Pub Date : 2022-01-11DOI: 10.1201/9780429084041-14
Stephen H. Gillam, A. Siriwardena, Martin Roland, Jennifer Dixon
Evaluating quality improvement interventions requires a variety of methods. These range from quantitative methods, such as randomised controlled trials, to quasi-experimental (controlled before-and-after and interrupted time series) and uncontrolled before-and-after studies, including clinical audits, to determine whether improvement interventions have had an effect. Qualitative methods are often also used to understand how or why an intervention was successful and which components of a complex or multifaceted intervention were most effective. Finally, mixed methods designs such as action research or case study methods are widely used to design and evaluate improvement interventions.
{"title":"Evaluating improvement.","authors":"Stephen H. Gillam, A. Siriwardena, Martin Roland, Jennifer Dixon","doi":"10.1201/9780429084041-14","DOIUrl":"https://doi.org/10.1201/9780429084041-14","url":null,"abstract":"Evaluating quality improvement interventions requires a variety of methods. These range from quantitative methods, such as randomised controlled trials, to quasi-experimental (controlled before-and-after and interrupted time series) and uncontrolled before-and-after studies, including clinical audits, to determine whether improvement interventions have had an effect. Qualitative methods are often also used to understand how or why an intervention was successful and which components of a complex or multifaceted intervention were most effective. Finally, mixed methods designs such as action research or case study methods are widely used to design and evaluate improvement interventions.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"40 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79228292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This is the second in a series of articles about the science of quality improvement. Many quality improvement initiatives are aimed at improving the process of care and ensuring that high-quality care is delivered reliably. In this article, we explain why it is important to understand healthcare processes in order to improve them and how this can be achieved. We explain the use of logic models to determine what information to collect (from surveys, interviews, direct observations and other sources) and how to analyse this information (using techniques such as process maps, critical-to-quality trees, driver diagrams and cause-and-effect diagrams) to design more reliable and higher quality healthcare processes.
{"title":"Understanding processes and how to improve them.","authors":"A. Siriwardena, S. Gillam","doi":"10.1201/9780429084041-9","DOIUrl":"https://doi.org/10.1201/9780429084041-9","url":null,"abstract":"This is the second in a series of articles about the science of quality improvement. Many quality improvement initiatives are aimed at improving the process of care and ensuring that high-quality care is delivered reliably. In this article, we explain why it is important to understand healthcare processes in order to improve them and how this can be achieved. We explain the use of logic models to determine what information to collect (from surveys, interviews, direct observations and other sources) and how to analyse this information (using techniques such as process maps, critical-to-quality trees, driver diagrams and cause-and-effect diagrams) to design more reliable and higher quality healthcare processes.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"23 1","pages":"179-85"},"PeriodicalIF":0.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82537277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This is the fifth in a series of articles about the science of quality improvement. We examine the nature of healthcare commissioning and its role as a driver for quality improvement. We draw on evidence from previous forms of primary-care-led commissioning (PCLC) and consider how the quality of care might be improved through the processes of commissioning.
{"title":"Commissioning for quality improvement.","authors":"S. Gillam, A. Siriwardena","doi":"10.1201/9780429084041-6","DOIUrl":"https://doi.org/10.1201/9780429084041-6","url":null,"abstract":"This is the fifth in a series of articles about the science of quality improvement. We examine the nature of healthcare commissioning and its role as a driver for quality improvement. We draw on evidence from previous forms of primary-care-led commissioning (PCLC) and consider how the quality of care might be improved through the processes of commissioning.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"30 1","pages":"339-43"},"PeriodicalIF":0.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89951739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.36648/1479-1072.21.29.74
Akhila Sabbineni
Rising demand for emergency and imperative care services is well documented, as square measure the implications, as an example, emergency department (ED) state of affairs, inflated prices, pressure on services, and waiting times. Multiple factors are steered to clarify why demand is increasing, as well as associate degree aging population, rising range of individuals with multiple chronic conditions, and activity changes about however individuals like better to access health services. The aim of this systematic mapping review was to gather revealed analysis from imperative and emergency care settings to spot drivers that underpin patient choices to access imperative and emergency care.
{"title":"Clinically Unnecessary?? Use of Emergency Associate Degreed Imperative Care And Mistakes To Avoid Once About To An Imperative Care Clinics","authors":"Akhila Sabbineni","doi":"10.36648/1479-1072.21.29.74","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.74","url":null,"abstract":"Rising demand for emergency and imperative care services is well documented, as square measure the implications, as an example, emergency department (ED) state of affairs, inflated prices, pressure on services, and waiting times. Multiple factors are steered to clarify why demand is increasing, as well as associate degree aging population, rising range of individuals with multiple chronic conditions, and activity changes about however individuals like better to access health services. The aim of this systematic mapping review was to gather revealed analysis from imperative and emergency care settings to spot drivers that underpin patient choices to access imperative and emergency care.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84328442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.36648/1479-1072.29.4.48
Anupriya Katkam
{"title":"Health Risk Factor for Addiction of Smokeless Tobacco Among Teens","authors":"Anupriya Katkam","doi":"10.36648/1479-1072.29.4.48","DOIUrl":"https://doi.org/10.36648/1479-1072.29.4.48","url":null,"abstract":"","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80355134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.36648/1479-1072.21.29.96-97
Gowthami Bainaboina
In 2019, a clever respiratory ailment showed up in China and spread quickly however the country. Not really settled that the SARS–CoV-2 infection was the reason for the COVID-19 pandemic. Before the finish of 2020, pretty much every mainland was encountering the impacts of COVID-19. The infection caused wellbeing authorities trouble in deciding its course of transmission. They worked vigorously to find it was spread by means of respiratory drops. Froze purchasers cleared out defensive hardware like clinical veils and respirators, paying little heed to what was required. Fundamental workers and people on call were liable to huge scope individual defensive gear (PPE) deficiencies as wellbeing associations fortified their comprehension of COVID-19. Wellbeing associations distributed rules for the production of hand crafted face covers. Filtration proficiency, fit, and client propensities were totally addressed for their impact on the adequacy of a hand crafted veil. While research in regards to cover choices is continuous, plainly a few qualities do enormously further develop veil viability. Segments like a nose cut, twofold fabric layer, and espresso channel are accepted to build adequacy of some natively constructed veils. Eventually, any facial covering gives a simple hindrance to removed respiratory beads. This investigation audited face veil filtration efficiencies using material, plan attributes, and client inclinations in the extent of COVID-19. The discoveries of this examination inferred that filtration productivity of natively constructed veils isn't tantamount to respirators. Deficient veil fit and helpless client inclinations lead to an improve in probability of COVID-19 transmission.
{"title":"The Importance of Using of Face Masks By The General Population Against COVID-19 Crisis and The Benefits of Using Disposable Face Mask","authors":"Gowthami Bainaboina","doi":"10.36648/1479-1072.21.29.96-97","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.96-97","url":null,"abstract":"In 2019, a clever respiratory ailment showed up in China and spread quickly however the country. Not really settled that the SARS–CoV-2 infection was the reason for the COVID-19 pandemic. Before the finish of 2020, pretty much every mainland was encountering the impacts of COVID-19. The infection caused wellbeing authorities trouble in deciding its course of transmission. They worked vigorously to find it was spread by means of respiratory drops. Froze purchasers cleared out defensive hardware like clinical veils and respirators, paying little heed to what was required. Fundamental workers and people on call were liable to huge scope individual defensive gear (PPE) deficiencies as wellbeing associations fortified their comprehension of COVID-19. Wellbeing associations distributed rules for the production of hand crafted face covers. Filtration proficiency, fit, and client propensities were totally addressed for their impact on the adequacy of a hand crafted veil. While research in regards to cover choices is continuous, plainly a few qualities do enormously further develop veil viability. Segments like a nose cut, twofold fabric layer, and espresso channel are accepted to build adequacy of some natively constructed veils. Eventually, any facial covering gives a simple hindrance to removed respiratory beads. This investigation audited face veil filtration efficiencies using material, plan attributes, and client inclinations in the extent of COVID-19. The discoveries of this examination inferred that filtration productivity of natively constructed veils isn't tantamount to respirators. Deficient veil fit and helpless client inclinations lead to an improve in probability of COVID-19 transmission.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"294 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77172952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.36648/1479-1072.21.29.72
M. Masoumi
Scientists showed that they could concentrate every one of the qualities in the genome by erasing an alternate quality in every one of a gigantic populaces of cells, at that point seeing which cells multiplied under various conditions.
{"title":"CRISPR In Near Future.","authors":"M. Masoumi","doi":"10.36648/1479-1072.21.29.72","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.72","url":null,"abstract":"Scientists showed that they could concentrate every one of the qualities in the genome by erasing an alternate quality in every one of a gigantic populaces of cells, at that point seeing which cells multiplied under various conditions.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86434099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.36648/1479-1072.21.29.65
N. Nuthalapati
{"title":"A Study of Relationship Between Unsafe Concepts, Depression, Anxiety, Among People","authors":"N. Nuthalapati","doi":"10.36648/1479-1072.21.29.65","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.65","url":null,"abstract":"","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89392585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.36648/1479-1072.21.29.73
Gowthami Bainaboina
Physical therapy (PT), also known as physiotherapy, is one of the healthcare professions. Physical therapy is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, prognosis, patient education, physical intervention, rehabilitation, disease prevention and health promotion. Physical therapists are known as physiotherapists in many countries. Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives[1]. PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings. Electrodiagnostic testing (e.g., electromyograms and nerve conduction velocity testing) may also be used [2]. There are strong recommendations for the intensity and frequency of physical activity that everyone should aim to achieve throughout the lifespan to maintain health. Being active and keeping active are important whether one is young or old, able bodied or disabled, male or female. Physical activity and exercise not only maintain fitness, they also improve mental health. The NICE guidance [3], for professionals in the health service, local authorities and the voluntary sector, focuses on four methods of getting adults to be physically active: (i) Brief interventions – advice delivered by GPs and other nonhospital-based health professionals (ii) Exercise referral schemesreferral to a tailored physical activity programme (iii) Pedometers – use of a device to measure how far you have walked (iv) Walking and cycling schemes.
{"title":"The Role of Physiotherapist In Preventive Care","authors":"Gowthami Bainaboina","doi":"10.36648/1479-1072.21.29.73","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.73","url":null,"abstract":"Physical therapy (PT), also known as physiotherapy, is one of the healthcare professions. Physical therapy is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, prognosis, patient education, physical intervention, rehabilitation, disease prevention and health promotion. Physical therapists are known as physiotherapists in many countries. Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives[1]. PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings. Electrodiagnostic testing (e.g., electromyograms and nerve conduction velocity testing) may also be used [2]. There are strong recommendations for the intensity and frequency of physical activity that everyone should aim to achieve throughout the lifespan to maintain health. Being active and keeping active are important whether one is young or old, able bodied or disabled, male or female. Physical activity and exercise not only maintain fitness, they also improve mental health. The NICE guidance [3], for professionals in the health service, local authorities and the voluntary sector, focuses on four methods of getting adults to be physically active: (i) Brief interventions – advice delivered by GPs and other nonhospital-based health professionals (ii) Exercise referral schemesreferral to a tailored physical activity programme (iii) Pedometers – use of a device to measure how far you have walked (iv) Walking and cycling schemes.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"70 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79321917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.36648/1479-1072.21.29.100-101
Anupriya Katkam
Labor and the ensuing post pregnancy time frame is an intriguing and unique beneficial experience for some ladies. Be that as it may, it is additionally a period of incredible change, truly, intellectually and socially for moms, babies and families. While many moms and babies change through this time ordinarily, others think that it’s mind-boggling or foster huge medical problems that might endure for quite a long time subsequent to conceiving an offspring. For instance, up to half of ladies report sluggishness [1-3] and spinal pain while a critical extent portray migraines [1] perineal and cesarean injury torment [4]. Numerous ladies experience issues, for example, bosom engorgement, sore areolas, mastitis, post pregnancy tension, delayed draining and urinary parcel diseases.
{"title":"Optimizing of Postpartum Care that Effects on the New Mother??s Health and Infants in Primary Care","authors":"Anupriya Katkam","doi":"10.36648/1479-1072.21.29.100-101","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.100-101","url":null,"abstract":"Labor and the ensuing post pregnancy time frame is an intriguing and unique beneficial experience for some ladies. Be that as it may, it is additionally a period of incredible change, truly, intellectually and socially for moms, babies and families. While many moms and babies change through this time ordinarily, others think that it’s mind-boggling or foster huge medical problems that might endure for quite a long time subsequent to conceiving an offspring. For instance, up to half of ladies report sluggishness [1-3] and spinal pain while a critical extent portray migraines [1] perineal and cesarean injury torment [4]. Numerous ladies experience issues, for example, bosom engorgement, sore areolas, mastitis, post pregnancy tension, delayed draining and urinary parcel diseases.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80670850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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