Abstract:
BACKGROUND:The current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care and education, and that is why the Online Communication Tool between Primary and Hospital Care was created. This tool enables PC and non-GP specialist care (SC) professionals to raise clinical cases for consultation and to share information. The objective of this article is to explore healthcare professionals' views on communities of clinical practice (CoCPs) and the changes that need to be made in an uncontrolled real-life setting after more than two years of use. METHODS:A descriptive-interpretative qualitative study was conducted on a total of 29 healthcare professionals who were users and non-users of a CoCP using 2 focus groups, 3 triangular groups and 5 individual interviews. There were 18 women, 21 physicians and 8 nurses. Of the interviewees, 21 were PC professionals, 24 were users of a CoCP and 7 held managerial positions. RESULTS:For a system of communication between PC and SC to become a tool that is habitually used and very useful, the interviewees considered that it would have to be able to find quick, effective solutions to the queries raised, based on up-to-date information that is directly applicable to daily clinical practice. Contact should be virtual - and probably collaborative - via a platform integrated into their habitual workstations and led by PC professionals. Organisational changes should be implemented to enable users to have more time in their working day to spend on the tool, and professionals should have a proactive attitude in order to make the most if its potential. It is also important to make certain technological changes, basically aimed at improving the tool's accessibility, by integrating it into habitual clinical workstations. CONCLUSIONS:The collaborative tool that provides reliable, up-to-date information that is highly transferrable to clinical practice is valued for its effectiveness, efficiency and educational capacity. In order to make the most of its potential in terms of care and education, organisational changes and techniques are required to foster greater use.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Lacasta Tintorer D,Manresa Domínguez JM,Pujol-Rivera E,Flayeh Beneyto S,Mundet Tuduri X,Saigí-Rubió Fdoi
10.1186/s12875-018-0739-0subject
Has Abstractpub_date
2018-05-09 00:00:00pages
56issue
1issn
1471-2296pii
10.1186/s12875-018-0739-0journal_volume
19pub_type
杂志文章abstract:BACKGROUND:The purpose of this study was to evaluate the effectiveness of a patient education program developed to facilitate statin adherence. METHODS:A controlled trial was designed to test the effectiveness of a multifaceted patient education program to facilitate statin adherence. The program included a brief, in-...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-10-48
更新日期:2009-06-30 00:00:00
abstract:BACKGROUND:Care for overweight children in general practice involves collaboration with parents. Acknowledging the parents' frames of references is a prerequisite for successful management. We therefore aimed to analyse parental beliefs about the presumed causes and consequences of overweight in children and expectatio...
journal_title:BMC family practice
pub_type: 杂志文章
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更新日期:2013-10-11 00:00:00
abstract:BACKGROUND:Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigated pre-travel counselling in Saudi Arabia. This study aims to assess the knowledge, attitudes and pr...
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pub_type: 杂志文章
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更新日期:2020-09-24 00:00:00
abstract:BACKGROUND:Over 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aureus) antimicrobial resistance levels in community-dwelling persons. METHODS:The prevalence of an...
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abstract:BACKGROUND:Over the past years concerns are rising about the use of Evidence-Based Medicine (EBM) in health care. The calls for an increase in the practice of EBM, seem to be obstructed by many barriers preventing the implementation of evidence-based thinking and acting in general practice. This study aims to explore t...
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更新日期:2005-09-09 00:00:00
abstract:BACKGROUND:Frequent attenders (FAs) use a disproportionately large share of the resources of general practitioners (GPs) working in primary healthcare centres. The aim of this study was to estimate the proportion of FAs among all patients in the primary health care centres of a medium-sized city in Finland, and to exam...
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abstract:BACKGROUND:While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship, an interaction of bo...
journal_title:BMC family practice
pub_type: 杂志文章
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abstract:BACKGROUND:A variety of psychological interventions to treat depressive disorders have been developed and are used in primary care. In a systematic review, we compared the effectiveness of psychological treatments grouped by theoretical background, intensity of contact with the health care professional, and delivery mo...
journal_title:BMC family practice
pub_type: 杂志文章,meta分析,评审
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更新日期:2015-08-19 00:00:00
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pub_type: 杂志文章
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更新日期:2010-06-04 00:00:00
abstract:BACKGROUND:From 2015 to 2016 Germany faced an influx of 1.16 million asylum seekers. In the state of Hamburg Primary Care walk-in clinics (PCWC) were commissioned at refugee camps because the high number of residents (57,000 individuals) could not be provided with access to regular healthcare services. Our study aims w...
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更新日期:2020-09-21 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-7-11
更新日期:2006-02-24 00:00:00
abstract:BACKGROUND:International disease management guidelines recommend the regular assessment of depression and anxiety in heart failure patients. Currently there is little data on the effect of screening for depression and anxiety on the quality of life and the prognosis of heart failure (HF). We will investigate the associ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-14-180
更新日期:2013-11-27 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-03-24 00:00:00
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更新日期:2011-09-26 00:00:00
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更新日期:2020-11-20 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
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更新日期:2007-03-08 00:00:00