China
Africa
Explore chapters and articles related to this topic
Prescribing advisers and budgets
Published in Conrad Harris, Jane Richards, Prescribing in General Practice, 2018
It is very important to reflect the individual characteristics and circumstances of the practice when setting the budget. Information about the practice may be obtained from a variety of sources, including that already held by the FHSA, for example, from patient registration. Prescribing information from the PPA, and information provided by the practice itself, are of particular importance.
A hierarchy of primary care needs
Published in Mark Baker, Neal Maskrey, Simon Kirk, Allen Hutchinson, Clinical Effectiveness and Primary Care, 2018
Mark Baker, Neal Maskrey, Simon Kirk, Allen Hutchinson
It is increasingly difficult to see paper-based medical records in primary care meeting all of the requirements of a usable database. Already the majority of practices are linked with health authorities for the transfer of patient registration details. Item of service payments are increasingly to be carried out electronically and this has been the norm for dental practitioners in the UK for some time. Any strategy for clinical records developed today (instead of in 1911 as a result of Lloyd George’s National Insurance Act) would have to exclude anything other than an electronic record. Symptoms and diagnoses would be coded in a uniform manner, as would advice, therapy and referral. Remote access to the practice clinical database, e.g. on home visits, is no longer experimental. Whilst confidentiality issues must always remain in the forefront of thinking when clinical records are considered, the problems are not insurmountable. More problematic is getting the agreement of the record users to use the electronic record at all, and then to do so consistently and accurately.
Station 32
Published in Bruno Rushforth, Adam Firth, Val Wass, Get Through, 2012
Bruno Rushforth, Adam Firth, Val Wass
New patient registration checks provide a useful opportunity to review a patient’s medical history. This station allows candidates to demonstrate skills in taking a focused history in order to reach a differential diagnosis which should include HIV. This should include a sexual history. However, you need to be aware that you will be raising an issue that the patient has not consciously considered and you need to be sensitive to his response. Although we have moved to try to normalize HIV testing in the UK – e.g. through routine testing of pregnant women and encouraging clinicians to offer testing opportunistically to all high-risk groups – ignorance and stigma about HIV remain.
Evaluating experiences, usability and patient satisfaction with telehealth for tertiary outpatient physiotherapy services during COVID-19: A mixed-methods study
Published in Physiotherapy Theory and Practice, 2023
Dragana Ceprnja, Tracey Clark, Jonathan Young, Rebecca Lee, Kylie Flynn, Katherine Maka
Technology issues, such as unreliable internet quality, hardware availability and lack of information technology support, were perceived as barriers to telehealth. Logistical issues, such as small screen size and pixilation, meant that some aspects of care were less than ideal, including being able to “see” everything as needed for wound checks and skin integrity. Physiotherapists reported difficulty with scheduling, including errors in the processes, leading to inefficiencies with the system. Some of these issues were attributed to a lack of administrative support to assist the scheduling of telehealth services. Booking was unnecessarily complex, and collecting emails was also a problem. This could have been part of patient registration by the administration team, or just use a mobile number [P15]
Embarking to Caregiving Role: A Thematic Analysis of Malay Caregivers of Older Adults with Mental Health Problems Perspectives
Published in Journal of Gerontological Social Work, 2021
Fatimah Zailly Ahmad Ramli, Cheryl Tilse, Jill Wilson
The first author undertook in-depth qualitative interviews with 14 Malay caregivers of older adults with mental health problems. The Patient Registration Record for Adult Cases at the hospital was used to identify potential participants. The criteria for selection of caregivers were family members (adult children or spouses or siblings) currently caring for older adults with mental health problems aged 60 years and above who are diagnosed with depression, schizophrenia, anxiety or bipolar disorders and living with or nearby the caregiver. Of the 68 older adults attending the psychiatric clinic, 23 met the inclusion criteria and their family members were approached. However, only 14 family members agreed to be interviewed. Recruitment through the psychiatric outpatient clinic was to ensure that participants were caring because of a mental health problem, although other health problems might also have been present. This approach was necessary to ensure that the primary reason for caring for the older adults was a current mental health problem.
Long-term safety and effectiveness of linagliptin as add-on therapy in Japanese patients with type 2 diabetes: final results of a 3-year post-marketing surveillance
Published in Expert Opinion on Drug Safety, 2021
Tomohiro Ito, Yusuke Naito, Naoki Shimmoto, Kaori Ochiai, Naoyuki Hayashi, Tomoo Okamura
Patient registration and data collection were performed using an electronic data capture system. Investigators were asked to enter data on each patient’s clinical and demographic characteristics at baseline, and data on body weight, laboratory tests (HbA1c, fasting plasma glucose [FPG] and estimated glomerular filtration rate [eGFR]), vital signs (systolic and diastolic blood pressure [SBP and DBP]) and the dose of concomitant antidiabetic drugs at each visit. Laboratory tests were performed with the routine assays used at each investigator’s site. Observation time points were defined as Week 0 (baseline), 12, 26, 40, 52, 64, 78, 104, 130, and 156 weeks after starting linagliptin therapy, and the time of linagliptin discontinuation. However, because data collection time points were dependent on patient visits to their physicians according to their usual clinical care, data were collected at the visits closest to the time points defined above.