Primary Care Physical Therapy Practice Models.
J Orthop Sports Phys Ther. 2007;35(11):699-707
Authors: Murphy BP, Greathouse DG, Matsui I
The purpose of this paper is to provide a brief background on the concept of primary care physical therapy, describe 3 existing models of primary care physical therapy, explore their similarities and differences, and discuss the potential implications and opportunities for the profession. The programs at US Army medical facilities, Kaiser Permanente Northern California and the Department of Veterans Affairs Salt Lake City Health Care System, are presented by the author affiliated with each respective program. J Orthop Sports Phys Ther. 2005;35(11):699-707.
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Services production and patient satisfaction in primary care.
Health Policy. 2008 Jul 23;
Authors: Grytten J, Carlsen F, Skau I
CONTEXT: The institutional setting for the study was the primary physician service in Norway, where there is a regular general practitioner scheme. Each inhabitant has a statutory right to be registered with a regular general practitioner. There are large differences between physicians in service production. OBJECTIVE: We studied whether difference in services production between physicians has an effect on how satisfied patients are with the services that are provided. METHODOLOGY: Data about patient satisfaction were obtained from a survey of a representative sample of the population. We obtained data about how satisfied the respondents were with: waiting time to get an appointment, amount of time the physician spent with them, and to what extent they perceived that the physician took their medical problems seriously. The survey data were merged with data on service production for the primary physician that the respondent was registered with. Service production was measured as the number of consultations per person on the list. RESULTS: There was a positive and relatively strong association between the level of service production of the general practitioners and patient satisfaction with waiting time for a consultation. There was no association between the level of service production and the two other measures of patient satisfaction. CONCLUSION: The results provide evidence about one of several factors that should be taken into account when deciding on future health manpower policies with respect to primary physician services in Norway.
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Predicting lifetime mood elevation in primary care patients and psychiatric patients.
Nord J Psychiatry. 2008 Jul 11;:1-9
Authors: Poutanen O, Koivisto AM, Mattila A, Joukamaa M, Salokangas RK
Unipolar depression is undoubtedly the most common affective disorder, but recently the role of bipolar disorders has become more and more significant. The aim of the study was to improve the detection of mood elevations by careful anamnestic assessment, especially family history and psychosocial functional skills. A sample, screened for depression, of 430 primary care patients and 423 psychiatric patients aged 18-64 were interviewed in 1991-1992 using the Present State Examination. Anamnestic information was obtained by questionnaire and interview. Participants were re-contacted in 1998-1999. Experienced lifetime mood elevation was assessed in the follow-up study using the main criteria of the ICD-10 in a telephone interview by three research psychiatrists. Patient’s smoking, suicidality in the Hamilton Depression Scale (HAM-D), problems in making contact with the opposite sex when a teenager, and mental problems in either of the parents when the patient was </=15 years were associated with experienced lifetime mood elevation. Quick and easy questions about smoking and difficulties in making contact with the opposite sex may improve the detection of mood elevation.
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