Articles: community-health-services.
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Preventive medicine · Jun 2019
Multicenter StudyThe association between the receipt of primary care clinician provision of preventive care and short term health behaviour change.
Primary healthcare services are recommended to provide preventive care to address chronic disease risk behaviours. However, all care elements are infrequently provided, and there is a need to understand the impact of partial care provision on behaviour change. This study examined the association between variable levels of preventive care receipt from primary care clinicians on short-term behaviour change for four risk behaviours. ⋯ Receipt of both assessment and advice increased the odds of behaviour change, compared to no care, for all behaviours except smoking, ranging from 2.32 (physical inactivity, 95% CI 1.60-3.35) to 2.83 (alcohol consumption, 95% CI 1.84-4.33). Receipt of 'assessment only' increased the odds of behaviour change, compared to no care, for inadequate fruit and/or vegetable consumption (OR = 2.40, 95% CI 1.60-3.59) and physical inactivity (OR = 2.81, 95% CI 1.89-4.17). Results highlight the importance of primary care clinicians providing best practice preventive care to maximise client behaviour change.
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Observational Study
[Every week counts: Use of health services and related costs of a community-based cohort of people with advanced chronic diseases].
To describe the use of health resources of people with advanced chronicity, quantifying and characterizing its cost to suggest improvements in health care models. ⋯ Consumption in intermediate hospitalization and primary care is more relevant than stays in acute care centers. Nursing-homes and home-care strategies are important to attend effectively and efficiently, especially when primary care teams get ready for it.
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Multicenter Study
Community-Designed Messaging Interventions to Improve Cost-of-Care Conversations in Settings Serving Low-Income, Latino Populations.
Little is known about how to promote cost-of-care conversations in health care settings. ⋯ Robert Wood Johnson Foundation.
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Community paramedicine (CP) leverages trained emergency medical services personnel outside of emergency response as an innovative model of health care delivery. Often used to bridge local gaps in healthcare delivery, the CP model has existed for decades. Recently, the number of programs has increased. However, the level of robust data to support this model is less well known. ⋯ Initial studies suggest benefits of the CP model; however, notable evidence gaps remain.