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Journal articles on the topic 'Preventative health care'

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Published: 10 December 2022
Last updated: 8 February 2024

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1

Restar, Arjee Javellana. "Gender-affirming care is preventative care." Lancet Regional Health - Americas 24 (August 2023): 100544. http://dx.doi.org/10.1016/j.lana.2023.100544.

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2

Schwardmann, Peter. "Motivated health risk denial and preventative health care investments." Journal of Health Economics 65 (May 2019): 78–92. http://dx.doi.org/10.1016/j.jhealeco.2019.01.005.

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3

Phillips, Lisa, Alison R. Yung, Narelle Hearn, Colleen McFarlane, Mats Hallgren, and Patrick D. McGorry. "Preventative Mental Health Care: Accessing the Target Population." Australian & New Zealand Journal of Psychiatry 33, no. 6 (December 1999): 912–17. http://dx.doi.org/10.1046/j.1440-1614.1999.00613.x.

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Objective: Preventative approaches to mental illness are becoming a focus of clinical and research settings. To date, however, few clinical programs have been established with this primary aim. This descriptive paper summarises patterns of referral to one service providing clinical care for young people known to be at high risk of developing a psychotic illness. Methods and results: A 20-month survey of referrals to the service revealed that most patients had a prolonged and circuitous route to assessment. Additionally, a lengthy time period elapsed between the onset of symptoms and initiation of help seeking. Conclusions: Information arising from this survey may influence the development of strategies to improve access to this service and others aimed at the prevention of psychosis. Further, this information may affect the development of generalised pre-ventative mental health services for young people.
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4

Hudson, Glyn. "Counsellors Within General Practice: Time and Need for Utilization, Credibility and Accreditation." Counselling Psychology Review 3, no. 1 (January 1988): 15–20. http://dx.doi.org/10.53841/bpscpr.1988.3.1.15.

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Ian Kennedy (1981) pointed out that for us to have a rational health care policy, we must concentrate much more on primary preventative medicine. He went on to suggest that if this meant that some aspects of modern curative health care must be neglected or abandoned, then that would be a necessary sacrifice. Sue Dowling (1983) believed that the Primary Health Care Team, and GPs in particular, hold the crucial key to future developments in preventative health care. Yet research has shown that not all GPs feel that prevention is necessarily better than cure. Preventative health care can take many forms; ranging from overt policies of screening for cervical cancer or hypertension, to more covert policies of hygiene education. But physical health is not the only criteria of good preventative medicine. Mental and emotional health and well-being are of equal importance. The use of counselling, in particular, as a preventative measure against potential neurotic or psychotic illness has been shown to be very effective, despite being infrequently used at the primary health care level. In 1985, I undertook a research project looking at the provision of preventative health care facilities offered in general practice in Bristol. The project looked at all preventative health care resources offered by each general practice within the sample. However, this paper will only concern itself with the findings relating to the mental well-being of the patients within the sample.
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5

Gambert, Steven R., Susan Liebeskind, and Daniel Cameron. "Lifelong Preventative Health Care for Elderly Persons with Disabilities." Journal of the Association for Persons with Severe Handicaps 12, no. 4 (December 1987): 292–96. http://dx.doi.org/10.1177/154079698701200406.

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Elderly persons with developmental disabilities are living longer, and a lifelong preventative aging program is essential to ensure a high quality of life during later years. Normal aging changes coupled with age-prevalent illness may lead to decreased physical functioning and increased dependency. Although normal aging is not preventable, these changes must not be accelerated; diseases must be noted early and treated promptly. This article proposes a lifelong preventative aging program for persons with developmental disabilities.
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6

Eden, Kristen, Michelle Mann, Gina Miller, and Sam Abraham. "Health Literacy and Use of Preventative Care of Female Undergraduate Nursing vs. Non-Nursing Students." International Journal of Studies in Nursing 3, no. 1 (November 3, 2017): 22. http://dx.doi.org/10.20849/ijsn.v3i1.230.

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Background: Health literacy and use of preventative care are important aspects of health care. Health literacy, or the ability to understand basic medical knowledge, affects a person’s understanding and use of preventative health care. Aim: This study was designed to investigate the perception of health literacy and use of preventative care resources by female undergraduate college students. Method: This is a quantitative, non-experimental descriptive research study with a cross-sectional design. A 30-item demographic yes or no and a Likert-type scale was used to survey 62 female college students living in a dormitory. The goal was to discover if additional education is needed to obtain optimal utilization of health care resources for this population. Result: Surveying the undergraduate nursing and non-nursing students helped raise awareness of health literacy of the female students. Conclusion: Understanding the use of preventative care resources by this population may influence the way nursing interventions are formulated.
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7

Reindl Benjamins, Maureen, and Carolyn Brown. "Religion and preventative health care utilization among the elderly." Social Science & Medicine 58, no. 1 (January 2004): 109–18. http://dx.doi.org/10.1016/s0277-9536(03)00152-7.

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8

Armitage, Richard. "Misrepresentations of evidence in “gender-affirming care is preventative care”." Lancet Regional Health - Americas 24 (August 2023): 100567. http://dx.doi.org/10.1016/j.lana.2023.100567.

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9

Forhan, Mary, and Chris Ferguson. "Preventative Care 2020: A Workshop to Design the Ideal Experience to Engage Patients with Obesity in Preventative Health Care." Canadian Journal of Diabetes 39 (April 2015): S11—S12. http://dx.doi.org/10.1016/j.jcjd.2015.01.054.

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10

Quinlan, Claire, Samantha Brady, Sophia Ashebir, Alexa Balmuth, Lisa D’Ambrosio, and Joseph Coughlin. "CAREGIVERS & COLONOSCOPIES: A QUANTITATIVE COMPARATIVE STUDY OF CAREGIVERS’ PREVENTATIVE HEALTH BEHAVIORS." Innovation in Aging 7, Supplement_1 (December 1, 2023): 999. http://dx.doi.org/10.1093/geroni/igad104.3211.

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Abstract That many caregivers experience some degree of burden is well-established, but little research has investigated the association of burden on caregiver preventative health behaviors. A lack of adherence to these behaviors, including to recommended colonoscopy and mammography screenings, routine vaccinations, annual clinic visits, and HIV testing, may portend worsening health outcomes for family caregivers if diseases are left undetected or untreated; such outcomes could also be caused by and contribute to the crisis of lack of care to meet demand. Survey questionnaires (N=326) were completed by 214 current caregivers and 112 former caregivers from the national MIT AgeLab Caregiver Panel. Respondents predominately identified as white (88%) and female (83%), with a median age of 40-49 years old. Questions assessed caregiving intensity, health status, reported caregiving burden, and adherence to preventative health screenings and vaccinations (per USPTF age- and gender-based recommendations). Among all caregivers, just 17% reported that they were up-to-date with appropriate preventative health screenings. Current caregivers were less likely than previous caregivers to be up-to-date. Controlling for age, income level, and health status, caregiving intensity (as measured by hours per week) was an independent predictor of adherence to preventative health screenings. These findings suggest that current caregivers who are providing high-intensity care are less likely to be engaging in preventative health behaviors for themselves. This finding is concerning for the future health of these caregivers as well as their care recipients and highlights the need for primary care preventative health initiatives specifically targeting family caregivers.
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11

Hambright, Greg, Vaidehi Agrawal, Phillip L. Sladek, Suzanne M. Slonim, and Michael S. Truitt. "Acute care surgery: trauma, critical care, emergency general surgery … and preventative health?" American Journal of Surgery 212, no. 5 (November 2016): 803–6. http://dx.doi.org/10.1016/j.amjsurg.2016.07.006.

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12

Mullan, Leanne, Karen Wynter, Andrea Driscoll, and Bodil Rasmussen. "Preventative and early intervention diabetes-related foot care practices in primary care." Australian Journal of Primary Health 26, no. 2 (2020): 161. http://dx.doi.org/10.1071/py19183.

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The aim of this study was to identify current preventative and early intervention diabetes-related foot care practices among Australian primary care healthcare professionals. A survey was developed to obtain information about preventative and early intervention foot care actions, priorities of care, access and referral to expert multidisciplinary foot care teams and adherence to best-practice diabetes-related foot care recommendations. The survey was distributed to GPs and Credentialled Diabetes Educators (CDEs). Surveys were completed by 10 GPs and 84 CDEs. Only 45% of all respondents reported removing the shoes and socks of their patients with diabetes at a consultation. Eighty-one percent of participants reported having access to specialist multidisciplinary foot care teams. Those in urban settings were significantly more likely to report access than those in rural areas (P=0.04). Median scores indicated that participants did not often utilise specialist teams to refer patients with diabetes-related foot ulceration and Charcot’s neuroarthropathy. Only 16% of participants reported having access to specialist foot care telehealth services; patients with diabetes-related foot ulceration and Charcot’s neuroarthropathy were rarely referred to these services. This study is the first Australian study to elicit information about preventative and early intervention diabetes-related foot care practices by GPs and CDEs working in Australian primary care. In the presence of acute diabetes-related foot complications, primary healthcare practitioners are not always adhering to best practice foot care recommendations. Further studies are required to understand the reasons for this and ensure evidence-based best practice foot care delivery to people with diabetes.
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13

Babatunde-Sowole, Olutoyin O., Tamara Power, Patricia M. Davidson, Michelle DiGiacomo, and Debra Jackson. "Health screening and preventative health care in refugee women: A qualitative analysis." Contemporary Nurse 56, no. 1 (January 2, 2020): 62–79. http://dx.doi.org/10.1080/10376178.2020.1739543.

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14

Georgakopoulos, Nicholas. "An Insurance Structure to Encourage Investment in Preventative Health Care." University of Michigan Journal of Law Reform, no. 46.2 (2013): 477. http://dx.doi.org/10.36646/mjlr.46.2.insurance.

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The incentives for investments in Americans' health are poorly aligned. Health insurers are not sufficiently motivated to invest for the long term. The structure of health insurance does not compensate insurers for investments in lasting health, such as measures preventing chronic disease. If an American changes insurers, the new insurer reaps the benefits of the good health the prior insurer's investment produced. This Essay explores insurers' incentives to invest in health, illustrates how those incentives fail, explores possible improvements, and shows that subsequent insurers should have an obligation to compensate the prior insurer for the averted expenses of expected diseases that did not emerge. This gives insurers the full incentive to prevent chronic disease while strengthening the incentives to develop cures.
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15

Aronson, Barbara S. "Enhancing Nursing Students??? Experiences With Health Promotion and Preventative Care." Nurse Educator 26, no. 4 (July 2001): 155–56. http://dx.doi.org/10.1097/00006223-200107000-00001.

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16

Wulff, Jerome, Zia Sadique, Richard Grieve, David Howell, Paul Mouncey, Dorothy Wade, Kathryn M. Rowan, and David A. Harrison. "Psychological outcomes following a nurse-led preventative psychological intervention for critically ill patients trial: Statistical and health economic analysis plan." Journal of the Intensive Care Society 19, no. 4 (January 29, 2018): 281–86. http://dx.doi.org/10.1177/1751143718755016.

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The Psychological Outcomes following a nurse-led Preventative Psychological Intervention for critically ill patients trial is a cluster-randomised controlled trial of the clinical and cost-effectiveness of a complex nurse-led preventative psychological intervention compared with usual care in reducing patient-reported post-traumatic stress disorder symptom severity, and other reported psychological morbidities, at six months among Level 3 (intensive care) patients in adult general critical care units in England, Wales and Northern Ireland. This paper describes the proposed statistical and health economic analyses for the Psychological Outcomes following a nurse-led Preventative Psychological Intervention for critically ill patients trial. It is important to complete and publish this plan before inspecting and locking the trial data to ensure that post hoc and data-derived decisions are avoided. Trial registration: ISRCTN53448131
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17

Mayberry, John. "Invited commentary on “Acute care surgery: trauma, critical care, EGS … and preventative health?”." American Journal of Surgery 212, no. 5 (November 2016): 807. http://dx.doi.org/10.1016/j.amjsurg.2016.07.028.

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18

Clark, Melanie J., and Khara’ A. Jefferson. "Improving Effective Preventative Care Within an Urban Working Population." Journal of Occupational & Environmental Medicine 62, no. 12 (October 22, 2020): 1097–103. http://dx.doi.org/10.1097/jom.0000000000002064.

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19

Hassan, Shukri A., Farah Mohamed, Najma Sheikh, Guiomar Basualdo, Nahom A. Daniel, Rahel Schwartz, Beyene Tewelde Gebreselassie, et al. "“They Wait until the Disease Has Taking over You and the Doctors Cannot Do Anything about It”: Qualitative Insights from Harambee! 2.0." International Journal of Environmental Research and Public Health 18, no. 23 (December 2, 2021): 12706. http://dx.doi.org/10.3390/ijerph182312706.

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African immigrants make up a large subgroup of Black/African-Americans in the US. However, because African immigrant groups are typically categorized as “Black,” little is known about their preventative healthcare needs. Differences in culture, life and healthcare experiences between African immigrant populations and US-born people may influence preventive health care uptake. Thus, policymakers and healthcare providers lack information needed to make informed decisions around preventive care for African immigrants. This formative study was conducted among the largest East African immigrant communities in King County, WA. We recruited religious leaders, community leaders, health professionals, and lay community members to participate in thirty key informant interviews and five focus group discussions (n = 72 total), to better understand preventative healthcare attitudes in these communities. Through inductive coding and thematic analysis, we identified factors that impact preventative healthcare attitudes of the Somali, Ethiopian and Eritrean immigrant communities and deter them from accessing and utilizing healthcare. Cultural beliefs and attitudes around preventative healthcare, mistrust of westernized healthcare, religious beliefs/views, intersecting identities and shared immigrant experiences all influence how participants view preventative healthcare. Our results suggest that interventions that address these factors are needed to most effectively increase uptake of preventative healthcare in African immigrant communities.
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20

Camp, Janella, Laura Bernstein, and Julie Hicks Patrick. "WOMEN’S HEALTH: PARADOXICAL HEALTH DISPARITIES AMONG ASIAN AMERICAN WOMEN." Innovation in Aging 6, Supplement_1 (November 1, 2022): 787–88. http://dx.doi.org/10.1093/geroni/igac059.2845.

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Abstract Asian Americans are among the fastest growing ethnic minority groups in the U.S (Budiman & Ruiz, 2017), but women’s healthcare is understudied. This may allow potential health disparities to go unnoticed. Our study aims to determine whether Asian American women are utilizing preventative health care services and to examine relations with self-reported health. We used data from a national sample of American women (Nf 58,934; mean age = 47.3 years; range 18 to 80+) from the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data of the Centers for Disease Control and Prevention (CDC). We examined the recency of receiving a PAP smear, a mammogram, and the HPV test, along with subjective assessments of health. Asian American women reported less recent PAP smears, mammograms, and HPV tests, relative to their counterparts. However, Asian American women reported better general and physical health than non-Asian American women. To examine whether Asian American status contributed to health reports above and beyond that accounted for by the preventative tests and age, we conducted a 3-step hierarchical regression. Even after controls, Asian American status accounted for unique variance in health outcomes [F (1, 58,928) = 36.51, p < .001]. Post hoc exploratory analyses further examine the role of race in women’s preventative health care. Our findings indicate that Asian American women report less use of medical services, but better general and physical health. These results suggest that further studies are needed to explore other health behaviors that may account for better health reports among Asian American women.
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Khoury, Zana, Mariam Maloyan, Kathleen Conroy, and Alexandra Epee-Bounya. "Improving delivery of preventative care services using population management strategies." BMJ Open Quality 11, no. 2 (May 2022): e001695. http://dx.doi.org/10.1136/bmjoq-2021-001695.

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BackgroundConsistent and timely delivery of comprehensive preventative care services is a challenge, particularly in underserved patient populations. Previous quality improvement (QI) research has focused on the development of bundled measures of preventative services delivery, but these bundles have not been studied on a population level. We aimed to improve preventative care service delivery on a clinic population level through the use of a bundled measure that includes immunisations, lead screening and use of screening tools among underserved patients under 2 years old.MethodsA QI study was conducted at a community-based academic primary care clinic. A population-level bundled measure was adapted from an existing tool. We used plan–do–study–act cycles to optimise results and tracked bundle outcome rates using a p-type statistical process control chart. Interventions included (1) staff education on measure components, (2) introduction of exam room-based phlebotomy to address lead screening completion rates and (3) population management strategies, including development of a patient registry and use of reminders and visit tracking to increase attendance at well-child visits.ResultsThe percent of bundle completion by 14 months of age increased from a baseline of 58%–77% following implementation of the QI initiatives. A mean shift was identified after the population manager began proactive targeted outreach for the 12-month visit.ConclusionTargeted systems for outreach aimed at bringing patients into the clinic and patient-centred strategies for visit completion are effective at ensuring timely delivery of comprehensive preventative care to an underserved paediatric population.
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Bhanu, Cini, Mary Elizabeth Jones, Kate Walters, Irene Petersen, and Claudia Cooper. "Routine health monitoring and preventative care for people with dementia in UK primary care." British Journal of General Practice 69, suppl 1 (June 2019): bjgp19X703097. http://dx.doi.org/10.3399/bjgp19x703097.

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BackgroundUK National Dementia Strategies prioritise fair access to dementia treatment for all. It has been shown that people from black and minority ethnic (BME) groups are diagnosed later and those are less likely to receive anti-dementia medication.AimIt is hypothesised that access to primary care services post diagnosis is also reduced in ethnic minority groups.MethodThe Health Improvement Network (THIN) database of UK primary care records was analysed between 2015 and 2016, all patients with dementia were identified, and health service use was compared. Annual GP consultations, blood pressure (BP), weight/body mass index (BMI), Quality and Outcomes Framework (QOF) dementia review, and flu vaccination recordings were compared between ethnic groups.ResultsOver 20 000 individuals with a dementia diagnosis aged 50–105 years were included. There was no significant difference between white, black, and Asian groups across all outcomes. Overall 80% received an annual BP check, 86% received at least one annual GP consultation, 68% received an annual dementia review, and 48% had a weight/BMI recorded. People with dementia who did not have cardiovascular risk factors were less likely to have their BP checked (59%) and be seen by a GP.ConclusionThere do not appear to be ethnic inequalities in primary care service use post-dementia diagnosis. The overall proportion receiving an annual dementia review and weight check was low, despite recommendations that a care plan should be reviewed annually (including nutrition as a key priority). Post-diagnosis support and preventative care should be prioritised in general practice for all people living with dementia.
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23

Gutierrez, Tim, Greg Hambright, Tahir Mustafa, Anthony Cahill, Vaidehi Agrawal, and Michael S. Truitt. "Acute Care Surgery: Trauma, Critical Care, Emergency General Surgery… Improved Compliance with Preventative Health?" American Surgeon 85, no. 1 (January 2019): 42–44. http://dx.doi.org/10.1177/000313481908500121.

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24

Artha, Ketut Ary Diana, Ketut Suarjana, and Pande Putu Januraga. "The provision of promotive and preventative healthcare services by private primary care physicians in the era of the national health insurance program." Public Health and Preventive Medicine Archive 5, no. 2 (December 1, 2017): 140. http://dx.doi.org/10.15562/phpma.v5i2.29.

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Background and purpose: In addition to their duties in addressing the curative and rehabilitative needs of the community, private primary care physicians (PCP) play an important role in providing promotive and preventative healthcare services. This study aims to determine the behaviours, enabling and inhibiting factors involved with the provision of promotive and preventative services by PCP in the era of national health insurance (JKN) implementation.Methods: This research is a mix method study using a combination of quantitative and qualitative approaches. Quantitative surveys were conducted with all PCPs already in working collaboration with the Social Security Administering Agency (BPJS) in the Denpasar City area (61 people). Data analysis techniques used descriptive techniques in order to explore the kinds of promotion and preventative services provided by PCPs. Qualitative research was conducted through in-depth interviews of 8 informants selected by purposive sampling and analyzed thematically to discover the enabling and inhibiting factors of the provision of promotive and preventative services by PCPs.Results: The results showed that 91.8% of PCPs did perform promotive and preventative services in their practice site. PCPs who did not carry out promotive and preventative services demonstrate perceptions, beliefs and motivations categorized as low and weak as well as attitudes that do not support the implementation of such services. Enabling factors of promotion and preventative services by PCPs, include among others, quality of facilities and infrastructure, the receipt of awards from BPJS and capitation systems that benefit physicians financially. Inhibiting factors include a low willingness of the patient to carry out doctor's advice, limitations in the PCPs work time and limited funds to perform preventative/promotive services.Conclusions: Promotive and preventative services are not being optimally carried out by PCPs in Denpasar. This is due to the low willingness of the patients, the limited time of the doctor, and the limited allocated funds for promotive and preventative services and low capitation.
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25

While, Alison E. "Falls and older people: preventative interventions." British Journal of Community Nursing 25, no. 6 (June 2, 2020): 288–92. http://dx.doi.org/10.12968/bjcn.2020.25.6.288.

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Falls among older people are a major public health challenge, because the sequelae of falls can be severe, both in terms of mental and physical health repercussions. Building on an earlier article that discussed the reasons why older people fall, this article describes the interventions that may help reduce falls among older people. Four interventions which could be applied within UK community settings, namely, the Otago programme, the falls management exercise programme, tai chi and home assessment and modification are outlined here. District nurses are well placed to contribute to a reduction in falls among older people by identifying those susceptible to fall risks among their clients and putting in place the necessary interventions to minimise them.
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Costantini, Hiroko. "UNDERSTANDING THE IMPACT OF CARE LITERACY ON PREVENTATIVE CARE: EVIDENCE FROM FAMILY CARERS IN JAPAN." Innovation in Aging 6, Supplement_1 (November 1, 2022): 556. http://dx.doi.org/10.1093/geroni/igac059.2102.

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Abstract To address the importance of family carers’ understanding of care, encompassing their own care as well as the broader care and health social systems, this paper leverages the notion of ‘care literacy’. The aim of this study is to understand the variation in care literacy and the impact of care literacy on preventative care. The empirical focus is on working family carers for older relatives in Japan, through a cross-sectional online survey that includes a novel operationalization of care literacy, established measure of health literacy, assessment of information used to understand care, and measures of preventative care. The participants’ (n = 292) mean age was 53, with 44% women, and an average of 8.3 hours per week caring for their parent(s). The measure of care literacy is shown to be correlated, as expected, but distinct to health literacy (correlation 0.60). Based on regression analysis of care literacy, significant explanatory variables are health literacy (p< 0.001), gender (p=0.044), number of sources of information on care (p=0.029), and care hours (p< 0.001). In contrast, proximity in living arrangements of carer and care receiver, and severity of care needs were not significant predictors. Turning to the impact of care literacy, care literacy is a significant explanatory variable for use of preventative measures (p=0.002), in particular related to nutrition (p< 0.001), frailty (p=0.028), dementia (p=0.090) and general home renovations (p=0.018). The pattern of results from this cross-sectional analysis indicates the importance of understanding the potential for improved care literacy as an enabler of better care.
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27

Bäckman, Guy. "Health Policy in Finland." International Journal of Technology Assessment in Health Care 4, no. 3 (July 1988): 375–84. http://dx.doi.org/10.1017/s0266462300000337.

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AbstractThis article surveys attempts by the Finnish government to plan and budget health care since the Primary Health Care Act of 1972. A national board of health allocates approved resources to local authorities who develop plans for preventative and primary health care and hospital services. The acquisition of expensive technologies are debated at the national level. The author presents studies which suggest that there is a considerable need for expansion of both diagnostic and therapeutic technologies in Finland. These adjustments will be necessary to meet the needs of an economically, socially, and demographically changing country.
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Rowe, Leanne. "1997 Awards for Innovation and Excellence in Primary Health Care - Direct Care: Clockwork Young People's Health Service." Australian Journal of Primary Health 3, no. 4 (1997): 109. http://dx.doi.org/10.1071/py97045.

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The Program: The Clockwork Young People's Health Service provides a youth health service for Geelong involving many local General Practitioners(GPs), a community health nurse, and a psychologist. The Service is situated in a youth culture venue (The Courthouse Project) in central Geelong which is close to youth workers employed by the City of Greater Geelong and to the youth information centre. The 'drop in' service provides free, long individual consultations, discussion of preventative health issues, emotional and physical health, and education. The target age group is between 12 and 24 years. The Program was implemented between 1995 and 1996 and consolidation has occurred in 1997.
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Pilusa, Sonti, Hellen Myezwa, and Joanne Potterton. "Exploring prevention and management of secondary health conditions in people with spinal cord injury in South Africa." International Journal of Therapy and Rehabilitation 28, no. 12 (December 2, 2021): 1–10. http://dx.doi.org/10.12968/ijtr.2021.0005.

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Background/Aims Preventative care for people with spinal cord injury is neglected, even though secondary health conditions are prevalent among this group. There is limited information on preventative care for secondary health conditions among people with spinal cord injury. This study aimed to explore how people with spinal cord injury prevent and manage secondary health conditions. Methods A total of 17 individuals with spinal cord injury attending an outpatients clinic at a public rehabilitation hospital were interviewed face to face. All the interviews were transcribed verbatim and analysed using thematic content analysis. Results The participants used different strategies to prevent and manage secondary health conditions, such as medication, assistive devices, self-management, resilience coping strategies and therapeutic approaches. The participants found prevention of secondary health conditions ‘challenging’ and some of the strategies were ineffective. Conclusions Although many strategies are used by people with spinal cord injury to prevent and manage secondary health conditions, the experience is difficult. To minimise the occurrence and the consequence of secondary health conditions among people with spinal cord injury, health professionals must promote and support preventative care for secondary health conditions.
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30

Frohlich, Norman, Randy Fransoo, and Noralou Roos. "Health Service Use in the Winnipeg Regional Health Authority: Variations across Areas in Relation to Health and Socioeconomic Status." Healthcare Management Forum 15, no. 4_suppl (December 2002): 9–14. http://dx.doi.org/10.1016/s0840-4704(10)60176-7.

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The use of healthcare services in Winnipeg is examined to determine whether groups who appear to have a higher need for medical care actually get more care. Despite universal coverage, considerable variation in service use rates exists. Most of the basic healthcare services are provided in accordance with need as measured by premature mortality rates. Nevertheless, visits to specialist physicians, a variety of high profile procedures, and screening and preventative services appear not to be provided in accordance with need.
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Hearld, Kristine R., Larry R. Hearld, Henna Budhwani, Deirdre McCaughey, Leandra Y. Celaya, and Allyson G. Hall. "The future state of patient engagement? Personal health information use, attitudes towards health, and health behavior." Health Services Management Research 32, no. 4 (June 25, 2019): 199–208. http://dx.doi.org/10.1177/0951484819845840.

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The past decade has given rise to interest in the effects of health care information on personal well-being. However, investigations to-date typically centered on mass communication programs in health rather than on individuals’ psychosocial characteristics, agency, and behaviors associated with their engagement with this information. Considering this gap, we examined whether the availability of personal health information is associated with health prevention behaviors in the United States. Using multivariable path analysis and data from the 2017 Health Information National Trends Survey, we investigate whether the use of personal health information is associated with positive, preventative health behaviors (healthy eating, tobacco smoking, and exercise), and if this relationship is mediated by patient confidence in their ability to care for themselves and by their self-perceived health status. Findings indicate that the use of health information, at low levels, is important for improving patient attitudes regarding their health status and confidence in caring for themselves. Perceived health-status and patient confidence, in turn, are associated with preventative health behaviors. Notably, too much information does not necessarily result in positive health behaviors among patients. Organizations may wish to critically assess how much information they make readily available to the populations they serve.
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Sklar, Jamie P., Eli Rapoport, Ruth Milanaik, and Andrew Adesman. "Preventative Dental Care Delivery in Children with Chronic Conditions." Pediatrics 146, no. 1_MeetingAbstract (July 1, 2020): 400. http://dx.doi.org/10.1542/peds.146.1ma5.400.

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Mann, Jennifer, Rachel Quigley, Desley Harvey, Megan Tait, Gillian Williams, and Edward Strivens. "OPEN ARCH: integrated care at the primary–secondary interface for the community-dwelling older person with complex needs." Australian Journal of Primary Health 26, no. 2 (2020): 104. http://dx.doi.org/10.1071/py19184.

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Optimal care of community-dwelling older Australians with complex needs is a national imperative. Suboptimal care that is reactive, episodic and fragmented, is costly to the health system, can be life threatening to the older person and produces unsustainable carer demands. Health outcomes would be improved if services (health and social) are aligned towards community-based, comprehensive and preventative care. Integrated care is person-focussed in outlook and defies a condition-centric approach to healthcare delivery. Integration is a means to support primary care, with the volume and complexity of patient needs arising from an ageing population. Older Persons Enablement and Rehabilitation for Complex Health Conditions (OPEN ARCH) is a targeted model of care that improves access to specialist assessment and comprehensive care for older persons at risk of functional decline, hospitalisation or institutionalised care. OPEN ARCH was developed with primary care as the central integrating function and is built on four values of quality care: preventative health care provided closer to home; alignment of specialist and generalist care; care coordination and enablement; and primary care capacity building. Through vertical integration at the primary–secondary interface, OPEN ARCH cannot only improve the quality of care for clients, but improves the capacity of primary care to meet the needs of this population.
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Makiling, Meryl, and Hiske Smart. "Patient-centred health educational intervention to empower preventative diabetic foot self-care." WCET Journal 39, no. 4 (December 2019): 32. http://dx.doi.org/10.33235/wcet.39.4.32-40.

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Potts, Bill. "The Role of Occupational Therapy in Industrial Rehabilitation and Preventative Health Care." World Federation of Occupational Therapists Bulletin 11, no. 1 (January 1985): 4–9. http://dx.doi.org/10.1080/14473828.1985.11785107.

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Perera, Nilushka, and Shade Agboola. "Are formal self-care interventions for healthy people effective? A systematic review of the evidence." BMJ Global Health 4, Suppl 10 (November 2019): e001415. http://dx.doi.org/10.1136/bmjgh-2019-001415.

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IntroductionPreventative interventions are shown to be effective in reducing 40% of the mortality due to unhealthy behaviours and lifestyles. Health-promoting self-care has been recognised as a promising strategy in preventative health. However, self-care research is being done around the self-management of chronic illnesses and the promotion of self-care practices among healthy populations has been overlooked by many healthcare systems.MethodThe study methodology was a systematic review with a narrative synthesis. The search was done through seven academic databases, reference tracking of selected articles and grey literature. The scoping, selection, screening and quality assessments of the articles were reviewed independently by two reviewers.ResultsSixteen studies met the inclusion criteria. Self-care behaviour, health-promotive lifestyle changes and medical care utilisation were some of the main outcomes evaluated in the studies. Positive effects were seen in increasing self-care and health-promotive behaviours in most interventions although limited or mixed impact was seen in health attitudes, beliefs and utilisation of medical services. Most studies were from high income settings with low-quality study designs. The complexity of the word ‘self-care’ and inconsistencies in the terminology used in health-promotive self-care were significant highlights of the study.ConclusionHealth-promoting preventative self-care interventions show promise in increasing the well-being of healthy people. However, the methodological drawbacks limit the generalisability of the findings. As the demand for self-care interventions increases, the lack of a formal globally accepted definition and framework and complexity of behaviour change are key limitations to consider moving forward.
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Stokes, Jeffrey E., Danielle A. Waldron, Jacquelin Sauer, and Emily Hartford. "HEALTH CARE ACCESS AND USE AMONG ADULTS AGING WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES." Innovation in Aging 7, Supplement_1 (December 1, 2023): 563–64. http://dx.doi.org/10.1093/geroni/igad104.1848.

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Abstract Adults with intellectual and developmental disabilities (IDD) are living longer than ever before, a testament to advancements in healthcare. However, adults with IDD face a number of challenges accessing healthcare, and particularly preventative healthcare targeted towards midlife and older adults, which have previously been far less utilized by adults aging with IDD. This study uses longitudinal data from the National Core Indicators In-Person Survey (NCI-IPS) to examine factors associated with adults with IDD’s utilization of two preventative healthcare measures specific to mid- and later life: mammograms and colonoscopies. Both mammogram and colonoscopy utilization exhibited curvilinear age trajectories, with usage increasing through ages 60 and 65 respectively, before decline at older ages. For both mammogram and colonoscopy utilization, living with family was associated with a 50% lower likelihood of utilization, while poor health, access to transportation, and community inclusion were associated with increased usage. For mammograms, participating in a community activity was also associated with increased utilization. Women with IDD were also about 25% less likely to receive a colonoscopy than men. Interestingly, the likelihood of receiving a mammogram dropped significantly in 2018-2019 compared to a decade prior, whereas the likelihood of receiving a colonoscopy increased over time. No racial/ethnic differences were found. Results highlight a number of factors associated with preventative healthcare use among the population of adults aging with IDD. These were similar for mammogram and colonoscopy utilization, and highlight the importance of living situation, transportation, and community engagement for adults with IDD’s access to preventive medicine.
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Mohiuddin, Abdul Kader. "Health Literacy: The Most Neglected Essential Human Quality." South Asian Research Journal of Applied Medical Sciences 5, no. 01 (February 16, 2023): 7–18. http://dx.doi.org/10.36346/sarjams.2023.v05i01.002.

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People must have particular personality traits and social resources, also known as health literacy, in order to access, comprehend, and use information to make decisions about their health. Patients' ability to engage in complex disease management and self-care is strongly related to their level of health literacy. It can help us stay healthy by preventing illness and effectively managing existing illnesses. People with low health literacy (LHL) may find it difficult to manage their condition and prevent illness, which may lead to increased use of healthcare services. Furthermore, LHL is associated with increased hospitalizations, increased use of emergency care, decreased use of preventative services, and a worsened ability to understand labels and health messages, a worsened state of health, higher mortality, and more expensive medical care.
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Hough, Tanya. "Evaluation Of Residential Services For Older Adults With Intellectual Disabilities/Developmental Disabilities Residing In The Community." Gerontology and Geriatric Medicine 6, no. 6 (December 31, 2020): 1–7. http://dx.doi.org/10.24966/ggm-8662/100076.

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People with intellectual disabilities/developmental disabilities in the United States are living longer in recent decades. People 65 and older are in better health than previous decades due to more awareness of the beneficial effects of a healthy diet, preventative medical care and physical exercise.
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Gillani, Braveheart, Prakash Ganesh, Shubham Gupta, Michelle Caster, George Matar, Gaetan Pettigrew, Rebecka Bracken, and Rachel Pope. "Transgender preventative healthcare-an exploratory study." International Journal Of Community Medicine And Public Health 9, no. 10 (September 28, 2022): 3633. http://dx.doi.org/10.18203/2394-6040.ijcmph20222550.

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Background: Transgender and gender diverse (TGGD) populations experience more health disparities than the general LGB (lesbian, gay, and bisexual) and the general cis-gender heterosexual population.Methods: A cross-sectional survey of preventative health screenings was done across the lesbian, gay, bisexual, and transgender (LGBT) population utilizing Qualtrics. Thirty-five (36%) transgender individuals and 63 (64%) cis-gender individuals were included in the analysis. Bivariate analyses were performed using Welch's t test for continuous variables and Fisher's exact or Pearson chi-square for categorical variables.Results: Cis-women were more likely than TGGD individuals with a cervix to have received a papanicolaou smear and reported being more up to date on cervical cancer screening via papanicolaou testing. Cisgender women were more likely to have had a mammogram than transgender men pre-breast removal. Of the 35 gender-diverse individuals, 14 did not have a PCP, 7 of whom never had one. Fear of discrimination, fear of misgendering, inability to pay, lack of provider knowledge about transgender issues and incongruency with current name and gender with the most common causes for avoiding health care. For the most part, respondents report that these factors cause distress.Conclusions: This study provides data regarding the statistically significant differences in preventative screening prevalence within TGGD clients as compared to LGB populations. Additionally, the study provides series of recommendations for preventative health screenings based upon organ set of individuals rather than gender identity.
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Penning, Margaret J., and Neena L. Chappell. "Self-Care in Relation to Informal and Formal Care." Ageing and Society 10, no. 1 (March 1990): 41–59. http://dx.doi.org/10.1017/s0144686x00007844.

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ABSTRACTThis paper examines the prevalence, inter-relationships and correlates of various forms of self, informal and formal care. Analyses of data drawn from a random sample of 743 non-institutionalised elderly individuals living in Winnipeg, Manitoba reveal similarities as well as differences among the three types of care. Self- and formal care are somewhat similar, being positively related and having similar correlates. Nevertheless, substitutability as a consequence of medical scepticism is also evident. Both are unrelated to informal care. It is poor health in the form of functional disability and the availability of support through the marital relationship which are the strongest correlates of informal care. In contrast, health (chronic conditions and perceived health status) as well as beliefs in the efficacy of both preventative health behaviours and medical services are among the strongest correlates of self- and formal care.
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Pizza, Lizette, Samuel Ronfard, John D. Coley, and Deborah Kelemen. "Why we should care about moral foundations when preparing for the next pandemic: Insights from Canada, the UK and the US." PLOS ONE 18, no. 5 (May 12, 2023): e0285549. http://dx.doi.org/10.1371/journal.pone.0285549.

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Health behaviors that do not effectively prevent disease can negatively impact psychological wellbeing and potentially drain motivations to engage in more effective behavior, potentially creating higher health risk. Despite this, studies linking “moral foundations” (i.e., concerns about harm, fairness, purity, authority, ingroup, and/or liberty) to health behaviors have generally been limited to a narrow range of behaviors, specifically effective ones. We therefore explored the degree to which moral foundations predicted a wider range of not only effective but ineffective (overreactive) preventative behaviors during the COVID-19 pandemic. In Study 1, participants from Canada, the United Kingdom, and the United States reported their engagement in these preventative behaviors and completed a COVID-specific adaptation of the Moral Foundations Questionnaire during the pandemic peak. While differences occurred across countries, authority considerations consistently predicted increased engagement in both effective preventative behaviors but also ineffective overreactions, even when controlling for political ideology. By contrast, purity and liberty considerations reduced intentions to engage in effective behaviors like vaccination but had no effect on ineffective behaviors. Study 2 revealed that the influence of moral foundations on U.S participants’ behavior remained stable 5-months later, after the pandemic peak. These findings demonstrate that the impact of moral foundations on preventative behaviors is similar across a range of western democracies, and that recommendations by authorities can have unexpected consequences in terms of promoting ineffective—and potentially damaging—overreactive behaviors. The findings underscore the importance of moral concerns for the design of health interventions that selectively promote effective preventative behavior.
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Kurani, Shaheen, Nilay Shah, and Michelle Lampman. "3211 Place, Poverty, and Prevention: A Mixed Methods Study." Journal of Clinical and Translational Science 3, s1 (March 2019): 152. http://dx.doi.org/10.1017/cts.2019.346.

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OBJECTIVES/SPECIFIC AIMS: Understand the association between ADI and completion of preventative cancer screening and high risk behaviors -Identify how to operationalize ADI in clinical settings to assist care teams and improve overall care delivery. METHODS/STUDY POPULATION: Aim 1: Paneled Mayo Clinic patients living in MN, IA, or WI Aim 2: BRFSS survey respondents from MN, IA, or WI Aim. 3: Community health officials and Mayo Clinic care teams. RESULTS/ANTICIPATED RESULTS: We anticipate that areas with greater composite deprivation will have lower completion rates of cancer screening and higher risk behaviors. DISCUSSION/SIGNIFICANCE OF IMPACT: No single body of work has illustrated how ADI relates to completion of preventative cancer screening and high-risk behaviors. Due to the limited research focused on area deprivation and behavioral health, our work will identify some of the first national hot spots with high deprivation and high-risk behaviors. Additionally, this is one of the first studies describing spatial variation in health outcomes for Mayo Clinic patients. Understanding the association between ADI and patient adherence to preventative screening will allow us to support care teams in providing personalized and sustainable care for patients living in areas of high deprivation. The strength and novelty of this project is in the utility of the mixed methods design, which provides a more complete understanding of geographic disparities and a unique perspective to patient care, a perspective that is not portrayed in existing literature.
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Balogh, Sándor, Renáta Papp, Csilla Busa, and Ágnes Csikós. "Role of health care professionals in preventative activities and vaccination programs during outbreaks." Acta Microbiologica et Immunologica Hungarica 63, no. 4 (December 2016): 365–72. http://dx.doi.org/10.1556/030.63.2016.014.

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Pandey, Nivedita, Henry H. Herrera, Christopher M. Johnson, Andrea A. MacCarthy, and Laurel A. Copeland. "Preventative care for patients with inflammatory bowel disease in the Veterans Health Administration." Medicine 95, no. 27 (July 2016): e4012. http://dx.doi.org/10.1097/md.0000000000004012.

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Mueller, Megan Kiely, Stephanie Chubb, Gregory Wolfus, and Emily McCobb. "Assessment of canine health and preventative care outcomes of a community medicine program." Preventive Veterinary Medicine 157 (September 2018): 44–49. http://dx.doi.org/10.1016/j.prevetmed.2018.05.016.

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Maciolek, Lynsey M., Kevin Kline, Mohammad Bilal, Wayne Fischer, Sreeram Parupudi, and Gurinder Luthra. "Adherence to Preventative Health Care Measures in Inflammatory Bowel Disease Patients Is Low." American Journal of Gastroenterology 113, Supplement (October 2018): S352. http://dx.doi.org/10.14309/00000434-201810001-00619.

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Rimple, D., J. LaValley, B. Janello, and M. Brett. "An Emergency Department (ED) Based Vaccination Program Eliminates Barriers to Preventative Health Care." Annals of Emergency Medicine 46, no. 3 (September 2005): 58. http://dx.doi.org/10.1016/j.annemergmed.2005.06.218.

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Mohiuddin, Abdul Kader. "Study Title: Low Health Literacy (LHL): A Devious Enemy of Patient Treatment Adherence." Middle East Research Journal of Nursing 2, no. 01 (December 27, 2022): 1–10. http://dx.doi.org/10.36348/merjn.2022.v02i01.001.

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People must have particular personality traits and social resources, also known as health literacy, in order to access, comprehend, and use information to make decisions about their health. Patients' ability to engage in complex disease management and self-care is strongly related to their level of health literacy. It can help us stay healthy by preventing illness and effectively managing existing illnesses. People with low health literacy (LHL) may find it difficult to manage their condition and prevent illness, which may lead to increased use of healthcare services. Furthermore, LHL is associated with increased hospitalizations, increased use of emergency care, decreased use of preventative services, and a worsened ability to understand labels and health messages, a worsened state of health, higher mortality, and more expensive medical care.
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Bangar, Suhasini, Ana Neumann, Joel M. White, Alfa Yansane, Todd R. Johnson, Gregory W. Olson, Shwetha V. Kumar, et al. "Caries Risk Documentation And Prevention: eMeasures For Dental Electronic Health Records." Applied Clinical Informatics 13, no. 01 (January 2022): 080–90. http://dx.doi.org/10.1055/s-0041-1740920.

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Abstract Background Longitudinal patient level data available in the electronic health record (EHR) allows for the development, implementation, and validations of dental quality measures (eMeasures). Objective We report the feasibility and validity of implementing two eMeasures. The eMeasures determined the proportion of patients receiving a caries risk assessment (eCRA) and corresponding appropriate risk-based preventative treatments for patients at elevated risk of caries (appropriateness of care [eAoC]) in two academic institutions and one accountable care organization, in the 2019 reporting year. Methods Both eMeasures define the numerator and denominator beginning at the patient level, populations' specifications, and validated the automated queries. For eCRA, patients who completed a comprehensive or periodic oral evaluation formed the denominator, and patients of any age who received a CRA formed the numerator. The eAoC evaluated the proportion of patients at elevated caries risk who received the corresponding appropriate risk-based preventative treatments. Results EHR automated queries identified in three sites 269,536 patients who met the inclusion criteria for receiving a CRA. The overall proportion of patients who received a CRA was 94.4% (eCRA). In eAoC, patients at elevated caries risk levels (moderate, high, or extreme) received fluoride preventive treatment ranging from 56 to 93.8%. For patients at high and extreme risk, antimicrobials were prescribed more frequently site 3 (80.6%) than sites 2 (16.7%) and 1 (2.9%). Conclusion Patient-level data available in the EHRs can be used to implement process-of-care dental eCRA and AoC, eAoC measures identify gaps in clinical practice. EHR-based measures can be useful in improving delivery of evidence-based preventative treatments to reduce risk, prevent tooth decay, and improve oral health.
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