Sentences with phrase «because primary care»

Because primary care clinician training in care of depression was common to all patients, the YPIC study tests the marginal benefit of the full quality improvement intervention vs usual care «enriched» by primary care clinician education.
But it will struggle to implement this, the NAO added, because the Primary Care Trusts (PCTs) and Strategic Health Authorities which are responsible for driving efficiency are set to be scrapped by 2013 - to be replaced by local consortia of GPs.

Not exact matches

And because it can be offered through primary care providers, it lessens the need to send patients on to emergency care or specialists.
Establishing better primary care would also save employers money, because preventing disease is cheaper than treating someone who is already sick.
I'd just separate the point you were making because the point I'm making is that a move towards creating shoppers is creating better care on primary care, just in terms of how we treat the consumer, and the consumers are opting into that and finding it interesting and effective.
A child's primary care physician is usually well - qualified to conduct a PPE, given his or her broad training and because he or she knows when to consult with specialists if problems requiring further clinical expertise are detected.
«There's more emphasis now and there will be more emphasis because of the Affordable Care Act [on] offering mental health services in primary care settings,» suggests Curry, who is about to start a clinical trial looking at the effects of cognitive behavior therapy for adolescents with depression and substance abuse problCare Act [on] offering mental health services in primary care settings,» suggests Curry, who is about to start a clinical trial looking at the effects of cognitive behavior therapy for adolescents with depression and substance abuse problcare settings,» suggests Curry, who is about to start a clinical trial looking at the effects of cognitive behavior therapy for adolescents with depression and substance abuse problems.
The other four women were referred during labour from primary to secondary care because of meconium stained liquor.
Other strengths of the underpinning cohort study include high participation by midwifery units and trusts in England; the minimisation of selection bias through achievement of a high response rate and absence of self selection bias because of non-consent; and the ability to compare groups that were similar in terms of identified clinical risk.12 The economic evaluation was conducted according to nationally agreed design and reporting guidelines.15 26 Collection of primary unit cost data was thorough and accounted for regional differences in care patterns.
Because the trial found no differences in the effect of type of care on any primary clinical outcome, the economic analysis compares only the costs of care rather than their cost - effectiveness.
Because the primary goal of public health is prevention of morbidity, health care professionals should be taught the potential health benefits of breastfeeding and given tools to assist mothers with breastfeeding, whether themselves or with referrals to others who can help.
Because we could not adjust for confounders, we compared the prevalence of several risk factors between women at low risk in primary care and women at high risk in secondary care, using data from the national perinatal registry.
But in some ways, I think it's a bit of a setup because new parents especially moms who are primary care takers are absorbed completely in trying to learn their babies, read the queues, respond.
CINDY HARTSHORN: I think the most important reason to trust your intuition is because you are... the mom is the primary care giver usually for the baby.
In the Dutch maternity care system midwives are qualified to provide independent care for women with uncomplicated pregnancies.1 2 They also identify and select the women who, because of existing or anticipated problems, require care from an obstetrician.1 3 Twenty five years ago, women receiving primary care all gave birth at home, but since the 1970s they have been able to choose between home birth and hospital birth under the care of a midwife or general practitioner.
Because of heterogeneity in the primary studies, neither the meta - analyses nor the comprehensive review assessed patient and obstetrician or obstetric care provider satisfaction and improved knowledge of childbirth, family planning, postpartum depression, or early child rearing.
Obviously this is a pretty broad question, and I don't care if these are primary sources, to collaborative works by modern historians, to historical fictions (as I'm sure much of this detail will be left to the imagination as not much evidence will remain), but I'm looking for how humans ran societies, and the issue they dealt with, on a day to day basis, because people live on a day to day basis, and don't, like historians, summarize a decade in a couple of pages of writing.
Speaking at a conference hosted by the Local Government Network, Mr Denham said: «Local taxpayers should be vigilant if they are asked to accept reduced services because their council won't take tough decisions to introduce shared services, sharing senior staff with other local authorities, PCTs [primary care trusts] or other bidders, or through making the best use of public buildings.
Kenneth Adams, president of Empire State Development, New York's primary business - aid agency, said governments aren't forgoing funds they now use to pay for police, education, health care and other services because the zone tenants and employees are generally new to the state.
Yes — some areas are in danger of losing primary emergency care, but in most areas of the state hospitals are beating each other over the head for patients because there are more hospital rooms than people dying to get into them.
Harman quoted a poll that found 90 per cent of primary care trusts are restricting access to treatment because of the pressure they are under.
The sophomore lawmaker admitted she voted for Ohio Gov. John Kasich during the 2016 New York primary contest, but supported Trump during the general election because she cares about issues like economic growth, revitalizing the manufacturing sector and military investment.
ANDREW LANSLEY: Well, because actually where it, because actually, it's clear that the government said to the local Primary Care Trust, it's down to you whether you do this and only a fifth of them are doing it.
Regular communication between the primary care physician and the subspecialist is critical to optimize outcomes because the majority of patients with thyroid disorders will require long - term to lifelong medical therapy and / or surveillance,» the article concludes.
Interest has grown because of the shortage of primary care physicians, which will likely worsen as more Americans acquire medical coverage under the federal Affordable Care care physicians, which will likely worsen as more Americans acquire medical coverage under the federal Affordable Care Care Act.
They wrote that a common practice in hospitals — a daily review of a patient's continued need for antibiotics — must become more common in primary care as well, because that is where some 85 percent of prescriptions are written.
«Because laboratory tests play such a crucial and ubiquitous role in medicine, efforts to identify opportunities for improvement in the selection of tests have the potential to contribute greatly to the care patients receive,» adds William Taylor, MD, a clinician in BIDMC's Division of General Medicine and Primary Ccare patients receive,» adds William Taylor, MD, a clinician in BIDMC's Division of General Medicine and Primary CareCare.
Solid proof that vision screening in primary care is safe and effective may never materialize because scientists won't do large, costly studies to test such a common - sense idea, said Dr. Alfred Sommer, a researcher at the Wilmer Eye Institute at Johns Hopkins University in Baltimore, Maryland.
The recommendations may also fail to find sufficient proof that routine screenings work because they're only looking at research done in primary care, not studies of outcomes from evaluations done by vision specialists, noted Dr. David Parke II, chief executive of the American Academy of Ophthalmology in San Francisco and author of an editorial in JAMA Ophthalmology March 1.
«We're trying to encourage more primary care veterinarians to do this, even though it's time consuming, because this is how the disease perpetuates itself,» says Boyle.
However, previous research has found few primary care providers adhere to the guidelines because most strategies focus on changing individual prescriber behavior rather than implementing a systems - based intervention.
She says she made the change primarily because the couple has a young daughter, and Ms. Rosser wanted to spend time caring for her without also worrying about being the family's primary breadwinner.
Because of his age, his primary care physician began treating him for type - 2 diabetes without testing him for auto - antibodies.
«This is because we found evidence that screening for depression in the primary care setting is accurate, that treatment for depression is effective for people detected through screening and the likelihood of harms from screening or treatments are small.»
At the same time, reliance on the emergency department can add costs to the overall health care system because those patients do not get the ongoing chronic disease management and preventive care they would get at a primary care clinic.
«There probably is under - reporting here because the registers have poor or no coverage of primary care.
«This country is in great need of primary care physicians to fill the ongoing shortage, yet qualified undocumented pre-medical students are still being denied access to medical schools because of concerns regarding their status,» said Dr. Yohualli Balderas - Medina Anaya, a resident physician in the department of family medicine at the David Geffen School of Medicine at UCLA and the paper's lead author.
The number of primary care physicians is shrinking in the U.S. in large part because medical school graduates are frequently choosing to enter medical specialties, which are generally more lucrative.
Newly published research from Journal of Elder Abuse & Neglect (Routledge) has determined that verbal mistreatment is a highly prevalent concern among older adults in primary care clinics because of its relation to negative mental health outcomes including poor social functioning and major depression.
But the JAMA editorial notes that the USPSTF excludes the highest - risk populations (persons living with HIV, close contacts of persons with active TB, and those being treated with immunosuppressive agents) from its review of evidence for screening for latent TB infection in primary care settings because TB screening and treatment of latent TB infection may already be considered standard of care in these groups.
In addition to conducting and funding research to develop more effective and safer therapies, NCI has thriving research programs in critically important areas like survivorship, delivery of care, primary prevention, screening, and quality of life — areas that are not traditionally supported by the private sector because they have limited commercial value or are not a good fit with traditional pharmaceutical and biotech business models.
«In the United States, like many other economically developed nations, primary - care practices represent the best place for implementation of these methods, because it is the only venue where both screening and, if clinically indicated, treatment can be provided,» Michael E. Thase, a professor of psychiatry at the University of Pennsylvania, wrote in an editorial accompanying the publication of the guidelines.
However, the BODE index is rarely used in primary care settings where most patient treatment options are managed, because exercise capacity can not be easily measured in the typical doctor's office.
I received a lung transplant because of research and persistence with my insurance, primary - care doctor, pulmonary doctor, and transplant hospital.
When I asked the Atkins nutritionist, she suggested that I go see my primary care doctor and ask for a celiac blood test because the symptoms I described to her sounded pretty textbook.
«There's definitely confusion — even for doctors — because there simply isn't much clear - cut evidence to guide doctors one way or another,» says Anne Rex, DO, a primary care sports medicine physician at Cleveland Clinic Sports Health.
Patients are typically introduced to breathing exercises only when they visit a respiratory therapist or participate in a pulmonary rehabilitation program, Berry says, mainly because time - crunched primary care physicians focus on exercise and smoking cessation.
«A lot of people are given EpiPens by their pediatrician or primary care doctor because they have a positive lab test to some allergen, but they're never really evaluated by an allergist.»
To improve the quality of life of those that can not manage their symptoms because of a lack of a trustworthy primary care provider.
There are many benefits and advantages in telemedicine: the elimination of the need for travel, reduction in the cost of healthcare because of increased efficiency, and an increase in the ability to reach people in rural areas (for example) or others who may otherwise be cut - off from primary or specialized care.
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