Abstract:
:The primary care medical home continues to adapt by applying new research to population health approaches to care. With the discovery that life experiences trigger a chain of biologic events linked to chronic illnesses, the role of patient-centered multidisciplinary care teams becomes of paramount importance. Subsequently, mental health professionals are being incorporated into the primary care setting, using their skills in nontraditional models to customize care for each patient. This "integration" of primary care and unique mental health services engenders opportunity for enhanced clinical care, professional workforce development and support, more effective population health initiatives, and informed health care policy.
journal_name
Prim Carejournal_title
Primary careauthors
Dobbins MI,Thomas SA,Melton SL,Lee Sdoi
10.1016/j.pop.2016.01.003subject
Has Abstractpub_date
2016-06-01 00:00:00pages
177-90issue
2eissn
0095-4543issn
1558-299Xpii
S0095-4543(16)00015-4journal_volume
43pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract::The family practitioner has an important role in the detection of infants and young children with developmental delays. The physician may be the first or only professional in regular contact with infants and young children. Interpretation of a child's developmental status is best done with a clear understanding of the...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract::Rural populations have different demographics and health issues compared to their metropolitan counterparts, including higher mortalities from ischemic heart disease, chronic obstructive pulmonary disease, unintentional injuries, motor vehicle accidents, and suicide. Rural primary care physicians (PCPs) have a unique ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.09.003
更新日期:2017-03-01 00:00:00
abstract::Medical decision making (MDM) contains tools that can contribute to the skill and expertise of physicians. MDM is especially useful for primary care physicians. Practicing in this clinical world is practicing in a world of great uncertainty--the world in which many of these tools were designed to be useful. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1995-06-01 00:00:00
abstract::A problem-oriented algorithm is used to categorize skin eruptions in children into 10 morphologic groups, eliminating much of the difficulty and confusion of antiquated terms. This approach results in rapid differential diagnosis of common skin rashes in children. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract::Malignancies of the male genitourinary system make up a significant proportion of current urologic practice. The primary physician plays an important role in the early detection and referral of patients with these problems. Early treatment offers the best chance of disease control. It is encouraging that some of the m...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1989-12-01 00:00:00
abstract::The environment contains a huge array of allergens, primarily proteins or glycoproteins, to which the atopic individual may become sensitized. In situations of high exposure and highly reactive substances, even nonatopic individuals may develop allergic antibodies. The individual's response depends on the underlying i...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1987-09-01 00:00:00
abstract::Most travel medical care is provided by patients' primary care physicians; only 10% of international travelers visit a travel clinic. The main purposes for travel include vacationing, visiting friends and family, business, and for educational purposes. The purposes of the pretravel consultation are to estimate risk an...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.05.012
更新日期:2018-09-01 00:00:00
abstract::This article deals with common injuries to the elbow. Elbow anatomy is reviewed. Diagnosis and treatment of pronator syndrome,lateral epicondylitis (tennis elbow), radial tunnel syndrome, posterior interosseous nerve syndrome, medial epicondylitis (golfer's elbow), ulnar collateral ligament injury, cubital tunnel synd...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2004.11.001
更新日期:2005-03-01 00:00:00
abstract::The relationships between oral health conditions, dietary practices and nutritional status, and general health status in the older American are complex, with many interrelating factors. Just as inadequate nutrition can affect oral health, poor oral health status affects food choices and, thus, nutritional status. It i...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
abstract::Atopic dermatitis is a complex, chronic inflammatory skin disease. Affected individuals, particularly those with moderate to severe disease, often suffer from significant morbidity, such as sleep loss, skin infections, and school or work disruption. Treatment for these patients can be especially challenging. Restoring...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2007.09.006
更新日期:2008-03-01 00:00:00
abstract::Central sleep apnea (CSA) is characterized by the periodic occurrence of apnea caused by loss of ventilatory motor output. CSA is often discussed as a minor variant of obstructive sleep apnea.However, this view obscures the critical contribution of CSA as an important manifestation of breathing instability in a variet...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2005.02.003
更新日期:2005-06-01 00:00:00
abstract::The inventive physician may find ways of making releasing cuts or openings with existing shoes to alleviate points of pressure. Many patients will suffer misery of pressure in shoes without giving a thought to cutting them, or opening them to allow for more freedom of movement. Releasing cuts may be made along seams, ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1977-03-01 00:00:00
abstract::This article addresses two primary issues: partner violence and sexual assault. Partner violence refers to the infliction of harm by one intimate partner to the other, with the intention of causing pain or controlling the other's behavior. Sexual assault is sex without consent, obtained by force or threat. Sexual assa...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1997-03-01 00:00:00
abstract::An individual may present with a multitude of symptoms following an acute loss. Helping the patient go through the essential "grief work" may prevent prolonged and serious alterations in social adjustment as well as potential medical disease. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
abstract::The major differences that have been recognized between black and white hypertensives are primarily epidemiologic, with hypertension being more prevalent, having an earlier onset, and having more severe sequelae in the black population. The cause of the problem in both black and white people remains obscure, but it ap...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-09-01 00:00:00
abstract::This article discusses alternative therapies for secondary prevention and treatment of major cardiac disorders: congestive heart failure, hypertension, dyslipidemias, and peripheral vascular disease. The role of various therapies (eg, herbal and botanic preparations, supplements, mind/body interventions, other alterna...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2010.02.010
更新日期:2010-06-01 00:00:00
abstract::Decision rules help physicians make more accurate predictions about diagnosis, prognosis and response to treatment. In this article, guidelines for finding decision rules are outlined. A mnemonic is presented (Pre-Dic-TiVe) that assists physicians in evaluation of decision rules for clinical practice. A survey of deci...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1995-06-01 00:00:00
abstract::Psychiatric problems constitute one of the prime reasons for failure in levodopa therapy in Parkinson's disease. While a variety of symptoms may be seen, the levodopa itself does not produce a defined set of psychiatric symptoms. The single most important factor determining the psychiatric response to levodopa therapy...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1977-09-01 00:00:00
abstract::Heart failure (HF) often presents as dyspnea either with exertion and/or recumbency. Patients also experience dependent swelling and fatigue. Measurement of the left ventricular ejection fraction (LVEF) identifies HF patients who may respond to pharmacologic therapy and/or electrophysiologic device implantation. Angio...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2012.11.010
更新日期:2013-03-01 00:00:00
abstract::With the exception of the arthritis associated with rubella, acute wrist conditions have no pathognomonic physical findings. The primary physician can diagnose and treat the majority of wrist problems presented. Referral to a rheumatologist is necessary only when confronted with an anxious patient or an individual hav...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1977-06-01 00:00:00
abstract::Colorectal cancer causes significant morbidity and mortality in the United States. The incidence of colorectal cancer increases at age 50, approximately. Risk factors that have been identified include a personal history of colorectal cancer or adenomas, a family history of colon cancer or adenomas, inherited colorecta...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70059-2
更新日期:2001-09-01 00:00:00
abstract::Peptic ulcer disease is a common gastrointestinal disease whose management and treatment has changed dramatically over the last 25 years. Treatment of peptic ulcer disease has evolved from dietary modifications and antacids to gastric acid suppression with H2-receptor antagonists and proton pump inhibitors to eradicat...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70049-x
更新日期:2001-09-01 00:00:00
abstract::The various forms and manifestations of drug-induced liver disease depend on the operation and interaction of several potential factors. First, there is metabolism by the hepatic microsomal mixed-function oxidase (MFO) enzyme system, the most important component of which is cytochrome P-450. The microsomal membranes a...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1981-06-01 00:00:00
abstract::Overuse injuries are caused by intrinsic and extrinsic factors. Exercise exposes even the most subtle anatomic imperfections and extrinsic influences. Overuse that is not musculoskeletal in nature and new information pertaining to the role of bursae are discussed. Treatment philosophy is approached with an emphasis on...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-12-01 00:00:00
abstract::Medical management may be beneficial for certain types of cataracts, depending on the visual needs of the patient and concomitant ocular or systemic conditions. Surgical intervention and postoperative visual rehabilitation with the use of glasses or contact lenses has a high success rate, although the patient should b...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1982-12-01 00:00:00
abstract::Cancer is among the most preventable and the most curable of the major chronic life-threatening diseases. As the cancer burden grows, it is evident that new approaches must be developed to more effectively manage the disease. Given their unique role, primary care physicians and health workers are critically important ...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2009.04.008
更新日期:2009-09-01 00:00:00
abstract::A significant minority of patients and parents are vaccine hesitant, defined as having the desire to delay or defer immunizations despite easy access to vaccines. Vaccine hesitancy exists along a spectrum, from patients who are concerned but willing to accept the recommended vaccine schedule to those who wish to use a...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.05.010
更新日期:2020-09-01 00:00:00
abstract::Cost-effectiveness and cost containment are becoming increasingly more important in medicine as health care costs continue to rise and as public attention continues to focus on these costs. This article examines the major issues and terminology of cost-effectiveness and cost containment in the context of primary care....
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70265-7
更新日期:1996-03-01 00:00:00
abstract::Adolescents are often at higher risk for acquiring sexually transmitted infections (STIs). Medical providers should be alert for both asymptomatic and symptomatic STIs, and follow appropriate screening guidelines. Moreover, providers need to know how to best administer adolescent-friendly confidential care, treatment,...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.05.011
更新日期:2014-09-01 00:00:00
abstract::Vaccination is one of the most effective preventative health measures in modern times. It has positively affected the incidence and prevalence of a myriad of diseases, as well as improved both their morbidity and mortality. It is essential that health care providers understand the value of this intervention, promote c...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.10.007
更新日期:2019-03-01 00:00:00