Tag Archives: primary care

To Use or Not to Use: the Clinical Dilemma of Antimicrobials

    Understandably frustrated after 4 weeks of mild coughing, a nicely dressed businesswoman had come for an evaluation. I looked for infection in her Read More

Posted in Environment, Equity & Access, Featured Content, General Global Health, Hub Originals, Infant & Child Health, Infectious Disease, Nutrition & Food Security, Policy & Systems, Poverty, Primary Care & Prevention, Refugees & Immigrants, SDGs, WASH | Also tagged , , , , , , , | Comments closed

Primary Health Care Systems Serve As Front Lines In Disease Outbreaks, Must Be Strengthened

The Conversation: How best to prepare for epidemics? Strengthen primary care Ashwin Vasan, assistant professor of Clinical Population Health & Medicine at Columbia University “…Why is primary care important in epidemics like Ebola or Zika? First, we know that primary care providers play an important role in initial outbreak response and surveillance. … Community health…More

Posted in Aid, Aid & Development, Disaster Relief, Infectious Disease, Kaiser's Global Health Update, Policy & Systems, Primary Care & Prevention, Universal Health Coverage | Also tagged | Comments closed

Sustained diabetes risk reduction after real life and primary health care setting…

Real life implementation studies performed in different settings and populations proved that lifestyle interventions in prevention of type 2 diabetes can be effective.

Posted in Diabetes, Journal Watch, Noncommunicable Disease | Also tagged | Comments closed

Pediatric Critical Care in Botswana

Botswana is a small, landlocked country in Southern Africa that is widely considered a development success story. Although the country is hailed for its impressive Read More

Posted in Aid & Development, Delivery, Featured Content, Gender, General Global Health, Global Health Delivery Project, Health Workforce, Hub Originals, Hub Selects, Infant & Child Health, Infectious Disease, Injury, Malnutrition & Obesity, MDGs, Noncommunicable Disease, Nutrition & Food Security, Policy & Systems, Primary Care & Prevention, SDGs, Social, Surgical disease, Universal Health Coverage, Women & Children | Also tagged , , , | Comments closed

How to create more supportive supervision for primary healthcare: lessons from Ngamiland…

Background: Supportive supervision is a way to foster performance, productivity, motivation, and retention of health workforce.

Posted in Journal Watch, Policy & Systems, Primary Care & Prevention | Tagged | Comments closed

Establishing a faith-based organisation nursing school within a national primary health care…

Background: In 2007, the Tanzanian government called for improvements in its primary health care services.

Posted in Infant & Child Health, Journal Watch, Policy & Systems, Primary Care & Prevention, Women & Children | Also tagged | Comments closed

Common Infections in Patients Prescribed Systemic Glucocorticoids in Primary Care: A…

by Laurence Fardet, Irene Petersen, Irwin Nazareth Background Little is known about the relative risk of common bacterial, viral, fungal, and parasitic infections in the general population of individuals exposed to systemic glucocorticoids, or about the impact of glucocorticoid exposure duration and predisposing factors on this risk. Methods and Findings The hazard ratios of various common infections were assessed in 275,072 adults prescribed glucocorticoids orally for ≥15 d (women: 57.8%, median age: 63 [interquartile range 48–73] y) in comparison to those not prescribed glucocorticoids. For each infection, incidence rate ratios were calculated for five durations of exposure (ranging from 15–30 d to >12 mo), and risk factors were assessed. Data were extracted from The Health Improvement Network (THIN) primary care database. When compared to those with the same underlying disease but not exposed to glucocorticoids, the adjusted hazard ratios for infections with significantly higher risk in the glucocorticoid-exposed population ranged from 2.01 (95% CI 1.83–2.19; p <</i> 0.001) for cutaneous cellulitis to 5.84 (95% CI 5.61–6.08; p <</i> 0.001) for lower respiratory tract infection (LRTI)

Posted in Infectious Disease, Journal Watch, Policy & Systems, Primary Care & Prevention | Also tagged | Comments closed

Location and deprivation are important influencers of physical activity in primary care…

To investigate the physical activity of adults attending primary care services in the Republic of Ireland and to determine whether the location (urban/rural) and deprivation of the primary care centre influenced physical activity.

Posted in Delivery, Health Workforce, Journal Watch, Policy & Systems | Tagged | Comments closed

Enablers and barriers for implementing high-quality hypertension care in a rural primary care…

Background: Hypertension is a highly prevalent risk factor for cardiovascular diseases in sub-Saharan Africa (SSA) that can be modified through timely and long-term treatment in primary care.Objective: We explored perspectives of primary care staff and health insurance managers on enablers and barriers for implementing high-quality hypertension care, in the context of a community-based health insurance programme in rural Nigeria.Design: Qualitative study using semi-structured individual interviews with primary care staff (n = 11) and health insurance managers (n=4).

Posted in Aid, Aid & Development, Cardiovascular, Infectious Disease, Journal Watch, Noncommunicable Disease | Also tagged , | Comments closed

Actions on social determinants and interventions in primary health to improve mother and child…

Over the last two decades, Moroccan authorities launched a number of actions and strategies to enhance access to health services and improve health outcomes for the whole population in general and for mother a…

Posted in Family planning, Infant & Child Health, Journal Watch, Maternal & Reproductive Health, Women & Children | Also tagged , , | Comments closed

Model villages: a platform for community-based primary health care

The 1978 Declaration of Alma-Ata on primary health care1 states that governments have a responsibility for the health of their people that can be fulfilled only by the provision of adequate health and social measures. In Ethiopia, the Health Extension Programme (HEP), run by trained female health extension workers (HEWs) who provide a package of 16 integrated community-based services, forms the pillar of primary health care. Local recruitment and familiarity with the social make-up of their community enable the HEWs to apply tailored approaches to provision of this standard package of services.

Posted in Aid & Development, Delivery, Journal Watch, Policy & Systems | Also tagged | Comments closed

Direct Primary Care: Concierge Care For The Masses [Entry Point]

Direct primary care represents a new model for providers eager to spend more time with fewer patients and bypass insurance headaches.

Posted in Delivery, Journal Watch, Policy & Systems | Tagged | Comments closed

Socioeconomic predictors and consequences of depression among primary care attenders with…

Background: Socioeconomic predictors and consequences of depression and its treatment were investigated in 4393 adults with specified non-communicable diseases attending 38 public sector primary care clinics in the Eden and Overberg districts of the Western Cape, South Africa.

Posted in Delivery, Journal Watch, Mental Health, Noncommunicable Disease, Policy & Systems | Also tagged , | Comments closed

Population experiences of primary care in 11 Organization for Economic Cooperation and…

Objective To develop a measure of individual user assessments of primary care and test its association with health system performance and quality indicators.

Posted in Journal Watch, Policy & Systems, Social | Also tagged | Comments closed