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Advances in Telehealth and Primary Care
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
Ali A. Poorani, Amanda Adkins, Terri Hollen, Kathryn Raborn
Primary care providers (PCP) play a critical role in our health care system. With the predicted shortage of the PCPs and other providers in the years to come, telehealth can be an alternative to onsite care (Doarn, 2016). Via telehealth, PCPs can provide ongoing care for patients suffering from chronic conditions such as diabetes, hypertension, or heart disease. PCPs can monitor symptom progress, adjust medications, and modify treatment plans without asking the patients to come into the office. They can also offer counseling services for managing depression, weight loss, and smoking cessation. When receiving lab results or reviewing the results from wellness exams, PCPs can discuss the results with the patients remotely without losing money on follow-up phone calls. Finally, PCPs can manage medication requests remotely using telehealth. It is more efficient for both the patient and the provider without sacrificing PCP reimbursement (Chiron Health, 2019).
Looking at Causality
Published in George Mayzell, The Resilient Healthcare Organization, 2020
The biggest societal and environmental issue that we see affecting physicians and healthcare workers is the change in the respect that is given to them as professionals. Over the years, physicians have now become “providers” or in some cases, simply “PCPs.” They are now employees of health systems and they are now often interchanged with all other healthcare providers. This issue affects the physician’s value expectations when compared to the value realities.
Working with People with Acquired Neurological Conditions and their Families
Published in Giles N. Yeates, Fiona Ashworth, Psychological Therapies in Acquired Brain Injury, 2019
PCP has been applied to many domains, including clinical, educational and organisational fields, and a body of research has developed. Walker and Winter (2007) suggest, ‘The extent of the subsequent fit in extremely diverse fields may be far greater than even Kelly could have anticipated’. Watson and Winter (2005) reflect that Personal Construct Therapy is under-researched, but their process and outcome study provided considerable evidence for the effectiveness of personal construct psychotherapy with diagnostically heterogeneous clients. Their study demonstrated that it is possible to carry out a study of process and outcome in personal construct therapy in a real setting with clients who are representative of those typically seen in practice.
Nonalcoholic steatohepatitis diagnosis and treatment from the perspective of patients and primary care physicians: a cross-sectional survey
Published in Annals of Medicine, 2023
Karl Nadolsky, Donna R. Cryer, Amy Articolo, Travis Fisher, Jennifer Schneider, Mary Rinella
Patients included were US residents over the age of 18 who had a self-reported NASH diagnosis within the past 10 years, were currently seeing a healthcare professional to treat and manage NASH, and were aware of diagnostic screens having been completed. Healthcare professionals included were employed in US facilities (except Maine and Vermont to comply with Sunshine reporting requirements), were practicing PCPs, gastroenterologists, hepatologists, or endocrinologists. PCPs specialized in internal medicine, general practice, or family practice. PCPs were required to treat at least five patients with NASH in the past month while gastroenterologists, hepatologists, endocrinologists were required to treat at least 20 patients with NASH in the past month. Physicians required board certification or eligibility in their chosen specialty, 3–25 years in practice, and could not be based in a government facility or an ambulatory surgical center. Due to the prevalence of NASH, the lack of available analyses and knowing HCPs had to treat a minimum number of patients with NASH, a sample size of 150 was deemed to be broadly generalizable to patients diagnosed with NASH in the US, and a sample size of 225 was deemed to be sufficient for HCPs in the US who are knowledgeable about the condition. This was determined with an acceptable margin of error based on feasibility. In this paper we report results from the patient survey and PCP-focused results from the healthcare professional survey; hepatologist- and gastroenterologist-focused results from the healthcare professional survey have been previously reported [17].
Partnership status and retention in care among cisgender heterosexual newly diagnosed people with HIV: a cohort study
Published in AIDS Care, 2023
Maira Sohail, Dustin M. Long, Michael J. Mugavero, D. Scott Batey, Akinyemi I. Ojesina, Emily B. Levitan
Logistic regression models were fit to calculate crude and adjusted odds ratios (OR, AOR) with accompanying 95% confidence intervals (CI) for keeping (high visit constancy) vs. not keeping (low visit constancy) ≥1 scheduled PCP visit within each 6-month interval during the 24-month follow-up period among partnership status. Logistic regression models (one for each time period) were also fit to calculate crude OR and AOR and accompanying 95% CI for having ≥1 no-show vs. 0 no-show visit in each time period by partnership status. The number of scheduled PCP visits, categorized as 1 = 2–6 visits and 2 = 7–14 visits for first year and 1 = 2–4 visits and 2 = 5–12 visits for second year, was also included in the model. As a secondary analysis, no-show was also assessed excluding patients that require more than the usual number of scheduled PCP visits (≥10 scheduled PCP visits in each year with the threshold selected from the distribution of number of visits in this population). Because 40 participants were excluded for having missing information on ≥1 confounder, the associations between missingness and visit constancy (p:0.93) and between missingness and no-show dichotomous (p:0.06 for 1st year and p:0.40 for 2nd year) were calculated using a chi-square test. Additionally, sensitivity analyses were carried out using 10 imputed datasets. Since missingness was not significantly associated with the outcome variables and estimates.
Effect of Moderate Intensity Exercise on Infection Rates in Individuals with Primary Immunodeficiency Disease: A Preliminary Pilot Randomized Investigation
Published in Physiotherapy Theory and Practice, 2022
Kerri Sowers, Bini Litwin, Alan Lee, Mary Lou Galantino
Primary care physician (PCP) visits for non-routine care were tracked during the 8 weeks prior to the study period and for 8 weeks during the study (Table 6). There was no statistically significant difference between non-routine PCP visits for the exercise and control groups (U= 139.50, Z= −0.200, p = .841). Similarly, participants were asked to recall the number of non-routine care visits to the physician who was primarily responsible for managing their PID according to study parameters (Table 6). There was no statistically significant difference in the number of non-routine visits to the specialist physician responsible for participants’ PID between the exercise and control groups (U= 130.00, Z= −0.568, p = .570).