Primary care

are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not? Pediatric sources of primary care can be in the provided in many different practice settings. From the conventional pediatrician’s office or primary care doctor’s offices to rural health clinics, community clinics, health departments, schools, and in some cases emergency departments or urgent care centers. According to…

Gender inequality is a prevailing issue in the U.S. healthcare system. As compared to men, women tend to have less access to the primary care, primarily due to economic factors. “Women are more likely than men to be poor, and within poor households, non-negotiable responsibilities and limited access to resources, including health care, have greater relative impact on the health and wellbeing of women than men” (Rogers, 2006). In some of the states where gender ratings are not banned, about 90…

The authors review primary care GME reform efforts through the lens of continuity, including the growing body of evidence that highlights the importance of longitudinal continuity between learners and supervisors for making competency judgments. The authors consider the challenges that primary care residency programs face in the wake of practice transformation to patient-centered medical home models and make recommendations to maximize the opportunity that these practice models provide. First,…

Laughlin reported the evolution of the nurse role in a primary care setting as a member of the treatment team for chronic illness. Laughlin summarized “the RN in the patient’s primary care setting is uniquely qualified to assess the broad spectrum of needs that patients with chronic conditions may present, and to determine, in partnership with the patient, a plan of action, coordinating other resources that may be beneficial” (p. 414). The author discusses the methods and outcomes of several…

treatment models, have shed consistent evidence that treating common mental disorders (such as depression or anxiety) in an integrated primary care settings can lead to better patient outcomes, including narrowing of the treatment gap, providing opportunities for reducing the stigma of mental health problems by not clearly identifying patients who are receiving mental health care (which is often the case if they attend specialist facilities such as psychiatric hospitals), and improving…

The United States health care system is facing an uncertain future characterized by a primary care workforce bottleneck, which poses a multitude of problems. The Affordable Care Act (ACA) has expanded access to insurance coverage for the previously uninsured and with an aging population, the shortage of primary care providers in the United States is increasing profoundly (Schwartz, 2012). In addition, the number of medical students entering primary care is significantly declining (Schwartz,…

population that are reflected to primary care shortage. The following areas are known officially as primary care Health Professional Shortage Areas (HPSAs). The area are states like Nebraska 1.4%, Mississippi 57.3%, but not only that to consider, almost half the states, it is estimated at least 20%. Our capital D.C has a shortage of 30%, this also shows that anywhere in the U.S are lacking physicians or there are shortage of physician as primary care provider. Primary care provider demands is…

HEALTH WORKERS IN PRIMARY HEALTH CARE G.Panova, B.Panova, N.Panov, N.Velichkova FMN-University, Goce Delcev''-Stip, Macedonia www.gordana.panova @ ugd.edu.mk Introduction: The medical ethics as an important part of clinical practice, and its application in practice in primary health care facilities. Aims: The ethical dilemma is part of everyday clinical practice in health institutions in R.Makedonija. Purpose the paper is to determine the existence of ethical dilemmas in primary care and use of…

Primary health care principles aims at promoting health equities, social justice and person-centred approach to care (Gargioni and Raviglione, 2009). The social determinants of health are circumstances that where people born, live, grow, age and work had an impact on their life expectancy and health outcomes (Gupta, 2004).This is reflected in Mrs Samira Azizi, a 56 year old with an Afghan cultural background living in the community that require a nursing care, particularly post-operative…

healthcare system issue of primary care physician shortage, the challenges that they face leading to this shortage, the implications on the whole system, and possible solutions. There is a huge shortage of primary care physicians in this country. Even as more and more medical schools in this country open and start accepting students, primary care has fallen out of the spotlight of US medical graduates, with only one in five graduates by 2017 expecting to go on to practice primary care (Shipman &…