Download or read book Community Oriented Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1983-01-01 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book How To Do Primary Care Research written by Felicity Goodyear-Smith and published by CRC Press. This book was released on 2018-10-10 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical ‘How To’ guide talks the reader step-by-step through designing, conducting and disseminating primary care research, a growing discipline internationally. The vast majority of health care issues are experienced by people in community settings, who are not adequately represented by hospital-based research. There is therefore a great need to upskill family physicians and other primary care workers and academics to conduct community-based research to inform best practice. Aimed at emerging researchers, including those in developing countries, this book also addresses cutting edge and newly developing research methods, which will be of equal interest to more experienced researchers.
Download or read book Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1996-09-05 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Download or read book Defining Primary Care written by Karl D. Yordy and published by National Academies. This book was released on 1994 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Real Behavior Change in Primary Care written by Patricia Robinson and published by New Harbinger Publications. This book was released on 2011-01-02 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a primary care provider, you are on the front lines of medical treatment. Oftentimes, you're the first medical professional patients come to when they experience problems with their health. While some of these problems can be resolved by traditional medical treatment, many others are driven by underlying psychological issues and unhealthy lifestyle choices that you may feel powerless to affect. Between repeat patient visits and the frustrating progression of preventable symptoms and conditions, it's no wonder so many medical and behavioral health providers feel burned out and at a loss for effective solutions. This guide was designed to help you find those solutions and recapture the ability to effectively help patients achieve optimal health and happiness. Real Behavior Change in Primary Care offers ten-minute interventions that provide your patients with the tools they need to change unworkable and unhealthy behaviors. Each short yet powerful intervention utilizes empirically supported skills from acceptance and commitment therapy (ACT), a form of cognitive behavioral therapy, to help you empower patients to take charge of the psychological blocks that keep them from resolving their health problems. You'll also apply ACT skills to your own life and learn to better manage stress, recover from burnout, and rediscover the meaning behind your work as a health care provider. Help patients suffering with: Chronic disease Alcohol and substance abuse Chronic pain Anxiety and depression Trauma and abuse
Download or read book Lippincott s Primary Care Psychiatry written by Robert M. McCarron and published by Lippincott Williams & Wilkins. This book was released on 2012-03-28 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book helps family practitioners, internists, nurse practitioners, physician assistants, and mental health practitioners understand, diagnose, and effectively treat the most common psychiatric problems seen in the primary care office setting. The introductory chapter addresses the primary care psychiatric interview. Subsequent chapters cover specific disorders and follow a consistent format: Introductory Case; Clinical Highlights; Clinical Significance; Diagnosis; Differential Diagnosis, including "Not to Be Missed" points; Biopsychosocial Treatment, including "When to Refer"; Practice Pointers case studies; ICD-9 codes; and Practical Resources. Appendices include time-saving strategies and medication tables. An anatomical wall chart for the office is also included. A companion Website includes fully searchable text and patient handouts for various psychiatric disorders.
Download or read book Handbook of Cognitive Behavioral Approaches in Primary Care written by Robert A. DiTomasso and published by Springer Publishing Company. This book was released on 2010 with total page 785 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart
Download or read book Transforming Health Care Scheduling and Access written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-24 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource-highly trained personnel-inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
Download or read book The Essential Guide to Primary Care Procedures written by E. J. Mayeaux and published by Lippincott Williams & Wilkins. This book was released on 2012-03-28 with total page 1020 pages. Available in PDF, EPUB and Kindle. Book excerpt: Featuring over 1,300 full-color illustrations, this atlas is a comprehensive, hands-on guide to more than 100 medical procedures most commonly performed in an office setting. The book presents step-by-step instructions and illustrations for each procedure and discusses strategies for avoiding common pitfalls. Each chapter includes ordering information for necessary equipment or supplies, CPT codes, ICD-9 codes, global periods, and average U.S. fees for each procedure. Some chapters also refer the practitioner to patient education handouts that will appear online. A companion Website will offer the fully searchable text, over 100 patient education handouts, and videos of ten common procedures.
Download or read book Injection Techniques in Musculoskeletal Medicine E Book written by Stephanie Saunders and published by Elsevier Health Sciences. This book was released on 2011-10-24 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its fourth edition and with a new title – Injection Techniques in Musculoskeletal Medicine – this successful step-by-step guide is a trusted resource used by a wide range of practitioners who have to deal with the management of painful joints and soft tissues, particularly in relation to sports and overuse injuries. Area by area, guidance is given for each lesion on appropriate patient selection and delivery of the drug. Every technique has its own two-page spread containing a written description along with an anatomical illustration of the region and a photograph showing the anatomical landmarks for the injection. This new edition is now accompanied by a Trainer available via www.injectiontechniquesonline.com. Please see log on for further details on how to access the virtual training guide - introduced by Stephanie Saunders herself - which covers the top most common injection techniques for each of the body regions. Through key text, videos, animations and interactive self-assessment, users are tested on their knowledge of anatomical landmarks, differential diagnoses, assessment criteria, drug selection and technical skill. Further access is given to a library of over 50 video clips showing supplementary injection techniques which clearly demonstrate the correct anatomical position for each needle insertion. Illustrations, references, lesions, drugs, controversies! Chapters on Other Injectable Substances; Landmark and Image Guided Injections Latest evidence in injection therapy literature Adapted and simplified practical sections Access to Musculoskeletal Injection Techniques Trainer – a virtual aid to test your anatomical and technical skills on the top most common injections for the upper and lower limbs and spine – perfect for self-testing and honing your skills! Log on to www.injectiontechniquesonline.com to begin The Trainer also gives unlimited access to a bank of over 50 video clips demonstrating actual needle insertion for each lesion
Download or read book Doctoring written by Eric J. Cassell M.D. and published by Oxford University Press. This book was released on 2002-11-14 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: American medicine attracts some of the brightest and most motivated people the country has to offer, and it boasts the most advanced medical technology in the world, a wondrous parade of machines and techniques such as PET scans, MRI, angioplasty, endoscopy, bypasses, organ transplants, and much more besides. And yet, writes Dr. Eric Cassell, what started out early in the century as the exciting conquest of disease, has evolved into an overly expensive, over technologized, uncaring medicine, poorly suited to the health care needs of a society marked by an aging population and a predominance of chronic diseases. In Doctoring: The Nature of Primary Care Medicine, Dr. Cassell shows convincingly how much better fitted advanced concepts of primary care medicine are to America's health care needs. He offers valuable insights into how primary care physicians can be better trained to meet the needs of their patients, both well and sick, and to keep these patients as the focus of their practice. Modern medical training arose at a time when medical science was in ascendancy, Cassell notes. Thus the ideals of science--objectivity, rationality--became the ideals of medicine, and disease--the target of most medical research--became the logical focus of medical practice. When clinicians treat a patient with pneumonia, they are apt to be thinking about pneumonia in general--which is how they learn about the disease--rather than this person's pneumonia. This objective, rational approach has its value, but when it dominates a physician's approach to medicine, it can create problems. For instance, treating chronic disease--such as rheumatoid arthritis, diabetes, stroke, emphysema, and congestive heart failure--is not simply a matter of medical knowledge, for it demands a great deal of effort by the patients themselves: they have to keep their doctor appointments, take their medication, do their exercises, stop smoking. The patient thus has a profound effect on the course of the disease, and so for a physician to succeed, he or she must also be familiar with the patient's motivations, values, concerns, and relationship with the doctor. Many doctors eventually figure out how to put the patient at the center of their practice, but they should learn to do this at the training level, not haphazardly over time. To that end, the training of primary care physicians must recognize a distinction between doctoring itself and the medical science on which it is based, and should try to produce doctors who rely on both their scientific and subjective assessments of their patients' overall needs. There must be a return to careful observational and physical examination skills and finely tuned history taking and communication skills. Cassell also advocates the need to teach the behavior of both sick and well persons, evaluation of data from clinical epidemiology, decision making skills, and preventive medicine, as well as actively teaching how to make technology the servant rather than the master, and offers practical tips for instruction both in the classroom and in practice. Most important, Doctoring argues convincingly that primary care medicine should become a central focus of America's health care system, not merely a cost-saving measure as envisioned by managed care organizations. Indeed, Cassell shows that the primary care physician can fulfill a unique role in the medical community, and a vital role in society in general. He shows that primary care medicine is not a retreat from scientific medicine, but the natural next step for medicine to take in the coming century.
Download or read book A Guide to Substance Abuse Services for Primary Care Clinicians written by Eleanor J. Sullivan and published by . This book was released on 1997 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: EXECUTIVE SUMMARY AND RECOMMENDATIONS: The goal of this TIP is to recommend guidelines for primary care clinicians to follow in caring for patients with alcohol and other drug use disorders. These guidelines were developed by a Consensus Panel of clinicians, researchers, and educators who work on the prevention and treatment of substance use disorders. Protocols are based partly on research evidence, partly on Panel members' clinical experience. The algorithm to the left follows a patient with substance use problems who presents in a primary care setting. The chart will serve as a guide or road map through screening, brief assessment, brief intervention, assessment, referral, specialized treatment, and followup care as they are detailed in the TIP. Since substance use disorders are often chronic conditions that progress slowly over time, primary care clinicians, through their regular, long-term contact with patients, are in an ideal position to screen for alcohol and drug problems and monitor each patient's status. Futhermore, studies have found that primary care clinicians can actually help many patients decrease alcohol consumption and its harmful consequences through office-based interventions that take only 10 to 15 minutes (Kahan et al., 1995; Wallace et al., 1988). This potential, however, is largely untapped: Saitz and colleagues found that of a sample of patients seeking substance abuse treatment, 45 percent reported that their primary care physician was unaware of their substance abuse (Saitz et al., in press). Yet even though screening and limited treatment of substance use disorders do not require a large time investment, the Consensus Panel that developed this TIP recognized that many primary care clinicians are already overwhelmed by the demands imposed by expanded gatekeeper functions. The Panel realized that a practical approach to addressing patients' substance abuse problems was needed: one that recognized the time and resource limitations inherent in primary care practice and offered a series of graduates approaches that could be incorporated into a normal clinic or office routine. Biological, medical, and genetic factors as well as psychological, social, familial, cultural, and other environmental features all bear on substance abuse. Addressing the condition effectively requires a team effort, especially when it has progressed beyond the early stage. For this reason, in addition to screening and intervention treatment options, these guidelines include information about viable referral for assessment and treatment, as well as followup. Readers will notice that the TIP contains more information on alcohol use and abuse than on use of illicit drugs. This reflects both the scope of the problems and the research literature available about them. It is estimated that about 18 million people with alcohol use problems and 5 million users of illicit drugs need treatment. Although the Panel recognizes that tobacco is an addictive substance with a major public health impact, it is not included in this TIP because the topic falls outside CSAT's purview. Readers are referred to "Smoking Cessation: a Guide for Primary Care Clinicians," published by the Agency for Health Care Policy and Research (Agency for Health Care Policy and Research, 1996). The Consensus Panel's recommendations are based on a combination of clinical experience and research-based evidence. In the list below, the summary guidelines supported by the research literature are followed by (1); clinically based recommendations are marked (2). Citations supporting the former are referenced in the body of the document. Screening and assessment instruments mentioned below are reproduced and discussed in Chapters 2 and 4 and Appendix C. The guidelines are presented in more detail in Chapter 6.
Download or read book Ten Minutes for the Family written by Eia Asen and published by Routledge. This book was released on 2004-08-02 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: The provision of suitable mental health care is one of the major tasks facing general practitioners and their teams. Family-oriented primary care has moved from doctor-controlled to patient-centred consultations, with a greater emphasis on collaboration. The systemic framework uniquely lends itself to this shift in emphasis, as it views the delivery of care in social rather than merely medical terms. There is now a strong evidence base for the efficacy of systemic approaches in managing many different types of mental health and relationship issues. This text is a practical guide for health professionals working in primary care who wish to improve their management of problem patients, problem families and problem situations. Step-by-step, it introduces both the theory and the practice of the family approach - from interviewing individual patients in routine consultations to conducting specific family crisis meetings. It includes many concrete suggestions for using simple family therapy techniques and encourages the clinician to think about cases constructively. Case histories and patient stories are used extensively to illustrate the techniques as well as boxed information to highlight key points.
Download or read book Tools for Primary Care Research written by Moira Stewart and published by SAGE Publications, Incorporated. This book was released on 1992-04-06 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introductory chapters describe three decades of work by a family physician who recognized the importance of observing and questioning, and thoughtfully deliberated the challenges facing primary care researchers. Specific sections then go on to examine basic concepts such as identifying research questions and selecting an instrument, techniques such as choosing a sample and creating an original measure, as well as tools for measurement, data collection, and analysis.
Download or read book Doctoring written by Eric J. Cassell M.D. and published by Oxford University Press. This book was released on 2002-11-14 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: American medicine attracts some of the brightest and most motivated people the country has to offer, and it boasts the most advanced medical technology in the world, a wondrous parade of machines and techniques such as PET scans, MRI, angioplasty, endoscopy, bypasses, organ transplants, and much more besides. And yet, writes Dr. Eric Cassell, what started out early in the century as the exciting conquest of disease, has evolved into an overly expensive, over technologized, uncaring medicine, poorly suited to the health care needs of a society marked by an aging population and a predominance of chronic diseases. In Doctoring: The Nature of Primary Care Medicine, Dr. Cassell shows convincingly how much better fitted advanced concepts of primary care medicine are to America's health care needs. He offers valuable insights into how primary care physicians can be better trained to meet the needs of their patients, both well and sick, and to keep these patients as the focus of their practice. Modern medical training arose at a time when medical science was in ascendancy, Cassell notes. Thus the ideals of science--objectivity, rationality--became the ideals of medicine, and disease--the target of most medical research--became the logical focus of medical practice. When clinicians treat a patient with pneumonia, they are apt to be thinking about pneumonia in general--which is how they learn about the disease--rather than this person's pneumonia. This objective, rational approach has its value, but when it dominates a physician's approach to medicine, it can create problems. For instance, treating chronic disease--such as rheumatoid arthritis, diabetes, stroke, emphysema, and congestive heart failure--is not simply a matter of medical knowledge, for it demands a great deal of effort by the patients themselves: they have to keep their doctor appointments, take their medication, do their exercises, stop smoking. The patient thus has a profound effect on the course of the disease, and so for a physician to succeed, he or she must also be familiar with the patient's motivations, values, concerns, and relationship with the doctor. Many doctors eventually figure out how to put the patient at the center of their practice, but they should learn to do this at the training level, not haphazardly over time. To that end, the training of primary care physicians must recognize a distinction between doctoring itself and the medical science on which it is based, and should try to produce doctors who rely on both their scientific and subjective assessments of their patients' overall needs. There must be a return to careful observational and physical examination skills and finely tuned history taking and communication skills. Cassell also advocates the need to teach the behavior of both sick and well persons, evaluation of data from clinical epidemiology, decision making skills, and preventive medicine, as well as actively teaching how to make technology the servant rather than the master, and offers practical tips for instruction both in the classroom and in practice. Most important, Doctoring argues convincingly that primary care medicine should become a central focus of America's health care system, not merely a cost-saving measure as envisioned by managed care organizations. Indeed, Cassell shows that the primary care physician can fulfill a unique role in the medical community, and a vital role in society in general. He shows that primary care medicine is not a retreat from scientific medicine, but the natural next step for medicine to take in the coming century.
Download or read book Procedures for the Primary Care Provider E Book written by Marilyn Winterton Edmunds and published by Elsevier Health Sciences. This book was released on 2015-12-01 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Confidently perform the most common office procedures with Procedures for the Primary Care Provider, 3rd Edition. This practical, spiral-bound reference provides step-by-step illustrated guidelines for basic and advanced office procedures commonly performed by Nurse Practitioners and Physician’s Assistants. Each procedure follows a consistent format including a brief description of the procedure, a review of relevant anatomy and physiology, indications and contraindications, precautions, assessment, patient preparation, treatment alternatives, a list of equipment needed, and a step-by-step illustrated procedure. This third edition features nine new procedures, new illustrations, a more user-friendly full-color design, and much more. Need-to-know coverage of the most common office procedures performed by NPs, PAs, and other primary care providers makes this book an excellent guide for clinicians who may not perform these procedures regularly. Consistent procedure format includes a brief description of the procedure, a review of relevant anatomy and physiology, indications and contraindications, precautions, assessment, patient preparation, treatment alternatives, a list of equipment needed, and a step-by-step illustrated procedure. Detailed illustrations (nearly 400 drawings and photographs) clearly demonstrate the steps of each procedure. Step-by-step numbered guidelines for each procedure allow for quick reference. An introductory chapter covers legal, educational, and reimbursement factors related to performing common office procedures. Appendixes, including the Sample Checklist for Certification and the Sample Consent Form for Procedure, provide you with commonly used forms in an easy to access location.
Download or read book Research Methods in Primary Care written by Yvonne Carter and published by Radcliffe Publishing. This book was released on 1997 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to introduce a basic range of research skills relevant to primary care.
