Article
Public, Environmental & Occupational Health
Nachiket Mor, Dyuti Sen, Sarah Zaheen, Rubayat Khan, Priya Naik, Nayonika Basu
Summary: Building high-quality primary care is a challenge for developing countries, but in South Asia, pharmacies are widely used for obtaining medicines and seeking primary care advice. While pharmacies in South Asia provide components of good primary care, such as community orientation and first-contact care, there is no direct evidence of their ability to offer continuity of care or family-centredness and cultural competency.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Multidisciplinary Sciences
Saskia Bogers, Maarten Schim van der Loeff, Anders Boyd, Nynke van Dijk, Suzanne Geerlings, Jan van Bergen, Guangming Zhong
Summary: General practitioners (GPs) in the Netherlands play a key role in HIV testing, but the proportion of late-stage HIV diagnoses remains high. An educational intervention was implemented to improve HIV testing in primary care. GPs who participated in the intervention increased their HIV testing frequency by 7% compared to before, and the proportion of positive HIV tests remained stable.
Article
Psychology, Developmental
Megan A. Moreno, Jonathan D. Klein, Kristen Kaseeska, Julie Gorzkowski, Donna Harris, James Davis, Edward Gotlieb, Richard Wasserman
Summary: The purpose of this study was to test a primary care provider-delivered intervention to promote safe social media use among youth. The results showed that youth whose PCP had received social media counseling training received more counseling about social media and improved their safety behaviors.
JOURNAL OF ADOLESCENT HEALTH
(2023)
Article
Immunology
Juliana G. Barnard, Rebekah Marsh, Amy Anderson-Mellies, Johnny L. Williams, Michael P. Fisher, Myles G. Cockburn, Amanda F. Dempsey, Jessica R. Cataldi
Summary: The study found that clinics in areas with high HPV-associated cancer and low HPV vaccination rates could benefit from an HPV provider communication intervention. These clinics were motivated to improve patient health and valued guidelines and local experience as evidence for adopting an intervention. Implementation of the intervention requires adequate time and external support.
Article
Immunology
Juliana G. Barnard, Rebekah Marsh, Amy Anderson-Mellies, Johnny L. Williams, Michael P. Fisher, Myles G. Cockburn, Amanda F. Dempsey, Jessica R. Cataldi
Summary: This study used qualitative interviews and a dissemination and implementation framework to assess the readiness for change and fit of an HPV Provider Communication intervention in clinics located in areas with high rates of HPV-associated cancers and low HPV vaccination rates. The results showed that prior quality improvement experience and alignment with existing priorities and workflows were important factors influencing the implementation of the intervention.
Article
Oncology
Kelly C. Nelson, Elizabeth Seiverling, Nadeen Gonna, Elizabeth Berry, Elizabeth Stoos, Chloe N. Dorsey, Sarah Sepulveda, Gerardo Vazquez, Hung Q. Doan, Lauren E. Haydu
Summary: To address the needs of regions without appropriate access to dermatology care, a multi-faceted intervention was developed to support Primary Care Providers in performing skin cancer examinations. The intervention included a curriculum and telementoring, and participating providers showed significant gains in knowledge and self-efficacy. Further adaptation and transition to interactive virtual modules are necessary for wider educational dissemination.
JOURNAL OF CANCER EDUCATION
(2023)
Article
Primary Health Care
Saskia J. Bogers, Maarten F. Schim van der Loeff, Nynke van Dijk, Karlijn Groen, Marije L. Groot Bruinderink, Godelieve J. de Bree, Peter Reiss, Suzanne E. Geerlings, Jan E. A. M. van Bergen
Summary: This study described an educational intervention aimed at improving HIV testing by Amsterdam GPs and explored trends in GP testing behavior. The findings showed a decline in HIV testing rate from 2011 to 2014, which stabilized from 2015 to 2017, while the HIV positivity ratio decreased over the same period.
Article
Pharmacology & Pharmacy
Noemi Vazquez-Gonzalez, Jose Leiva-Fernandez, Victor M. Cotta-Luque, Francisca Leiva-Fernandez, Francisca Rius-Diaz, Francisco Martos-Crespo, Elisa Martin-Montanez, Pilar Barnestein-Fonseca
Summary: This study evaluates the improvement in inhalation technique performance in COPD patients after an educational intervention conducted by their general practitioners. The study shows the effectiveness of direct inhaler technique training provided by trained professionals on an appropriate timescale, aiming to improve medication adherence and health promotion in COPD patients.
FRONTIERS IN PHARMACOLOGY
(2023)
Article
Psychology, Developmental
Erin B. Gibson, John R. Knight, Jordan A. Levinson, Lon Sherritt, Sion K. Harris
Summary: The study found that the cSBI system was considered useful by the majority of pediatric primary care providers, with positive feedback on aspects such as immediate availability of screen results, substance use risk talking points, and counseling prompts. Challenges included time constraints and lack of familiarity with tablet computers. Many suggested integrating cSBI into electronic health records to enhance efficiency.
JOURNAL OF ADOLESCENT HEALTH
(2021)
Article
Computer Science, Information Systems
Nathaniel Hendrix, Brett Hauber, Christoph Lee, Aasthaa Bansal, David L. Veenstra
Summary: Sensitivity was the most important attribute for PCPs when ordering AI-enhanced screening products, but other key attributes also need to be considered. The majority of PCPs accept the use of AI to make determinations about likely negative mammograms without radiologist confirmation.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Health Care Sciences & Services
Brian C. Ricci, Jonathan Sachs, Konrad Dobbertin, Faiza Khan, David A. Dorr
Summary: In primary care risk stratification, provider adjudication of algorithms improves the prediction of adverse outcomes by considering patient factors that automated algorithms may overlook. The study found that providers take into account disease severity, self-management skills, behavioral health, and actionable risk scores during adjudication. Overall, the adjudicated risk model demonstrated better performance than a commercial algorithm, particularly in predicting ED visits, hospital admissions, and death.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Amy H. Farkas, Jennifer Kibicho, Florine Ndakuya-Fitzgerald, Qiyan Mu
Summary: The study focused on developing and validating a survey to assess WH-PCPs' experience, comfort, and attitudes towards perinatal care. Two rounds of content validation were conducted, resulting in the Ready to Care Survey with face and content validity. This survey tool can be used for operational and research purposes to evaluate VA WH-PCP's knowledge and readiness in caring for Veterans of child-bearing age.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Management
Hessam Bavafa, Anne Canamucio, Steven C. Marcus, Christian Terwiesch, Rachel M. Werner
Summary: This study examines the impact of provider availability shocks on care channel diversion and delays using data from the Veterans Health Administration. The findings suggest that availability shocks lead to an increase in non-emergent emergency room visits, while not affecting urgent cases. Additionally, these shocks also delay and divert post-emergency room follow-up care.
MANAGEMENT SCIENCE
(2022)
Article
Pediatrics
Christopher C. Erickson, Jack C. Salerno, Stuart Berger, Robert Campbell, Bryan Cannon, James Christiansen, Kody Moffatt, Andreas Pflaumer, Christopher S. Snyder, Chandra Srinivasan, Santiago O. Valdes, Victoria L. Vetter, Frank Zimmerman
Summary: This article discusses the importance of preventing sudden cardiac arrest and sudden cardiac death in children, updating the policy on screening for cardiac conditions and emphasizing the key role of primary care providers in the evaluation.
Article
Pediatrics
Christina L. Master, Darron Bacal, Matthew F. Grady, Richard Hertle, Ankoor S. Shah, Mitchell Strominger, Sarah Whitecross, Geoffrey E. Bradford, Flora Lum, Sean P. Donahue
Summary: Concussion is a common injury in childhood with significant impact on quality of life. Visual issues are increasingly recognized as a common problem after concussion. It is important for pediatricians to recognize, evaluate, and refer children with visual issues after concussion.