371 results match your criteria Quality in Primary Care[Journal]


Considerations for a Primary Care Physician Assistant in Treating Kidney Transplant Recipients.

Qual Prim Care 2015;23(1):39-45

Department of Graduate Health Sciences, West Liberty University, West Liberty, WV 26074 ; Department of Natural Sciences and Mathematics, West Liberty University, West Liberty, WV 26074.

The escalating amount of kidney transplant recipients (KTRs) represents a significant dilemma for primary care providers. As the number of physician assistants (PAs) has been steadily increasing in primary care in the United States, the utilization of these healthcare professionals presents a solution for the care of post-kidney transplant recipients. A physician assistant (PA) is a state licensed healthcare professional who practices medicine under physician supervision and can alleviate some of the increasing demands for primary patient care. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677824PMC
January 2015
9 Reads

Reducing inappropriate referrals to secondary care: our experiences with the ENT Emergency clinic.

Qual Prim Care 2014 ;22(5):251-5

Department of Population Health Sciences and Education, St George's University of London, Cranmer Terrace, London, SW17 0RE, Department of Otolaryngology, Head and Neck Surgery, St George's Hospital, Blackshaw Road, London, SW17 0QT.

Introduction: In the current financial climate faced by the NHS, it is important that we reduce the amount of inappropriate referrals made to secondary care specialties. ENT Emergency Clinics are one-stop clinics provided by many UK ENT departments to allow more rapid access to ENT services from primary care. However, many referrals to these clinics were considered to be inappropriate, overloading the clinic and delaying referrals to more specialist clinics. Read More

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May 2015
42 Reads

Use of clinical pharmacists to perform depression screening.

Qual Prim Care 2014 ;22(5):249-50

Clinical Assistant Professor, Department of Pharmacy Services and College of Pharmacy, University of Michigan College of Pharmacy,428 Church Street, Ann Arbor, Michigan 48109;, Email:

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May 2015
10 Reads

Measuring system safety for laboratory test ordering and results management in primary care: international pilot study.

Qual Prim Care 2014 ;22(5):245-8

NHS Education for Scotland, UK.

The systems-based management of laboratory test ordering and results handling is a significant patient safety concern in primary care internationally. In this pilot study, we describe the testing of a method to systematically measure and monitor compliance with basic safe performance in this area in different European primary care settings. The findings show high overall compliance with the safe system measures developed although the data indicates performance variation within and between the different systems audited, which suggests that aspects of the reliability (and safety) of these systems could be improved by care teams. Read More

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May 2015
9 Reads

Impact of the financial crisis on adherence to treatment of a rural population in Crete, Greece.

Qual Prim Care 2014 ;22(5):238-44

Cretan Practice-based Primary Care Research Network 'G. Lambrakis' & Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece.

Background: The global economic crisis has affected Greece. Data on patients' adherence to medications for chronic diseases are missing. The objective of this study was to identify to what extent the financial crisis and the repeated pharmacists strike have influenced patients adherence to therapy. Read More

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http://primarycare.imedpub.com/impact-of-the-financial-crisi
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May 2015
10 Reads

Patients' perceptions of a NHS Health Check in the primary care setting.

Qual Prim Care 2014 ;22(5):232-7

Consultant in Public Health, Public Health England, UK.

Background: The NHS Health Checks is a cardiovascular disease (CVD) risk assessment and management programme for individuals in England aged between 40 and 74 with the aim of identifying previously unassessed individuals that are at high risk of CVD. Little research to date has explored patient perceptions and opinions of Health Checks.

Objective: This paper aims to investigate the perceptions and opinions of patients who had attended a Health Check appointment within a cohort of 83 General Practices in Gloucestershire. Read More

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May 2015
9 Reads

Rural jordanian mothers' beliefs, knowledge and practices of postnatal care.

Authors:
Jamila Abuidhail

Qual Prim Care 2014 ;22(6):285-93

Faculty of Nursing, Hashemite University, Jordan.

Unlabelled: In Jordan, despite being one of the most modern countries in the Middle East, postnatal care services are still under-utilized by rural Jordanian mothers. The purpose of this study is to explore, analyse and critique the postnatal cultural health beliefs, knowledge and practices of rural Jordanian mothers.

Design: a critical ethnographic approach was used to critically investigate the cultural health issues of 13 rural Jordanian postpartum mothers from four rural areas in the Northeast governorate which is characterized rural populated governorate. Read More

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May 2015
7 Reads

The effectiveness of prophylactic proton pump inhibitors for prevention of non-steroidal anti inflammatory drugs associated gastric and duodenal ulcers in elderly.

Qual Prim Care 2014 ;22(6):282-4

Wrexham Maelor Hospital, UK.

Unlabelled: Aims was undertaken to ensure concomitant usage of proton pump inhibitors (PPIs) with Non-Steroidal Anti-inflammatory Drugs (NSAIDs) in Elderly, in order to avoid upper gastrointestinal (GI) symptoms and ulcers.

Methods: Reviewing of 386 patients' prescription on the EMIS (Egton Medical Information Systems) Web, on April 2014. Checking who have not been prescribed PPIs with NSAIDs, offering them appointment for prescription and discussion about risks and benefits of PPIs. Read More

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May 2015
15 Reads

Perceived usefulness of nine quality improvement tools among Swiss physicians.

Qual Prim Care 2014 ;22(6):278-81

Division of clinical epidemiology, University Hospitals of Geneva, Geneva, Switzerland.

Background: Doctors' opinions about quality improvement tools likely influence their uptake and eventual impact on patient care. Little is known about physicians' perception of the comparative utility of various quality improvement tools.

Methods: We conducted a mail survey of doctors in Geneva, Switzerland (2745 physicians, of whom 56% participated), to measure the perceived usefulness of 9 quality improvement tools. Read More

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May 2015
9 Reads

Development of a patient-administered self-assessment tool (SATp) for follow-up of colorectal cancer patients in general practice.

Qual Prim Care 2014 ;22(6):270-7

Sir Charles Gardiner Hospital,Hospital Avenue, Nedlands, Perth, 6009, WA, Australia.

Background: Treatment for colorectal cancer (CRC) may result in physical, social, and psychological needs that affect patients' quality of life post-treatment. A comprehensive assessment should be conducted to identify these needs in CRC patients post treatment, however, there is a lack of tools and processes available in general practice.

Aims: This study aimed to develop a patient-completed needs screening tool that identifies potentially unmet physical, psychological, and social needs in CRC and facilitates consultation with a general practitioner (GP) to address these needs. Read More

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May 2015
16 Reads

The relationship between quality of care and self-management in patients with type 2 diabetes: a cross-sectional survey in primary care in Mexico.

Qual Prim Care 2014 ;22(6):262-9

Professor of Primary Care Research.

Background: Achieving glycaemic control in diabetes reduces complications and improves outcomes. Glycaemic control requires both good quality clinical care and effective self-management support. However, the relationship between these factors in routine clinical practice is unclear. Read More

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May 2015
7 Reads

Exploring reasons for variation in ordering thyroid function tests in primary care: a qualitative study.

Qual Prim Care 2014 ;22(6):256-61

MBBS Institute of Health Research, University of Exeter Medical School, University of Exeter, Exeter, UK.

Background: The ordering of thyroid function tests (TFTs) is increasing but there is not a similar increase in thyroid disorders in the general population, leading some to query whether inappropriate testing is taking place. Inconsistent clinical practice is thought to be a cause of this, but there is little evidence of the views of general practitioners, practice nurses or practice managers on the reasons for variation in the ordering of TFTs.

Aim: To find out the reasons for variation in ordering of TFTs from the perspective of primary healthcare professionals Methods: Fifteen semi-structured interviews were carried out with primary healthcare professionals (general practitioners, practice nurses, practice managers) that used one laboratory of a general hospital in South West England for TFTs. Read More

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May 2015
25 Reads
1 Citation

Guidelines adherence to lower urinary tract infection treatment in out-of-hours primary care in European countries.

Qual Prim Care 2014 ;22(4):221-31

Department of Primary and Multidisciplinary Care, General Practice, University of Antwerp, Belgium.

Background: The substantial prevalence of bacterial lower urinary tract infections (LUTIs) in out-of-hours (OOH) primary care is a reason for frequent prescription of antibiotics. Insight in guideline adherence in OOH primary care concerning treatment of LUTIs is lacking.

Aims: To check feasibility of the use of OOH routine data to assess guideline adherence for the treatment of LUTI in OOH primary care, in different regions of Europe. Read More

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June 2015
7 Reads

A qualitative exploration of the motives behind the decision to order a liver function test in primary care.

Qual Prim Care 2014 ;22(4):201-10

Health and Population Sciences, University of Birmingham, UK.

Background: The number of tests ordered in primary care continues to increase influenced by a number of factors not all of which are concerned with diagnosis and management of disease. Liver function tests (LFTs) are a good example of inexpensive tests that are frequently ordered in patients with non-specific symptoms. They remain among the most frequently ordered tests despite their lack of specificity yet the full range of motives behind the decision to order an LFT remains unexplored. Read More

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June 2015
12 Reads

The impact of patient participation direct enhanced service on patient reference groups in primary care: a qualitative study.

Qual Prim Care 2014 ;22(4):189-99

Healthwatch Rutland, UK.

Background: NHS policy documents continue to make a wide-ranging commitment to patient involvement. The Patient Participation Direct Enhanced Service (PP-DES), launched in 2011, aimed to ensure patients are involved in decisions about the range and quality of services provided and commissioned by their practice through patient reference groups (PRGs). The aim of this exploratory study is to review the impact of the PP-DES (2011-13) on a sample of PRGs and assess how far it has facilitated their involvement in decisions about the services of their general practices. Read More

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June 2015
11 Reads

Considerations for using the 'brown bag' strategy to reconcile medications during routine outpatient office visits.

Qual Prim Care 2014 ;22(4):177-87

College of Human Medicine, Michigan State University, East Lansing, MI, USA.

Background: Among medication reconciliation studies, varying methods are used to determine which medications patients are actually taking. One recommended approach is to ask patients to "brown bag" their medications for routine office visits.

Aims: To determine if 'brown bag' practices performed during routine office visits improve the accuracy of provider-documented medication lists. Read More

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June 2015
8 Reads

Disease prevention guidelines put interprofessional collaboration to support healthy eating on the agenda.

Qual Prim Care 2014 ;22(4):173-5

Uppsala University Hospital; Swedish Association of Clinical Dietitians.

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June 2015
10 Reads

Clinical role or service specialisation and quality of care.

Qual Prim Care 2014 ;22(4):171-2

Community and Health Research Unit, College of Social Sciences, University of Lincoln, Lincoln LN6 7TS, UK.

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June 2015
4 Reads

Key activities used by community based primary care practices to improve the quality of diabetes care in response to practice facilitation.

Qual Prim Care 2014 ;22(4):211-9

Background: A recent systematic review suggests that practice facilitation (PF) is a robust intervention for implementing evidence-based preventive care guidelines in primary care, but the ability of PF to improve chronic illness care remains unclear.

Aims: To examine the specific activities and Chronic Care model (CCM) components that primary care practices implemented and sustained in response to a 12-month PF intervention.

Methods: The ABC trial tested the effectiveness of PF to improve care for diabetes in 40 small community-based primary care practices that were randomized to "initial" or "delayed" intervention arms. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4326068PMC
June 2015
6 Reads
3 Citations

A Profile of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Provider Network: Results from the Year 1 NBCCEDP Survey of Program Implementation.

Qual Prim Care 2015;23(6):315-317

Division of Cancer Prevention and Control, National Center for Chronic Disease, Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4912227PMC
January 2015
14 Reads

Identifying Future High Cost Individuals within an Intermediate Cost Population.

Qual Prim Care 2015;23(6):318-326

Department of Internal Medicine, Virginia Commonwealth University.

Background: Improving health and controlling healthcare costs requires better tools for predicting future health needs across populations. We sought to identify factors associated with transitioning of enrollees in an indigent care program from an intermediate cost segment to a high cost segment of this population.

Methods: We analyzed data from 9,624 enrollees of the Virginia Coordinated Care program between 2010 and 2013. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874657PMC
January 2015
7 Reads

Do local enhanced services in primary care improve outcomes? Results from a literature review.

Qual Prim Care 2014 ;22(3):157-69

Sanofi Pasteur MSD, Maidenhead, UK.

Objective: This paper aims to examine the role of local enhanced services (LES) as a financial incentive in improving clinical and process outcomes in primary care with a view to discussing their future in light of the Health and Social Care Act.

Methods: A literature review was conducted to identify LES commissioned in the UK in any disease area and to evaluate common themes relating to their impact on outcomes. The literature review consisted of two stages: an initial reference database search (MEDLINE, MEDLINE IN-PROCESS and EMBASE) and a more general internet search. Read More

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July 2014
8 Reads

Factors associated with patient satisfaction with primary care in Europe: results from the EUprimecare project.

Qual Prim Care 2014 ;22(3):147-55

Agency for Health Technology Assessment, Instituto de Salud Carlos III, Madrid, Spain; Red de Investigación en Servicios, Red de Servicios de Salud Orientados a Enfermedades Crónicas (REDISECC), Madrid, Spain; Medicina Preventiva y Salud Pública, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain.

Background: EUprimecare is a study funded by the Seventh Framework Programme of the European Union, aimed at analysing the quality of the different models of primary care in Europe. The objective of this study was to describe and analyse the determinants associated with patient satisfaction in primary care in Europe.

Methods: We conducted telephone population surveys among primary care users in each EUprimecare consortium country (Germany, Spain, Estonia, Finland, Hungary, Italy and Lithuania). Read More

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July 2014
26 Reads

Immunisation errors reported to a vaccine advice service: intelligence to improve practice.

Qual Prim Care 2014 ;22(3):139-46

Thames Valley Public Health England Centre, Didcot, UK.

Background: The success of immunisation programmes depends on the quality with which they are administered. The Vaccine Advice for CliniCians Service (VACCSline) is an advice service to support immunisers and promote excellence in immunisation practice, through specialist guidance and local education, covering a catchment population of two million people. All enquiries are recorded onto a database and categorised. Read More

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July 2014
6 Reads

Individual practice and how to improve it.

Qual Prim Care 2014 ;22(3):133-8

Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, UK.

Individual practice needs to be developed to improve effectiveness, safety and patient experience. Although good systems can support better individual performance, without personal development, individual practice can be a source of error. This, the final article in our series on the science of quality improvement, describes models of competence and practice and the causes of good or poor practice. Read More

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July 2014
4 Reads

Evidence-based healthcare and quality improvement.

Qual Prim Care 2014 ;22(3):125-32

Community and Health Research Unit (CaHRU), University of Lincoln, UK.

This is the tenth in a series of articles about the science of quality improvement. We explore how evidence-based healthcare relates to quality improvement, implementation science and the translation of evidence to improve healthcare practice and patient outcomes. Evidence-based practice integrates the individual practitioner's experience, patient preferences and the best available research information. Read More

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July 2014
14 Reads

Understanding quality improvement through social network analysis.

Qual Prim Care 2014 ;22(3):121-3

Community and Health Research Unit (CaHRU), College of Social Sciences, University of Lincoln, Lincoln LN6 7TS, UK.

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July 2014
4 Reads

Multimorbidity: what's the problem?

Qual Prim Care 2014 ;22(3):115-9

Norwich Medical School, UK.

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July 2014
3 Reads

The impact of pay-for-performance on the workload of family practices in Estonia.

Qual Prim Care 2014 ;22(2):109-14

Department of Family Medicine, University of Tartu, Estonia.

Background: The quality system in Estonia is a payfor-performance scheme, rewarding family doctors for the quality of care they provide. This study examines the impact of the quality system on the workload of family doctors in Estonia.

Aim: The aim of this study was to explore differences in the workload of family doctors participating in the clinical quality system and those not participating. Read More

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May 2014
9 Reads

Understanding the dementia diagnosis gap in Norfolk and Suffolk: a survey of general practitioners.

Qual Prim Care 2014 ;22(2):101-7

Health Services Research, Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.

Background: The National Health Service (NHS) has announced its new target to increase the 'shockingly low dementia diagnosis rate' in England from the current level of 45% to 66% by end of March 2015. Clinical commissioning groups (CCGs) in England have committed to meeting this target. The Norfolk and Suffolk dementia diagnosis rate (DDR) is below the rate for England in some areas; across the CCGs included in this study, the average DDR was 39. Read More

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May 2014
28 Reads

Engaging with clinical commissioning: the attitudes of general practitioners in East Lancashire.

Qual Prim Care 2014 ;22(2):91-9

Lancashire Business School, University of Central Lancashire, Preston, PR1 2HE, UK.

Background: Clinical commissioning is the centrepiece of government health reforms. Engagement with the reforms is important if they are to bring about improvements in the quality of healthcare. This is important in any healthcare system, not just the UK National Health Service (NHS). Read More

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May 2014
5 Reads

Exploring consumer values of comparative performance information for hospital choice.

Qual Prim Care 2014 ;22(2):81-9

Scientific Institute for Quality of Health Care, Radboud University Medical Center, Nijmegen, the Netherlands.

Background: In many countries, market orientation in healthcare has resulted in the publication of comparative performance information (CPI). Most of the research in this field is oriented towards the content and the presentation format of CPI while little is known about how consumers value CPI and the use of this information.

Aim: The aim of this study was to clarify the perceived value that CPI brings for consumers of healthcare. Read More

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May 2014
5 Reads

Colorectal cancer--applying a gender lens.

Qual Prim Care 2014 ;22(2):71-9

Department of General Surgery, Sir Charles Gairdner Hospital, Nedlands, WA, Australia.

Background: Colorectal cancer (CRC) is a major global health problem with survival varying according to stage at diagnosis. The incidence of CRC is much higher in patients with lower bowel symptoms. The symptoms are non-specific and are commonly experienced in the general population. Read More

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May 2014
7 Reads

Evaluating improvement.

Qual Prim Care 2014 ;22(2):63-70

Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, UK.

Evaluating quality improvement interventions requires a variety of methods. These range from quantitative methods, such as randomised controlled trials, to quasi-experimental (controlled before-and-after and interrupted time series) and uncontrolled before-and-after studies, including clinical audits, to determine whether improvement interventions have had an effect. Qualitative methods are often also used to understand how or why an intervention was successful and which components of a complex or multifaceted intervention were most effective. Read More

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May 2014
7 Reads

Regulation in primary care.

Qual Prim Care 2014 ;22(2):57-61

Community and Health Research Unit (CaHRU), Faculty of Health and Social Sciences, University of Lincoln, UK.

Professional bodies have long overseen the maintenance of standards of training and practice within the different healthcare professions. Organisational regulation of healthcare in England comprises two main elements: regulation of the quality and safety of care offered by healthcare providers, currently undertaken by the Care Quality Commission (CQC); and regulation of the market in healthcare services, currently the responsibility of Monitor and the Department of Health. The eighth in the series, this article considers the expanding roles of newer bodies, particularly in relation to primary care. Read More

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May 2014
7 Reads

The ethics of pay-for-performance.

Qual Prim Care 2014 ;22(2):53-5

Community and Health Research Unit (CaHRU), College of Social Sciences, University of Lincoln, Lincoln LN6 7TS, UK.

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May 2014
7 Reads

The Kuwait-Scotland eHealth Innovation Network (KSeHIN): a sustainable approach to quality improvement in healthcare.

Qual Prim Care 2014 ;22(1):43-51

Dasman Diabetes Institute, Kuwait.

Background: The rising prevalence of obesity and diabetes in Kuwait represents a significant challenge for the country's healthcare system. Diabetes care in Scotland has improved by adopting a system of managed clinical networks supported by a national informatics platform. In 2010, a Kuwait-Dundee collaboration was established with a view to transforming diabetes care in Kuwait. Read More

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April 2014
13 Reads

Expanding capacity for supervision in general practice through student-engaged clinical audit.

Qual Prim Care 2014 ;22(1):35-41

Launceston Clinical School, University of Tasmania, Australia.

Background: Expanding clinical teaching opportunities is essential for securing a sustainable health workforce. Although Tasmanian general practitioners (GPs) are keen to provide learning opportunities for medical students, they have identified time pressures due to a need to meet patient service demand and a need for more guidance on effective clinical teaching, as factors impacting their ability to increase clinical supervision. By developing a clinical audit activity, we delivered an educational resource that did not require direct GP supervision yet provided meaningful learning outcomes for students. Read More

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April 2014
7 Reads

Intervention fidelity in primary care complex intervention trials: qualitative study using telephone interviews of patients and practitioners.

Qual Prim Care 2014 ;22(1):25-34

Prehospital Health Care, Community and Health Research Unit (CaHRU), University of Lincoln, UK.

Background: Treatment fidelity has previously been defined as the degree to which a treatment or intervention is delivered to participants as intended. Underreporting of fidelity in primary care randomised controlled trials (RCTs) of complex interventions reduces our confidence that findings are due to the treatment or intervention being investigated, rather than unknown confounders.

Aim: We aimed to investigate treatment fidelity (for the purpose of this paper, hereafter referred to as intervention fidelity), of an educational intervention delivered to general practice teams and designed to improve the primary care management of insomnia. Read More

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April 2014
10 Reads

What is it about homeopathy that patients value? and what can family medicine learn from this?

Qual Prim Care 2014 ;22(1):17-24

Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Germany.

Background: Homeopathy is one of the most frequently used areas of complementary and alternative medicine (CAM). Previous research has focused in particular on the pharmacological effectiveness of homeopathy. There is intense discussion among German family medical practitioners as to whether family medicine should adopt elements of homeopathy because of the popularity of this treatment method. Read More

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April 2014
11 Reads

Patient perspectives on quality.

Qual Prim Care 2014 ;22(1):11-5

Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, UK.

The patient perspective is central to quality improvement. This article describes how health services are involving individuals and the public in improving healthcare. It describes the importance and different methods of accessing patient and carer feedback on satisfaction, experience and outcomes, and explores current thinking on individual involvement, engagement in commissioning, and the role of the public in redesigning health services. Read More

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April 2014
14 Reads

Systems and spread.

Qual Prim Care 2014 ;22(1):7-10

Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, UK.

This is the fifth in a series of papers about the science of quality improvement. In this paper, we explore the issue of healthcare as a system and how this contributes to our understanding of how to spread improvement. Read More

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April 2014
6 Reads

Equality, quality and human rights: a measured response?

Qual Prim Care 2014 ;22(1):3-5

University of Wolverhampton, Centre for Health and Social Care Improvement, ML111, School of Health andWellbeing, Deanery Row, Off Molineux Street, Wolverhampton, WV1 1DT, UK.

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April 2014
3 Reads

Action and learning for safer healthcare systems.

Qual Prim Care 2014 ;22(1):1-2

Community and Health Research Unit (CaHRU), University of Lincoln, Lincoln LN6 7TS, UK.

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April 2014
4 Reads

A future for primary care for the Greek population.

Qual Prim Care 2013 ;21(6):369-78

Department of Public Health, Klaipeda University, Klaipeda, Lithuania.

Background: Greece is hit hard by the state debt crisis. This calls for comprehensive reforms to restore sustainable and balanced growth. Healthcare is one of the public sectors needing reform. Read More

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http://primarycare.imedpub.com/a-future-for-primary-care-for
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April 2014
7 Reads

Use of automated reminder letters to improve diabetes management in primary care: outcomes of a quality improvement initiative.

Qual Prim Care 2013 ;21(6):359-68

Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.

Background: Effective management of patients with diabetes mellitus (DM) can be time-consuming and costly. One patient-centred quality improvement strategy is to generate reminder letters to prompt patient action(s), but this strategy's effect on DM outcomes is uncertain.

Aim: To determine whether using the electronic medical record to automatically generate reminder letters for patients not meeting recommended DM targets is associated with improvement in practice level quality metrics for DM management. Read More

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April 2014
16 Reads

Assessment of physician performance for diabetes: a bias-corrected data envelopment analysis model.

Qual Prim Care 2013 ;21(6):345-57

Department of Economics, University of Genoa, Italy.

Background: In most national health systems, especially when universal coverage is provided, family physicians act as gatekeepers, because most healthcare services are only delivered if there is a formal prescription provided by a primary care physician. Although the consumption of healthcare resources is initiated by prescriptions coming from family physicians, studies that evaluate their performance, especially those using a consolidated methodology (e.g. Read More

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April 2014
9 Reads

Commissioning for quality improvement.

Qual Prim Care 2013 ;21(6):339-43

Community and Health Research Unit (CaHRU), University of Lincoln, UK.

This is the fifth in a series of articles about the science of quality improvement. We examine the nature of healthcare commissioning and its role as a driver for quality improvement. We draw on evidence from previous forms of primary-care-led commissioning (PCLC) and consider how the quality of care might be improved through the processes of commissioning. Read More

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April 2014
5 Reads

Implementing the Berwick Report in general practice.

Qual Prim Care 2013 ;21(6):333-7

Australian Primary Health Care Research Institute, The Australian National University, Canberra, Australia.

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April 2014
8 Reads

At the heart of change: what primary care needs to address to support the NHS at 75.

Authors:
Tim Wilson

Qual Prim Care 2013 ;21(6):329-31

PwC Health Industries, PricewaterhouseCoopers LLP, 7 More London, Riverside, London SE1 2RT, UK.

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April 2014
4 Reads