Skip header and navigation

Refine By

3153 records – page 1 of 316.

A 1-year follow-up of prescribing patterns of analgesics in primary health care.

https://arctichealth.org/en/permalink/ahliterature224422
Source
J Clin Pharm Ther. 1992 Feb;17(1):43-7
Publication Type
Article
Date
Feb-1992
Author
R. Ahonen
H. Enlund
V. Pakarinen
S. Riihimäki
Author Affiliation
Department of Social Pharmacy, University of Kuopio, Finland.
Source
J Clin Pharm Ther. 1992 Feb;17(1):43-7
Date
Feb-1992
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Analgesics
Drug Prescriptions - statistics & numerical data
Female
Finland
Humans
Male
Middle Aged
Primary Health Care - trends
Abstract
The prescription of analgesics and anti-inflammatory drugs (analgesics) was studied using computerized patient records from a Finnish health centre with a population base of some 27,000 inhabitants. A random sample of every fifth patient visiting the health centre in 1986 was chosen. This study sample consisted of 4,577 patients with 17,021 physician contacts and altogether 14,035 prescriptions during the 1-year follow-up: of these analgesics comprised 14.8%. The proportion of the study population who received at least one analgesic prescription was 23 +/- 1.2% (95% CI). The use of physician contacts as a base revealed 10.7 +/- 0.5% (95% CI) of the contacts with an analgesic prescription. The exposure to analgesics among males increased with age from 17% for those aged 15-34 years to 34% for those aged 75 years or more. Among women, exposure to analgesics increased from 17% (15-34 years) to 41% (75 years or more). Most of patients who received analgesic prescriptions were incidental users (one or two analgesic prescriptions per year). Only 4% of women and 3% of men were categorized as heavy users of analgesics (seven or more analgesic prescriptions per year). The proportion of heavy users increased with age and was highest in the oldest age-group (75 years or more). In order to make informed policy judgements about drug use in society, we need routine sales statistics and patient-specific drug-use data such as those presented in this paper.
PubMed ID
1548311 View in PubMed
Less detail

[2d Report from Sandnes: psychiatric home nursing a gain for primary health care].

https://arctichealth.org/en/permalink/ahliterature246570
Source
Sykepleien. 1979 Dec 5;66(19):12-5
Publication Type
Article
Date
Dec-5-1979
Source
Sykepleien. 1979 Dec 5;66(19):12-5
Date
Dec-5-1979
Language
Norwegian
Publication Type
Article
Keywords
Community Mental Health Services
Home Care Services
Humans
Norway
Primary Health Care
Psychiatric Nursing
PubMed ID
260372 View in PubMed
Less detail
Source
Sygeplejersken. 1988 Feb 24;88(8):4-7
Publication Type
Article
Date
Feb-24-1988

[6-hour workday--consequences for nursing services].

https://arctichealth.org/en/permalink/ahliterature238956
Source
Sykepleien. 1985 Apr 3;72(7):18-21, 34
Publication Type
Article
Date
Apr-3-1985

[8,500 patients in clinical trials. Experiences from a study in primary health care]

https://arctichealth.org/en/permalink/ahliterature54911
Source
Lakartidningen. 1994 Mar 23;91(12):1236-8
Publication Type
Article
Date
Mar-23-1994

A 10 year asthma programme in Finland: major change for the better.

https://arctichealth.org/en/permalink/ahliterature168103
Source
Thorax. 2006 Aug;61(8):663-70
Publication Type
Article
Date
Aug-2006
Author
T. Haahtela
L E Tuomisto
A. Pietinalho
T. Klaukka
M. Erhola
M. Kaila
M M Nieminen
E. Kontula
L A Laitinen
Author Affiliation
Skin and Allergy Hospital, Helsinki University Central Hospital, P O Box 160, FIN-00029 HUS, Finland. tari.haahtela@hus.fi
Source
Thorax. 2006 Aug;61(8):663-70
Date
Aug-2006
Language
English
Publication Type
Article
Keywords
Adult
Anti-Asthmatic Agents - therapeutic use
Asthma - economics - epidemiology - therapy
Child
Communication
Cost of Illness
Disabled Persons
Emergency Treatment - statistics & numerical data
Finland - epidemiology
Health Promotion - economics - organization & administration - trends
Hospitalization - statistics & numerical data
Humans
Incidence
Insurance, Disability - economics
Interprofessional Relations
National Health Programs - economics - trends
Pharmaceutical Services - standards
Primary Health Care
Program Evaluation
Smoking - epidemiology
Abstract
A National Asthma Programme was undertaken in Finland from 1994 to 2004 to improve asthma care and prevent an increase in costs. The main goal was to lessen the burden of asthma to individuals and society.
The action programme focused on implementation of new knowledge, especially for primary care. The main premise underpinning the campaign was that asthma is an inflammatory disease and requires anti-inflammatory treatment from the outset. The key for implementation was an effective network of asthma-responsible professionals and development of a post hoc evaluation strategy. In 1997 Finnish pharmacies were included in the Pharmacy Programme and in 2002 a Childhood Asthma mini-Programme was launched.
The incidence of asthma is still increasing, but the burden of asthma has decreased considerably. The number of hospital days has fallen by 54% from 110 000 in 1993 to 51 000 in 2003, 69% in relation to the number of asthmatics (n = 135 363 and 207 757, respectively), with the trend still downwards. In 1993, 7212 patients of working age (9% of 80 133 asthmatics) received a disability pension from the Social Insurance Institution compared with 1741 in 2003 (1.5% of 116 067 asthmatics). The absolute decrease was 76%, and 83% in relation to the number of asthmatics. The increase in the cost of asthma (compensation for disability, drugs, hospital care, and outpatient doctor visits) ended: in 1993 the costs were 218 million euro which had fallen to 213.5 million euro in 2003. Costs per patient per year have decreased 36% (from 1611 euro to 1031 euro).
It is possible to reduce the morbidity of asthma and its impact on individuals as well as on society. Improvements would have taken place without the programme, but not of this magnitude.
Notes
Cites: Eur Respir J. 1999 Aug;14(2):288-9410515403
Cites: BMJ. 1996 Mar 23;312(7033):762-68605467
Cites: Allergy. 2005 Mar;60(3):283-9215679712
Cites: N Engl J Med. 2005 Apr 14;352(15):1519-2815829533
Cites: BMJ. 2005 May 21;330(7501):1186-715849204
Cites: Thorax. 2005 Jul;60(7):545-815994260
Cites: Eur Respir J. 2000 Feb;15(2):235-710706483
Cites: Respir Med. 2000 Apr;94(4):299-32710845429
Cites: CMAJ. 1999 Nov 30;161(11 Suppl):S1-6110906907
Cites: Pediatr Allergy Immunol. 2000 Nov;11(4):236-4011110578
Cites: Eur Respir J. 2000 Nov;16(5):802-711153575
Cites: Am J Respir Crit Care Med. 2001 Aug 15;164(4):565-811520716
Cites: Thorax. 2001 Oct;56(10):806-1411562522
Cites: J Allergy Clin Immunol. 2001 Nov;108(5 Suppl):S147-33411707753
Cites: Eur Respir J. 2002 Aug;20(2):397-40212212973
Cites: Thorax. 2003 Feb;58 Suppl 1:i1-9412653493
Cites: Int J Tuberc Lung Dis. 2003 Jun;7(6):592-812797704
Cites: J Allergy Clin Immunol. 2004 Jul;114(1):40-715241342
Cites: Scand J Public Health. 2004;32(4):310-615370772
Cites: Am Rev Respir Dis. 1985 Apr;131(4):599-6063994155
Cites: N Engl J Med. 1991 Aug 8;325(6):388-922062329
Cites: N Engl J Med. 1994 Sep 15;331(11):700-58058076
Cites: Qual Health Care. 1994 Mar;3(1):45-5210136260
Cites: BMJ. 1996 Mar 23;312(7033):748-528605463
Cites: Eur Respir J. 2004 Nov;24(5):734-915516665
PubMed ID
16877690 View in PubMed
Less detail

A 10-year population-based study of people with multiple sclerosis in Stockholm, Sweden: use of and satisfaction with care and the value of different factors in predicting use of care.

https://arctichealth.org/en/permalink/ahliterature275585
Source
BMC Health Serv Res. 2015;15:480
Publication Type
Article
Date
2015
Author
Charlotte Chruzander
Sverker Johansson
Kristina Gottberg
Ulrika Einarsson
Jan Hillert
Lotta Widén Holmqvist
Charlotte Ytterberg
Source
BMC Health Serv Res. 2015;15:480
Date
2015
Language
English
Publication Type
Article
Keywords
Ambulatory Care - utilization
Disabled Persons - psychology - statistics & numerical data
Epidemiologic Methods
Female
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Multiple Sclerosis - epidemiology - psychology - therapy
Patient Acceptance of Health Care - psychology
Patient Satisfaction - statistics & numerical data
Primary Health Care - utilization
Sweden - epidemiology
Abstract
The national strategy for treatment of chronic diseases - including MS - and changes in the Swedish welfare system, call for analyses of the use of, and patient satisfaction with, care in a long-term perspective. The aim was therefore to explore the use of care and the predictive value of personal factors, disease-specific factors and functioning on the use of care and to explore patient satisfaction with care in a 10-year perspective.
Information regarding personal factors, disease-specific factors, functioning and satisfaction with care was collected by home-visits; use of care was collected from the Stockholm County Council computerised register.
Data from 121 people with MS (PwMS) was collected. Primary care accounted for the majority of all care. Neurology and Rehabilitation Departments together accounted for two-thirds of all hospital outpatient care. Rehabilitation Departments accounted for one-third of the total number of inpatient days. Lower coping capacity, impaired manual dexterity and activity of daily living dependency at baseline, together with progress in MS disability predicted a higher use of care. Overall, patient satisfaction with care was stable over time.
The extensive use of care offers challenges to care coordination. Implementation of person-centred care could be a strategy to increase efficacy/outcome of care.
Notes
Cites: J Neurol Sci. 2014 Apr 15;339(1-2):57-6324492009
Cites: Arch Phys Med Rehabil. 2000 Aug;81(8):1034-810943751
Cites: Scand J Rehabil Med. 2000 Dec;32(4):173-911201624
Cites: Med Care. 1978 Apr;16(4):327-36651398
Cites: Neurology. 1983 Nov;33(11):1444-526685237
Cites: Int Rehabil Med. 1985;7(4):176-814093249
Cites: J Neurol Neurosurg Psychiatry. 1987 Jun;50(6):714-93612152
Cites: Scand J Rehabil Med. 1991;23(4):193-2021785028
Cites: Soc Sci Med. 1993 Mar;36(6):725-338480217
Cites: Scand J Caring Sci. 1993;7(1):3-108502852
Cites: Neurology. 1996 Apr;46(4):907-118780061
Cites: J Pers Assess. 1996 Dec;67(3):588-978991972
Cites: Neurology. 1998 Jun;50(6):1594-6009633699
Cites: Md State Med J. 1965 Feb;14:61-514258950
Cites: Mult Scler. 2005 Jun;11(3):328-3715957516
Cites: Cochrane Database Syst Rev. 2006;(1):CD00443116437487
Cites: Mult Scler. 2006 Jun;12(3):340-5316764349
Cites: J Rehabil Med. 2006 Jul;38(4):230-616801205
Cites: Eur J Health Econ. 2006 Sep;7 Suppl 2:S75-8517310342
Cites: J Adv Nurs. 2007 Apr;58(1):11-2217394612
Cites: BMC Neurol. 2008;8:3618823543
Cites: Pharmacoeconomics. 2008;26(10):847-6018793032
Cites: Can J Neurol Sci. 2007 May;34(2):167-7417598593
Cites: J Neurol. 2008 Sep;255(9):1354-6018677639
Cites: Mult Scler. 2009 Jan;15(1):88-9518701570
Cites: Brain. 2009 May;132(Pt 5):1175-8919339255
Cites: J Manag Care Pharm. 2010 Nov-Dec;16(9):703-1221067256
Cites: J Neurol Sci. 2013 Sep 15;332(1-2):121-723896259
Cites: BMC Health Serv Res. 2013;13:36524074396
Cites: J Neurol Sci. 2013 Dec 15;335(1-2):42-724183855
Cites: J Med Philos. 2008 Jun;33(3):241-6118567905
Cites: Mult Scler. 2008 Aug;14(7):962-7118573818
PubMed ID
26499940 View in PubMed
Less detail

A 26-week, prospective, open-label, uncontrolled, multicenter study to evaluate the effect of an escalating-dose regimen of trandolapril on change in blood pressure in treatment-naive and concurrently treated adult hypertensive subjects (TRAIL).

https://arctichealth.org/en/permalink/ahliterature163832
Source
Clin Ther. 2007 Feb;29(2):305-15
Publication Type
Article
Date
Feb-2007
Author
Richard H Tytus
Ellen D Burgess
Linda Assouline
Anita Vanjaka
Author Affiliation
Hamilton Health Sciences, Hamilton, Ontario, Canada.
Source
Clin Ther. 2007 Feb;29(2):305-15
Date
Feb-2007
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Angiotensin-Converting Enzyme Inhibitors - administration & dosage - adverse effects - therapeutic use
Antihypertensive Agents - administration & dosage - adverse effects
Blood Pressure - drug effects
Calcium Channel Blockers - therapeutic use
Canada
Diuretics - therapeutic use
Dose-Response Relationship, Drug
Drug Administration Schedule
Drug Therapy, Combination
Female
Humans
Hypertension - drug therapy
Indoles - administration & dosage - adverse effects
Male
Middle Aged
Primary Health Care
Prospective Studies
Verapamil - therapeutic use
Abstract
This study evaluated the effectiveness of an escalating-dose regimen of trandolapril in subjects with stage 1 or stage 2 hypertension.
This was a 26-week, prospective, open-label,multicenter study in Canadian primary care centers. Subjects with hypertension who were treatment naive or whose disease was uncontrolled on current first-line antihypertensive monotherapy were treated with trandolapril for 26 weeks alone or in addition to their current treatment. Uncontrolled hypertension was defined as systolic/diastolic blood pressure (SBP/DBP) >or=140/90 mm Hg in subjects with no other risk factors or >or=130/80 mm Hg in subjects with diabetes or kidney disease. Trandolapril therapy was initiated at 1 mg/d and was titrated as required to 2 or 4 mg at 4 and 9 weeks after initiation of treatment, respectively, in those not achieving BP targets. At 14 weeks after treatment initiation, subjects not achieving BP targets could receive a combination of trandolapril 4 mg plus a calcium channel blocker (verapamil 240 mg) with or without a diuretic. Primary outcome was the percentage of patients reaching target BP after 14 weeks.
A total of 1683 subjects from 192 general practice clinics across Canada completed the 14-week trandolapril dose-optimization phase, and 1650 completed the full 26-week follow-up. Mean (SD) age was 56.6 (12.6) years, and 49.2% of the subjects were men. At baseline, 82.4% (1359/1650) of subjects were antihypertensive-treatment naive. At the trial end, 73.4% (95% CI, 70.9-75.9) of subjects achieved a target level of SBP/DBP
PubMed ID
17472822 View in PubMed
Less detail

A 54 year-old man with a chronic cough--A primary care perspective from Canada.

https://arctichealth.org/en/permalink/ahliterature120839
Source
Prim Care Respir J. 2012 Sep;21(3):342-3
Publication Type
Article
Date
Sep-2012
Author
Alan Kaplan
Author Affiliation
Family Physician Airways Group of Canada, Richmond Hill, Ontario, Canada. for4kids@gmail.com
Source
Prim Care Respir J. 2012 Sep;21(3):342-3
Date
Sep-2012
Language
English
Publication Type
Article
Keywords
Canada
Chronic Disease
Cough - etiology - therapy
Humans
Male
Middle Aged
Primary Health Care
PubMed ID
22964745 View in PubMed
Less detail

100 years after Alzheimer: contemporary neurology practice assessment of referrals for dementia.

https://arctichealth.org/en/permalink/ahliterature153508
Source
Am J Alzheimers Dis Other Demen. 2008 Dec-2009 Jan;23(6):516-27
Publication Type
Article
Author
Tiffany W Chow
Carin Binder
Steven Smyth
Sharon Cohen
Alain Robillard
Author Affiliation
Department of Medicine, Division of Neurology, University of Toronto, Toronto, Ontario, Canada.
Source
Am J Alzheimers Dis Other Demen. 2008 Dec-2009 Jan;23(6):516-27
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Canada
Dementia - diagnosis - psychology - therapy
Humans
Neurology - methods - statistics & numerical data
Physician's Practice Patterns
Practice Guidelines as Topic
Primary Health Care - methods - statistics & numerical data
Psychiatric Status Rating Scales - statistics & numerical data
Questionnaires
Referral and Consultation - standards - statistics & numerical data
Abstract
The prevalence of dementia is placing an increased burden on specialists.
Canadian neurologists responded to a structured questionnaire to assess reasons for referral and services provided as well as to compare the neurologists' perceptions of their practice characteristics against cases seen over a 3-month period.
The audit confirmed the participants' perception that family practitioners are the main referral source (358/453, 79%). Sixty-two percent of patients had undergone clinical investigation for dementia prior to being seen by the neurologist; 39% (177/453) were on pharmacotherapy at the time of referral, 68% were initiated on pharmacotherapy by the neurologist. A fifth of the referrals did not meet clinical criteria for dementia, which may be directly related to the prevalence of prior workup that did not include mental status testing.
Neurologists currently treat patients referred for dementia who may already have been adequately evaluated and treated by primary care providers.
Notes
Comment In: Am J Alzheimers Dis Other Demen. 2008 Dec-2009 Jan;23(6):513-519222144
PubMed ID
19106275 View in PubMed
Less detail

3153 records – page 1 of 316.