021 ◽  
Vol 21 (2) ◽  
Author(s):  
Andrew Dickinson ◽  
Stefanie Joos
Keyword(s):  
Primary Care ◽  
Emergency Care ◽  
Barriers To Integration

How much do primary care givers know about tracheostomy and home ventilator emergency care?

2010 ◽  
Vol 45 (3) ◽  
pp. 270-274 ◽  
Author(s):  
Sheila S. Kun ◽  
Sally L. Davidson-Ward ◽  
Linda M. Hulse ◽  
Thomas G. Keens
Keyword(s):  
Primary Care ◽  
Emergency Care ◽  
Care Givers

scholarly journals The Cochrane 2018 Review on Brief Interventions in Primary Care for Hazardous and Harmful Alcohol Consumption: A Distillation for Clinicians and Policy Makers

2019 ◽  
Vol 54 (4) ◽  
pp. 417-427 ◽  
Author(s):  
F R Beyer ◽  
F Campbell ◽  
N Bertholet ◽  
J B Daeppen ◽  
J B Saunders ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Alcohol Consumption ◽  
Brief Intervention ◽  
Emergency Care ◽  
Total Duration ◽  
Brief Interventions ◽  
Men And Women ◽  
Harmful Alcohol ◽  
The Impact

Abstract Aims An updated Cochrane systematic review assessed effectiveness of screening and brief intervention to reduce hazardous or harmful alcohol consumption in general practice or emergency care settings. This paper summarises the implications of the review for clinicians. Methods Cochrane methods were followed. Reporting accords with PRISMA guidance. We searched multiple resources to September 2017, seeking randomised controlled trials of brief interventions to reduce hazardous or harmful alcohol consumption in people attending general practice, emergency care or other primary care settings for reasons other than alcohol treatment. Brief intervention was defined as a conversation comprising five or fewer sessions of brief advice or brief lifestyle counselling and a total duration of less than 60 min. Our primary outcome was alcohol consumption, measured as or convertible to grams per week. We conducted meta-analyses to assess change in consumption, and subgroup analyses to explore the impact of participant and intervention characteristics. Results We included 69 studies, of which 42 were added for this update. Most studies (88%) compared brief intervention to control. The primary meta-analysis included 34 studies and provided moderate-quality evidence that brief intervention reduced consumption compared to control after one year (mean difference −20 g/wk, 95% confidence interval −28 to −12). Subgroup analysis showed a similar effect for men and women. Conclusions Brief interventions can reduce harmful and hazardous alcohol consumption in men and women. Short, advice-based interventions may be as effective as extended, counselling-based interventions for patients with harmful levels of alcohol use who are presenting for the first time in a primary care setting.

scholarly journals Counter-referral in Emergency Care Units: discourse of the collective speech

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 143-150
Author(s):  
Patrícia Madalena Vieira Hermida ◽  
Eliane Regina Pereira do Nascimento ◽  
Maria Elena Echevarría-Guanilo ◽  
Selma Regina de Andrade ◽  
Ângela Maria Blatt Ortiga
Keyword(s):  
Primary Care ◽  
Interpersonal Relationships ◽  
Emergency Care ◽  
Theoretical Basis ◽  
National Policy ◽  
Structured Interview ◽  
Local Health ◽  
State Method ◽  
Local Health System ◽  
Emergency Care Units

ABSTRACT Objective: To describe the facilities and difficulties of the counter-referral of an Emergency Care Unit in Santa Catarina State. Method: Descriptive, qualitative study, with the participation of three nurses and 17 physicians. The data were collected through a semi-structured interview and analyzed using the Discourse of the Collective Subject technique. For the theoretical basis, the Política Nacional de Atenção às Urgências (National Policy of Emergency Care) and the Rede de Atenção às Urgências (Network of Care to the Emergencies) was used. Results: The facilities of the counter-referral correspond to the strategies of communication with the Primary Care: embracement; good interpersonal relationships; and electronic medical record network. The difficulties are related to the deficiencies of Primary Care and specialized services, such as the insufficient number of physicians and the delay in scheduling consultations and more complex exams. Final considerations: The difficulties highlighted indicate significant challenges of the local health system in the search for integration between emergency care points.

scholarly journals Emergency care units and dimensions of accessibility to health care for the elderly

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 811-817 ◽  
Author(s):  
Giovana Aparecida de Souza Scolari ◽  
Leidyani Karina Rissardo ◽  
Vanessa Denardi Antoniassi Baldissera ◽  
Lígia Carreira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Elderly Patients ◽  
Emergency Care ◽  
Elderly Population ◽  
The Elderly ◽  
Care For The Elderly ◽  
Emergency Care Units

ABSTRACT Objective: to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units. Methodo: a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference. Results: According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services. Final considerations: Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.

scholarly journals Addressing Suicide Risk According to Different Healthcare Professionals in Spain: A Qualitative Study

2018 ◽  
Vol 15 (10) ◽  
pp. 2117 ◽  
Author(s):  
Juan-Luis Muñoz-Sánchez ◽  
María Sánchez-Gómez ◽  
María Martín-Cilleros ◽  
Esther Parra-Vidales ◽  
Diego de Leo ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
At Risk ◽  
Suicidal Behavior ◽  
Emergency Care ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Healthcare Professionals ◽  
Main Concern ◽  
Patients At Risk

This study analyzes the views of four groups of healthcare professionals who may play a role in the management of suicidal behavior. The goal was to identify key factors for suicide prevention in different areas of the healthcare system. Qualitative research was conducted using focus groups made up of different healthcare professionals who participated in the identification, management, and prevention of suicidal behavior. Professionals included were primary care physicians, psychologists, psychiatrists, and emergency physicians. ‘Suicide’ was amongst the most relevant terms that came up in discussions most of the times it appeared associated with words such as ‘risk’, danger’, or ‘harm’. In the analysis by categories, the four groups of professionals agreed that interventions in at-risk behaviors are first in importance. Prevention was the second main concern with greater significance among psychiatrists. Primary care professionals call for more time to address patients at risk for suicide and easier access to and communication with the mental health network. Emergency care professionals have a lack of awareness of their role in the detection of risk for suicide in patients who seek attention at emergency care facilities for reasons of general somatic issues. Mental health care professionals are in high demand in cases of self-harm, but they would like to receive specific training in dealing with suicidal behavior.

scholarly journals Developing core economic parameter sets for asthma studies: a realist review and an analytical framework

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037889
Author(s):  
Chris Roukas ◽  
Zahidul Quayyum ◽  
Anita Patel ◽  
Deborah Fitzsimmons ◽  
Ceri Phillips ◽  
...  
Keyword(s):  
Primary Care ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Emergency Care ◽  
Secondary Care ◽  
Work Productivity ◽  
Realist Review ◽  
Analytical Framework ◽  
Economic Parameter ◽  
Economic Parameters

ObjectiveTo develop a standardised set of economic parameters (core economic parameter set) for economic evaluations in asthma studies.DesignA systematic literature review and an analytical framework.Outcome measuresEconomic parameters used to evaluate costs and cost-effectiveness of healthcare interventions for people with asthma.Data sourcesPubMed, the Cochrane Database of Systematic Reviews, the National Health Service Economic Evaluation Database, the Database of Abstracts of Reviews of Effects and the Health Technology Aaaessment Library starting from 1990.Review methodsResearch methods were based on the realist review methodology and included a number of non-sequential, iterative and overlapping components, such as developing an analytical framework for the realist review; systematic literature review of economic parameters; identifying and categorising economic parameters; producing preliminary list of core economic parameters.ResultsDatabase searches found 2531 publications of which 224 were included in the systematic review. We identified 65 economic parameters that were categorised into 11 groups to enable the realist synthesis. Parameters related to secondary care, primary care, medication use, emergency care and work productivity comprised 84% of all economic parameters. An analytical framework was used to investigate the rationale behind the choices of economic parameters in these studies. The main framework domains included type of intervention, research population, study design, study setting and a stakeholder’s perspective.ConclusionPast research thus suggests that in asthma study parameters depicting the use of secondary care, primary care, medication, emergency care and work productivity can be considered as core economic parameters, since they apply to different types of studies. Parameters including diagnostics, healthcare delivery, school activity, informal care, medical devices and health utility apply to a particular type of study (or research question), and thus can be recommended as supplemental parameters.PROSPERO registration numberCRD42017067867.

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