Keep primary health care personal!

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Keep primary health care personal!

In the fifties and sixties a rebirth for primary health care (PHC) took place in the United Kingdom and The Netherlands. New scientific journals started: the Journal of the College of GP's (now the British Journal of General Practice) in the UK and Huisarts en Wetenschap in The Netherlands. In 1966 in both countries reforms took place to reinforce General Practitioners within the health care sy...

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Flipping primary health care: A personal story.

There is considerable interest in ideas borrowed from education about "flipping the classroom" and how they might be applied to "flipping" aspects of health care to reach the Triple Aim of improved health outcomes, improved experience of care, and reduced costs. There are few real-life case studies of "flipping health care" in practice at the individual patient level. This article describes the...

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Keep it Simple? Predicting Primary Health Care Costs with Measures of Morbidity and Multimorbidity

In this paper we investigate the relationship between patients’ primary care costs (consultations, tests, drugs) and their age, gender, deprivation and alternative measures of their morbidity and multimorbidity. Such information is required in order to set capitation fees or budgets for general practices to cover their expenditure on providing primary care services. It is also useful to examine...

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Keep it simple? Predicting primary health care costs with clinical morbidity measures

Models of the determinants of individuals' primary care costs can be used to set capitation payments to providers and to test for horizontal equity. We compare the ability of eight measures of patient morbidity and multimorbidity to predict future primary care costs and examine capitation payments based on them. The measures were derived from four morbidity descriptive systems: 17 chronic disea...

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Structured personal diabetes care in primary health care affects only women's HbA1c.

OBJECTIVE Diabetic men and women differ in lifestyle and attitudes toward diabetes and may benefit differently from interventions to improve glycemic control. We explored the relation between HbA1c (A1C), sex, treatment allocation, and their interactions with behavioral and attitudinal characteristics in patients with type 2 diabetes. RESEARCH DESIGN AND METHODS Six years after their diabetes...

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ژورنال

عنوان ژورنال: International Journal of Integrated Care

سال: 2005

ISSN: 1568-4156

DOI: 10.5334/ijic.124