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Popular Primary School News and Current Events, Primary School News Articles.
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Program involving community volunteers shows promise for reducing health care use by seniors
Incorporating community volunteers into the health care system shows promise in reducing health care usage by older adults and shifting health care from hospitals to primary care, according to new research in CMAJ (Canadian Medical Association Journal). (2019-05-06)

Major disruptions are frequent in primary care
Among 208 primary care practices, two-thirds experienced one or more major disruptive events, such as personnel changes or relocation, adversely affecting quality improvement efforts. (2018-04-09)

Innovations in primary care: Behavioral approach to treating Opioid use disorder
Innovations in primary care: Behavioral approach to treating Opioid use disorder. (2018-01-09)

Patients not attached to new primary care practices receive lower quality care
One in six patients in Ontario does not belong to an organized primary care practice, new research suggests. These patients receive lower quality care and are more likely to be poor, urban and new immigrants. Researchers found that patients who didn't belong to these new primary care practices were more likely to reside in an urban area, live in a low-income neighborhood and have immigrated to Canada in the last 10 years. (2016-11-14)

Patients with primary care have better quality health and experience
A new study by investigators at Brigham and Women's Hospital examines the impact of having first-contact, comprehensive, coordinated and continuous care. (2019-01-28)

Quality, experience of outpatient care in US for adults with or without primary care
Adults who have primary care receive similar amounts of care as adults who don't, but they receive more high-value care, similar low-value care, and report better access and patient experiences. In this analysis, researchers used data from an annual nationally representative survey to compare 49,286 adults with primary care to 21,133 adults without primary care. Health care systems in many countries are organized around primary care, whereas health care in the US is organized around hospitals and specialty care. (2019-01-28)

Stigma continues to hamper response to opioid epidemic
Efforts to reverse the nation's opioid epidemic remain beset by the stigma associated with drug use, a group of OHSU researchers write in a year-end review. The researchers emphasize the need for the American health care system to embrace medications such as methadone to treat opioid use disorder, provide addiction treatment in primary care clinics and develop non-addictive alternatives for chronic pain. (2018-01-10)

Gout not associated with increased risk of fracture, study finds
Gout, a painful inflammatory arthritis, is not associated with an increased risk of fracture, according to a large study led by Keele University, and published in CMAJ (Canadian Medical Association Journal). (2018-05-14)

Medical referrals: Closing the communication loop to improve care and avoid delays
A new study from Regenstrief Institute investigators addresses breakdowns in the referral from primary care to medical specialist process and presents a prototype template using evidence-based design to improve communication about referrals among clinicians. (2018-11-27)

Survey points out need for education for primary care physicians on rarely seen cancers
Many primary care physicians may lack the necessary knowledge when it comes to recognizing the signs, symptoms and making proper diagnoses in cases of blood cancers such as leukemia and lymphoma, a recent survey indicates. Such findings not only reflect the challenges that primary care doctors face, but also may serve as a wake-up call for more education and training. (2007-12-10)

Social challenges are associated with poorer health outcomes
Among more than 600,000 primary care patients, half live with some degree of social challenge, which has a negative effect on the quality of care they receive. (2018-05-14)

Fix and prevent health disparities in children by supporting mom, and dad
According to the recent National Academies report on health disparities in children, one of the most important factors in preventing and addressing disparities is the well-being of the child's primary caregiver. This finding is based on decades of developmental psychology research from Arizona State University scientists and others. When the primary caregiver is supported, the caregiver-child attachment can buffer against adversities like poverty, trauma and chronic stress. (2019-09-05)

Overcoming barriers to improve mental-health services in low- and middle-income countries
Despite the publication of high-profile reports and promising activities in several countries, progress in mental health service development has been slow in most low-income and middle income countries. (2007-09-03)

Lower cost, higher quality primary care practices are distinguished by six attributes
Exploring attributes of high-value primary care. (2017-11-15)

Elderly survivors of three common cancers face persistent risk of brain metastasis
Elderly survivors of breast cancer, lung cancer, and melanoma face risk of brain metastasis later in life, and may require extra surveillance in the years following initial cancer treatment. (2019-05-03)

Drug combination for treatment resistant depression no more effective than single
A large clinical trial published in the British Medical Journal today, looked at the effectiveness of adding mirtazapine to an SSRI or SNRI in patients who remain depressed after at least six weeks of conventional (SSRI or SNRI) antidepressant treatment. They found that this combination was no more effective in improving depression than placebo and call on doctors to rethink its use. (2018-11-01)

A new approach to primary care: Advanced team care with in-room support
In this special report, the authors argue that the current primary care team paradigm is underpowered, in that most of the administrative responsibility still falls mainly on the physician. Jobs not requiring a medical education, such as entering data into electronic health records, should not be handled by physicians and advanced practitioners. (2019-07-10)

Study finds new program reduces absenteeism in primary schools
A pilot program reduced absenteeism in elementary schools by an average of 10 percent, according to a new study by Duke researchers. (2017-10-02)

Research brief: Primary care strategies to improve health of chronic disease patients
Improving primary care for patients with chronic illness is critical to improving healthcare quality, value and patient experience. Primary care providers are participating in several new payment models that emphasize quality and value. However, little is known about whether and how participation in these programs affects care delivery, specifically for patients with chronic needs. (2018-10-02)

Adenoid and tonsil trouble for teens
With a new, exacting longitudinal study, Tokyo Medical and Dental University (TMDU)-led researchers challenge the established medical consensus that adenoids and tonsils shrink significantly during the teenage years. By carefully measuring X-ray images from the same students at different ages, they generated the most accurate growth curves to date. These findings can help diagnose several adult disorders, including OSA. (2019-02-08)

Who Cares For You When You're Ill
The presence of nurse practitioners and physician assistants, and the debate that surrounds it, is the subject of a new study by U-M researcher Peter D. Jacobson. (1999-03-17)

A theoretical model to alleviate primary care strain
Co-management of patients by more than one primary care clinician is among new models of care designed to meet the demand for high quality patient care. A new co-management model lays the groundwork for potential care partnerships between nurse practitioners and physicians. It finds that effective nurse practitioner-physician co-management requires three core attributes: effective communication, mutual respect and trust, and a shared philosophy of care. (2018-05-14)

Patient-centered medical home model improves chronic disease management
Data from more than 800 Veterans Health Administration (VHA) primary care clinics revealed that national implementation of a patient-centered medical home model was effective at improving several chronic disease outcomes over time. Findings were published online today in Health Services Research. (2017-11-20)

Survey finds pediatric doctors attempts to address parental health issues are limited by barriers
A national survey of more than 200 pediatric primary care physicians found that while over three-quarters addressed at least one parental health issue, such as maternal depression or parental tobacco use, during child health visits and a majority recognized the impact of such issues on children's health, fewer felt responsible for addressing them. (2017-11-09)

NASA's James Webb Space Telescope secondary mirror installed
The sole secondary mirror that will fly aboard NASA's James Webb Space Telescope was installed onto the telescope at NASA's Goddard Space Flight Center in Greenbelt, Maryland, on March 3, 2016. (2016-03-07)

An asymptomatic patient with severe mitral regurgitation
In the current issue of Cardiovascular Innovations and Applications (Volume 2, Number 4, 2018, pp 431-434(4), researcher Blase A. Carabello, from East Carolina University, Greenville, NC, USA presents a case study of an asymptomatic patient with severe mitral regurgitation. (2018-04-18)

Perceptions of primary care notes by patients with mental health diagnoses
Primary care patients with mental health diagnoses are as enthusiastic about the utility of viewing their doctors' notes as other patients. (2018-07-10)

A structured approach to detecting and treating depression in primary care
A questionnaire-based management algorithm for major depressive disorder in primary care is feasible to implement, though attrition from treatment is high. (2019-07-10)

Case management in primary care associated with positive outcomes
In a systematic review, researchers identified three characteristics of case management programs that consistently yielded positive results: case selection for frequent users with complex problems, high-intensity case management interventions and a multidisciplinary care plan. This review included data from 20 studies, 17 of which were quantitative, of adult frequent users with chronic diseases in primary, secondary and tertiary care settings. (2019-09-09)

Victims of childhood bullying more likely to be overweight as young adults
Children who are bullied in primary and secondary school are nearly twice as likely to be overweight at the age of 18 than non-bullied children, according to a new study by researchers from King's College London. (2016-11-11)

In preschools in India, math games boost math understanding
Working with children at more than 200 preschools in India, researchers found that those who took part in math games for four months became more skilled at math assessments similar to those they'd see in primary school - an effect that lasted for up to a year. (2017-07-06)

The keys to advancing research in family medicine
Research is an important component of academic medicine, but many family medicine departments have struggled with barriers ranging from departmental culture to the lack of resources needed to advance the field. A paper published in Family Medicine reports that key factors to boost the creation of knowledge include leadership commitment to research and building a team approach to research that is relevant to family medicine. (2018-11-16)

VA study backs use of physician assistants, nurse practitioners in diabetes care
VA patients with diabetes have similar health outcomes regardless of whether their primary provider is a physician, nurse practitioner, or physician assistant, according to a Durham VA Health Care System study. (2019-06-07)

The need to reinvent primary care
Primary care is 'first-contact, continuous, comprehensive, and coordinated care provided to populations undifferentiated by gender, disease, or organ system.' High-quality primary care has been associated with improved population health, lower costs, and greater equity. Despite this evidence, primary care has been consistently under-resourced, accounting for just six to eight percent of US health care expenditures. A special issue of the Journal of General Internal Medicine, just published, takes a look at primary care today. (2017-03-24)

Public health-primary care testing has high uptake, doesn't identify hidden Hepatitis C
Public health-primary care testing has high uptake, doesn't identify hidden Hepatitis C. (2018-01-09)

Report examines origins and nature of 'math anxiety'
A report out today examines the factors that influence 'math anxiety' among primary and secondary school students, showing that teachers and parents may inadvertently play a role in a child's development of the condition, and that girls tend to be more affected than boys. (2019-03-13)

Driver gene heterogeneity is minimal among untreated metastases
The growth of different metastatic lesions within an individual cancer patient is driven by the same genetic mutations, a new study reports. (2018-09-06)

Primary care physicians nationwide face clinical ethical conflicts with religious hospitals
Nearly 1 in 10 primary care physicians has experienced a conflict with a religiously-affiliated hospital or practice over religious policies for patient care. Most feel that when clinical judgment conflicts with religious hospital policy, physicians should refer patients to another institution. (2010-04-09)

Contacts with primary care physicians did not increase after the Affordable Care Act
At the same time the Affordable Care Act increased the number of insured Americans, analysis of health care industry data shows a continued decline in contact with primary care physician services. (2019-11-12)

Ablation of atrial fibrillation improves quality of life more than drugs (CAPTAF)
Ablation of atrial fibrillation improves quality of life more than drugs, even though the reduction in atrial fibrillation burden did not differ significantly between treatments, according to late-breaking results from the CAPTAF trial presented today in a Hot Line Session at ESC Congress. (2017-08-29)

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