Optimising medicines use by South Asian and Middle Eastern groups in a primary care setting in the UK: validation of a tool to identify medicine-related problems

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Faten Alhomoud
Keyword(s):  
Primary Care ◽  
South Asian ◽  
Care Setting ◽  
Primary Care Setting ◽  
Middle Eastern ◽  
Medicines Use ◽  
The Uk

scholarly journals Exploring primary care responses to domestic violence and abuse (DVA): operationalisation of a national initiative

2019 ◽  
Vol 21 (2) ◽  
pp. 144-154 ◽  
Author(s):  
Julie McGarry ◽  
Basharat Hussain ◽  
Kim Watts
Keyword(s):  
Primary Care ◽  
Domestic Violence ◽  
Care Setting ◽  
Primary Care Setting ◽  
Local Level ◽  
Team Approach ◽  
Content Type ◽  
The Uk ◽  
The Impact ◽  
Domestic Violence And Abuse

Purpose In the UK, the Identification and Referral to Improve Safety (IRIS) initiative has been developed for use within primary care to support women survivors of domestic violence and abuse (DVA). However, while evaluated nationally, less is known regarding impact of implementation at a local level. The purpose of this paper is to explore the effectiveness of IRIS within one locality in the UK. Design/methodology/approach A qualitative study using interviews/focus groups with primary care teams and women who had experienced DVA in one primary care setting in the UK. Interviews with 18 participants from five professional categories including: general practitioners, practice nurses, practice managers, assistant practice managers and practice receptionists. Focus group discussion/interview with seven women who had accessed IRIS. Data were collected between November 2016 and March 2017. Findings Five main themes were identified for professionals: Team role approach to training, Professional confidence, Clear pathway for referral and support, Focussed support, Somewhere to meet that is a “safe haven”. For women the following themes were identified: Longevity of DVA; Lifeline; Face to face talking to someone; Support and understood where I was coming from; A place of safety. Practical implications IRIS played a significant role in helping primary care professionals to respond effectively. For women IRIS was more proactive and holistic than traditional approaches. Originality/value This study was designed to assess the impact that a local level implementation of the national IRIS initiative had on both providers and users of the service simultaneously. The study identifies that a “whole team approach” in the primary care setting is critical to the effectiveness of DVA initiatives.

scholarly journals Treatment Evolution after COPD Diagnosis in the UK Primary Care Setting

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e105296 ◽  
Author(s):  
Keele E. Wurst ◽  
Yogesh Suresh Punekar ◽  
Amit Shukla
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
The Uk ◽  
Copd Diagnosis

scholarly journals Management of COPD in the UK primary-care setting: an analysis of real-life prescribing patterns

2014 ◽  
pp. 889 ◽  
Author(s):  
David Price ◽  
Daniel West ◽  
Guy Brusselle ◽  
Kevin Gruffydd-Jones ◽  
Rupert Jones ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Real Life ◽  
Prescribing Patterns ◽  
The Uk

scholarly journals Primary Care Atrial Fibrillation Service: outcomes from consultant-led anticoagulation assessment clinics in the primary care setting in the UK

BMJ Open ◽  
2015 ◽  
Vol 5 (12) ◽  
pp. e009267 ◽  
Author(s):  
Moloy Das ◽  
Lee Panter ◽  
Gareth J Wynn ◽  
Rob M Taylor ◽  
Neil Connor ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Service Outcomes ◽  
The Uk

Real-world evaluation of digital CBT for insomnia in the primary care setting – many should not log on to doze off

2019 ◽  
Vol 12 ◽  
Author(s):  
Zheyu Xu ◽  
Kirstie N. Anderson
Keyword(s):  
Primary Care ◽  
Clinical Trials ◽  
Sleep Disorders ◽  
Care Setting ◽  
Primary Care Setting ◽  
Case Series ◽  
Stepped Care ◽  
List Type ◽  
Cognitive Behaviour ◽  
The Uk

Abstract Cognitive behaviour therapy for insomnia (CBTi) has emerged as the first-line treatment for insomnia where available. Clinical trials of digital CBTi (dCBTi) have demonstrated similar efficacy and drop-out rates to face-to-face CBTi. Most patients entering clinical trials are carefully screened to exclude other sleep disorders. This is a case series review of all those referred to a dCBTi within an 18-month time period. Those initially screened, accepted after exclusion of other sleep disorders, commencing and completing therapy were assessed to understand patient population referred from general practice in the UK. 390 patient referrals were analysed. 135 were suitable for dCBTi with a high rate of other sleep disorders detected in screening. 78 completed therapy (20.0%) and 44.9% had significant improvement in sleep outcomes, achieving ≥20% improvement in final sleep efficiency. dCBTi can be used within the UK NHS with good benefit for those who are selected as having insomnia and who then complete therapy. Many referrals are made with those likely to have distinct primary sleep disorders highlighting the need for education regarding sleep and sleep disorders prior to dCBTi therapy. Key learning aims (1) The use of unsupported digital cognitive behavioural therapy for insomnia (dCBTi) requires proper patient selection. (2) There are many insomnia mimics and also previously unrecognized sleep and psychiatric disturbances that are under-diagnosed in the primary care setting that are contraindications for unsupported dCBTi. (3) The use of a stepped care approach similar to the UK’s Improving Access to Psychological Therapies (IAPT) model using dCBTi could be feasible in the public health setting.

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