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This medical dissertation by Magnus Nord explores a proactive primary care model for older adults at high risk of hospital admission. It addresses the growing demographic of elderly individuals and their healthcare needs due to frailty. The research involves a pragmatic controlled trial in Sweden, utilizing a predictive model to identify high-risk patients and implementing comprehensive geriatric assessments (CGA) in primary care settings. The study demonstrates that this approach can reduce hospital care days and healthcare costs while maintaining patient quality of life. The introduction of the PASTEL assessment tool is highlighted as a valuable resource for healthcare professionals. The intended audience includes healthcare providers and policymakers focused on geriatric care and healthcare system improvements.
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This dissertation by Maria Fors explores best practice physiotherapy for patients with low back pain (LBP) in primary care. It examines clinical outcomes and explanatory factors through randomized controlled trials, focusing on pre-surgery physiotherapy for degenerative lumbar spine disorders and the BetterBack Model of Care. The research investigates the impact of physiotherapy on walking ability, quadriceps femoris strength, and physical activity levels. It also analyzes the role of illness perceptions, self-care enablement, and treatment expectations on recovery. The findings suggest that targeting patients' beliefs and expectations can enhance treatment efficacy. The dissertation is intended for medical professionals and researchers interested in physiotherapy and patient outcomes in primary healthcare settings.
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This book, titled 'Operational Framework for Primary Health Care: Transforming Vision into Action,' is a collaborative report by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF). It provides a comprehensive framework for strengthening primary health care systems globally. The book outlines strategic and operational mechanisms necessary for enhancing political commitment, governance, resource allocation, community participation, and collaboration with private sector providers. It also discusses digital health technologies, quality improvement systems, and surveillance and evaluation methods. The aim is to support countries in achieving universal health coverage and improving health outcomes. The intended audience includes policymakers, health care professionals, and organizations involved in health system strengthening.
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This book, 'Cadre opérationnel pour les soins de santé primaires: De l’ambition à l’action', provides a comprehensive operational framework for transforming the vision of primary health care into actionable strategies. Jointly published by the World Health Organization (WHO) and UNICEF in 2021, it details strategic levers such as political will, governance, financing, community participation, healthcare models, and quality improvement systems. The document is intended for policymakers, health care providers, and stakeholders involved in health care systems to strengthen primary health care globally. The framework builds on decades of WHO's work and includes contributions from various global health experts and stakeholders.
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This dissertation by Zlatica Rendek explores the diagnostic utility of faecal calprotectin (FC) in primary care settings, particularly for distinguishing between inflammatory bowel disease (IBD) and other organic diseases. The research examines the impact of non-steroidal anti-inflammatory drugs (NSAIDs) and proton pump inhibitors (PPIs) on FC levels, alongside the effects of respiratory infections. Key findings include the high negative predictive value of FC for ruling out IBD and the influence of medications like diclofenac and omeprazole on increasing FC levels. The work underscores the importance for physicians to accurately interpret FC test results to avoid unnecessary medical interventions. The intended audience includes medical professionals and researchers interested in gastrointestinal diagnostics.
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This report documents the technical consultation and country action planning meeting held by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) from July 22-26, 2019, in Addis Ababa. The meeting focused on integrated community case management (iCCM) to end preventable child deaths, addressing challenges and strategies to enhance child survival through primary health care. Attendees included government officials, experts, and partners from high-mortality and high-malaria burden countries. The report highlights the importance of national ownership, coordinated funding, and robust community health systems to reduce childhood morbidity and mortality.
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