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Services de santé polyvalents - Informations médicales vérifiées

Access to Mental Health and Substance Use Treatment in Comprehensive Primary Care Plus.

01 Apr 2024

DOI: 10.1001/jamanetworkopen.2024.8519 PMID: 38669019

To meet increasing demand for mental health and substance use services, the Centers for Medicare & Medicaid Services launched the 5-year Comprehensive Primary Care Plus (CPC+) demonstration in 2017, r... To examine the association of CPC+ with access to mental health and substance use treatment before and during the COVID-19 pandemic.... Using difference-in-differences analyses, this retrospective cohort study compared adults attributed to CPC+ and non-CPC+ practices, from January 1, 2018, to June 30, 2022. The study included adults a... Receipt of care at a practice participating in CPC+.... Total cost of care and the number of primary care visits for evaluation and management, community mental health center visits, psychiatric hospitalizations, substance use treatment visits (residential... The 188 770 individuals in the sample included 102 733 adults (mean [SD] age, 49.5 [5.6] years; 57 531 women [56.4%]) attributed to 152 CPC+ practices and 86 037 adults (mean [SD] age, 51.6 [6.6] year... Findings of this cohort study suggest that individuals with an OUD who received care at a CPC+ practice filled more buprenorphine and anxiolytics prescriptions compared with patients who received care...

Humans Female Adult Male Middle Aged +14 autres

Sociodemographic disparities in postnatal care coverage at comprehensive health centers in Hamedan City.

2024

DOI: 10.3389/fpubh.2024.1329787 PMID: 39104884

Postnatal care (PNC) is a crucial component of continuous healthcare and can be influenced by sociodemographic factors. This study aimed to examine the sociodemographic disparities in PNC coverage in ... In this cross-sectional study, we utilized existing data recorded in the Health Integrated System of Hamedan City, located in Iran, from 2020 to 2021. The study population consisted of 853 women who w... Overall, 531 (62.3%) of the women received three postnatal visits. The absolute concentration index (ACI) indicates that women aged 20-35 years, illiterate women, housewives, insured individuals, and ... Postnatal care coverage among mothers was relatively adequate; however, sociodemographic inequalities existed in the utilization of PNC services. It is recommended that policymakers make efforts to in...

Humans Female Adult Cross-Sectional Studies Postnatal Care +8 autres

Strengthening Comprehensive Primary Health Care through Ayushman Bharat: Role of Demand and Supply-side Interventions.

01 Oct 2023

DOI: 10.4103/ijph.ijph_885_22 PMID: 38934822

Comprehensive primary health care (CPHC) is an effective way to respond to the challenges of changing epidemiology, growing population expectations, and universal health coverage. A set of demand and ... The study aimed to assess the early effects of interventions on the inputs, processes, and outputs for optimal implementation of the AyushmanBharat-HWC (AB-HWC) program.... Cross-sectional facility assessments were conducted using a standardized methodology at three time points to identify the changes in inputs and processes at subcenter-HWCs from 2019 to 2021. In additi... The difference-in-difference analysis indicated that the CPHC strengthening interventions in the model HWCs improved the mean number of people screened for noncommunicable diseases, mean newly diagnos... The success of the initiatives can be attributed to an integrated approach encompassing multistakeholder planning of interventions, community involvement, empowerment of service providers, and consist...

Humans Primary Health Care Cross-Sectional Studies India Comprehensive Health Care +2 autres

Comprehensive care for women victims of violence.

Sep 2024

DOI: 10.1590/1413-81232024299.08992023 PMID: 39194110

Violence against women is defined as any act resulting from gender relations that cause death or physical, sexual, psychological, property and moral harm. Comprehensive care requires professionals und...

Humans Female Comprehensive Health Care Gender-Based Violence Crime Victims

Comprehensive care for childhood obesity in Brazilian municipalities.

2024

DOI: 10.11606/s1518-8787.2024058005632 PMID: 39140515

To understand the potential and limits of care for childhood obesity from the perspective of comprehensiveness, in the context of Primary Health Care, in Brazilian municipalities.... A qualitative approach was adopted, with an electronic form of a dissertative nature being applied in 11 municipalities in the five Brazilian regions, derived from the four axes of comprehensiveness d... Among the strengths for comprehensive care, the following were observed: the provision of services at different levels of care; the relevance of intersectoral programs in the development of actions ai... The findings suggest that child obesity care practices, in order to be transformative, need to be understood in the context of comprehensiveness. And this includes (re)thinking public policies, profes...

Humans Brazil Pediatric Obesity Child Primary Health Care +3 autres

Comprehensive care programmes for children with medical complexity.

30 May 2024

DOI: 10.1002/14651858.CD013329.pub2 PMID: 38813833

Children with medical complexity (CMC) represent a small, but growing, proportion of all children. Regardless of their underlying diagnosis, by definition, all CMC have similar functional limitations ... Our main objective was to assess the effectiveness of comprehensive care programmes that aim to improve care coordination and other aspects of health care for CMC and to assess whether the effectivene... We searched CENTRAL, MEDLINE, Embase, and CINAHL in May 2023. We also searched reference lists, trial registries, and the grey literature.... Randomised and non-randomised trials, controlled before-after studies, and interrupted time series studies were included. Studies that compared enrolment in a comprehensive care programme with non-enr... Two review authors independently extracted data, assessed the risk of bias in each included study, and evaluated the certainty of evidence according to GRADE criteria. Where possible, data were repres... We included four studies with a total of 912 CMC as participants. All included studies were randomised controlled trials conducted in hospitals in the USA or Canada. Participants varied across the inc... The findings of this review should be treated with caution due to the limited amount and quality of the published research that was available to be included. Overall, the certainty of the evidence for...

Humans Child Comprehensive Health Care Quality of Life Randomized Controlled Trials as Topic +10 autres

Comprehensive Care in the Fourth Trimester: A Guide for Nurses.

Dec 2024

DOI: 10.1016/j.cnur.2024.08.004 PMID: 39477562

Comprehensive care during the fourth trimester is crucial for the well-being of both birthing individuals and their infants. This period, which extends from birth to 12 weeks postpartum, involves sign...

Humans Female Pregnancy Comprehensive Health Care Postnatal Care +1 autres

Integrated group antenatal and pediatric care in Haiti: A comprehensive care accompaniment model.

2024

DOI: 10.1371/journal.pone.0300908 PMID: 38995942

The J9 Plus (J9) maternal-child accompaniment program is based on four pillars: group antenatal care (GANC), group pediatric care, psychosocial support, and community-based care. We aimed to evaluate ... We conducted a convergent mixed methods study of maternal-newborn dyads born in 2019 at Hôpital Universitaire de Mirebalais. Quantitative data was collected retrospectively to compare dyads receiving ... Antenatal care attendance was significantly higher among women in J9 (n = 524) compared to usual care (n = 523), with 490(93%) and 189(36%) having >4 visits, respectively; p <0.001, as was post-partum... Compared to usual care, the J9 Plus maternal-child accompaniment model of care is associated with increased engagement in antenatal and postpartum care, increased utilization of post-partum family pla...

Humans Female Haiti Pregnancy Prenatal Care +8 autres

The implementation and impacts of the Comprehensive Care Standard in Australian acute care hospitals: a survey study.

11 Jul 2024

DOI: 10.1186/s12913-024-11252-0 PMID: 38992627

Comprehensive care (CC) is becoming a widely acknowledged standard for modern healthcare as it has the potential to improve health service delivery impacting both patient-centred care and clinical out... An online survey using a cross-sectional design that included Australian doctors, nurses, and allied health professionals in acute care hospitals was distributed through our research team and organisa... 864 responses were received and 649 were deemed valid responses. On average, care professionals self-reported a moderate level of knowledge of the CCS (median = 3/5) and a high level of confidence in ... Care professionals are confident in performing CC but need more organisational support. Further education and training, resources, multidisciplinary collaboration, and systems and processes that suppo...

Humans Cross-Sectional Studies Australia Male Female +6 autres

Comprehensive Geriatric Care in Older Adults: Walking Ability after an Acute Fracture.

29 05 2023

DOI: 10.3390/medsci11020040 PMID: 37367739

Comprehensive Geriatric Care (CGC) is a specific multimodal treatment for older patients. In the current study, we aimed to investigate walking performance after CGC in medically ill patients versus t... The timed up and go test (TuG), a 5-grade scale assessment (1 = no walking impairment to 5 = no walking ability at all) for evaluating individual walking ability was performed in all patients who unde... Out of 1263 hospitalized patients, 1099 underwent CGC (median age: 83.1 years (IQR 79.0-87.8 years); 64.1% were female). Patients with fractures (... CGC improved walking ability in more than half of all patients examined. Older patients in particular might benefit from undergoing the procedure after an acute fracture. A better initial functional s...

Humans Female Aged Aged, 80 and over Male +5 autres

Services de santé polyvalents : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Général 1

Contenu validé par Dr Olivier Menir

Sous-catégories

Soins dentaires complets

Démarche de soins infirmiers

Planification des soins du patient

Soins de santé primaires

Soins gradués

Évaluation des besoins en soins infirmiers

Recherche en soins infirmiers

Planification anticipée des soins

Prise en charge personnalisée du patient

Programme clinique

Continuité des soins

Soins centrés sur le patient

Diagnostic infirmier

Recherche clinique en soins infirmiers

Recherche en administration des services infirmiers

Recherche en enseignement des soins infirmiers

Recherche en évaluation des soins infirmiers

Recherche en méthodologie des soins infirmiers

Directives anticipées

Post-cure

Sortie du patient

Transfert de patient

Transition aux soins pour adultes

Soins de transition

Intervention-pivot

Testament de vie

Auteurs principaux

Sources (10000 au total)