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Primary Healthcare Services

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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Addressing basic resource needs to improve primary care quality: a community collaboration programme.

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Patients with unmet basic resource needs, like affording healthcare and food, are more likely to have chronic conditions and use emergency services. Addressing these needs can improve healthcare quality.

Keywords:
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Area of Science:

  • Health Services Research
  • Public Health
  • Clinical Quality Improvement

Background:

  • Unmet basic resource needs (healthcare, food, housing) may negatively impact healthcare quality.
  • Interventions are limited by a lack of data on the prevalence and impact of these needs.
  • Understanding the link between resource needs, clinical conditions, and service use is crucial.

Purpose of the Study:

  • To investigate the prevalence of unmet basic resource needs in primary care patients.
  • To examine the association between unmet needs and priority clinical conditions (hypertension, diabetes, depression).
  • To explore the relationship between unmet needs and health service utilization patterns (emergency department visits, clinic no-shows).

Main Methods:

  • Cross-sectional study conducted in two urban academic primary care practices.
  • Patients screened for unmet needs and enrolled in a resource linkage program.
  • Data collected on unmet needs, priority clinical conditions, and service use patterns.

Main Results:

  • 416 patients reported unmet needs, compared to 2750 without.
  • Most common unmet needs: affording healthcare (46.5%), food (40.1%), and utilities (36.3%).
  • Patients with unmet needs showed higher rates of depression, diabetes, hypertension, frequent emergency department visits, and clinic no-shows.

Conclusions:

  • Difficulty affording healthcare and food are prevalent among patients with priority conditions.
  • Identifying and addressing unmet basic resource needs in routine care is vital for enhancing healthcare quality.
  • Integrating resource needs assessment into clinical practice can improve patient outcomes.