scholarly journals The Igarau fluvial mobile clinic: Lessons learned while implementing an innovative primary care approach in Rural Amazonia, Brazil

2017 ◽  
Vol 9 (4) ◽  
pp. 41-45 ◽  
Author(s):  
Rocha Kadri Michele ◽  
Rose Wilson Debra ◽  
Cesar Schweickardt Julio ◽  
G. Linn James ◽  
N. Guimaraes Farias Lisandra ◽  
...  
Keyword(s):  
Primary Care ◽  
Lessons Learned ◽  
Mobile Clinic ◽  
Care Approach

1194-P: Unbinding Constraints on Clinical Inertia and Improving Practices: A Novel Comprehensive Primary Care Approach that Grew a Single Practice of 2,000 Patients to 40,000 Patients in Less than 4 Years

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1194-P
Author(s):  
RICHARD B. AGUILAR ◽  
MERLIN OSORIO ◽  
JOHN MCGOOHAN ◽  
MARLOW HERNANDEZ ◽  
MARY HERMAN ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Inertia ◽  
Care Approach

Lessons Learned From a Pilot Project on Telemedicine Advance Care Planning in an Urban Geriatric Primary Care Office

2021 ◽  
pp. 104990912110369
Author(s):  
Olivia M. Seecof ◽  
Molly Allanoff ◽  
John Liantonio ◽  
Susan Parks
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Medical Record ◽  
Advance Care Planning ◽  
Pilot Project ◽  
Lessons Learned ◽  
Care Planning ◽  
Geriatric Population ◽  
Advance Care ◽  
Primary Care Office

Purpose: There is a dearth of literature regarding the documentation of advance care planning (ACP) in the geriatric population, despite the controversial, yet well-studied need for ACP. The purpose of this pilot study was to provide an update to a prior study from our institution that outlined the need for increased documentation of advance care planning (ACP) in an urban geriatric population. Methods: Our study involved using telemedicine to conduct dedicated ACP visits and an electronic medical record (EMR) note-template specifically designed for these visits in an attempt to increase the amount of documented ACP in the EMR in this population. Results: The study did not yield significant results due to the inability to schedule enough patients for these dedicated visits. Discussion: While our study was ultimately unsuccessful, 3 crucial lessons were identified that will inform and fuel future interventions by the authors to further the study of documentation of ACP.

scholarly journals Primary care approach to frailty: Japan’s latest trial in responding to the emerging needs of an ageing population

2020 ◽  
Vol 2 (1) ◽  
pp. e000049
Author(s):  
Megumi Rosenberg ◽  
Katsunori Kondo ◽  
Naoki Kondo ◽  
Hiroyuki Shimada ◽  
Hidenori Arai
Keyword(s):  
Primary Care ◽  
Ageing Population ◽  
Care Approach

scholarly journals Analysis of Annual Costs of Mobile Clinics in the Southern United States

2020 ◽  
Vol 11 ◽  
pp. 215013272098062
Author(s):  
Sharon Attipoe-Dorcoo ◽  
Rigoberto Delgado ◽  
Dejian Lai ◽  
Aditi Gupta ◽  
Stephen Linder
Keyword(s):  
Primary Care ◽  
Healthcare Services ◽  
Medicare Beneficiaries ◽  
Mobile Clinic ◽  
Efficient Manner ◽  
Healthcare Facilities ◽  
Capital Costs ◽  
At Risk Populations ◽  
Mobile Clinics ◽  
The Cost

Introduction Mobile clinics provide an efficient manner for delivering healthcare services to at-risk populations, and there is a need to understand their economics. This study analyzes the costs of operating selected mobile clinic programs representing service categories in dental, dental/preventive, preventive care, primary care/preventive, and mammography/primary care/preventive. Methods The methodology included a self-reported survey of 96 mobile clinic programs operating in Texas, North Carolina, Georgia, and Florida; these states did not expand Medicaid and have a large proportion of uninsured individuals. Data were collected over an 8-month period from November 2016 to July 2017. The cost analyses were conducted in 2018, and were analyzed from the provider perspective. The average annual estimated costs; as well the costs per patient in each mobile clinic program within different service delivery types were assessed. Costs reported in the study survey were classified into recurrent direct costs and capital costs. Results Results indicate that mean operating costs range from about $300 000 to $2.5 million with costs increasing from mammography/primary care/preventive delivery to dental/preventive. The majority of mobile clinics provided dental care followed by dental/preventive. The cost per patient visit for all mobile clinic service types ranged from $65 to $529, and appears to be considerably less than those reported in the literature for fixed clinic services. Conclusion The overall costs of all delivery types in mobile clinics were lower than the costs of providing care to Medicare beneficiaries in federally funded health centers, making mobile clinics a sound economic complement to stationary healthcare facilities.

scholarly journals RESPECT-Mil: Feasibility of a Systems-Level Collaborative Care Approach to Depression and Post-Traumatic Stress Disorder in Military Primary Care

2008 ◽  
Vol 173 (10) ◽  
pp. 935-940 ◽  
Author(s):  
Charles C. Engel ◽  
Thomas Oxman ◽  
Christopher Yamamoto ◽  
Darin Gould ◽  
Sheila Barry ◽  
...  
Keyword(s):  
Primary Care ◽  
Post Traumatic Stress Disorder ◽  
Collaborative Care ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Care Approach ◽  
Post Traumatic
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