Artigos de revistas: "Community consultation"

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Royal, Richard. "Community consultation". Renewable Energy Focus 9, n.º 1 (janeiro de 2008): 48–49. http://dx.doi.org/10.1016/s1471-0846(08)70025-8.

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Stolee, Paul, J. Kenneth Le Clair e Linda Kessler. "Geriatric Psychiatry Consultation in the Community". Canadian Journal of Psychiatry 39, n.º 8_suppl (outubro de 1994): 27–33. http://dx.doi.org/10.1177/070674379403908s05.

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While increasing emphasis is being placed on geriatric psychiatry consultation and outreach services, there is considerable variation in terms of the composition and direction of these programs. Programs vary in terms of their objectives, location, target population, use of health professions and other resources and their method of consultation. The purposes of this paper are to review the characteristics of existing programs, to review the needs of the targets of consultation and to consider theoretical and methodological approaches which have been found to be useful in mental health/psychiatric consultation, in continuing medical education, and in program evaluation. On the basis of this review, future directions for effective approaches to consultative outreach in geriatric psychiatry will then be proposed.

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Froese, Arthur, Patrice Dwyer-Sepic e Kevin Parker. "Child Psychiatric Consultation Service to Community Agencies: A Collaborative Approach Involving Three Community Agencies". Canadian Journal of Psychiatry 42, n.º 6 (agosto de 1997): 656–58. http://dx.doi.org/10.1177/070674379704200613.

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Objective: To report the early experience of a multiagency child psychiatric consultation service. Method: The program is described, and the demographic characteristics of clients referred to the consultation program over the first 25 months of operation are presented. Referrals were examined for demographics and the questions consultees wanted to have answered. Results: In 59 of 100 consultations, physical and/or sexual abuse was proved or highly suspected. In 82 of the 100 cases, consultees had questions pertaining to management issues. Questions related to diagnostic issues numbered 62, and there were 45 questions about safety issues. Conclusion: Effective psychiatric consultations services to rural areas can be established. Once established, the questions of consultees can provide an effective training ground for future community-oriented child psychiatrists.

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McConaha, Jamie L., Lauren M. Finoli, Jennifer E. Heasley e Philip D. Lunney. "Assessing Student Pharmacist Impact on Patient Over-the-Counter Medication Selection". Journal of Pharmacy Practice 26, n.º 3 (22 de janeiro de 2013): 280–87. http://dx.doi.org/10.1177/0897190012465957.

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Objective: To evaluate the financial and clinical outcomes of an over-the-counter (OTC) medication consultation performed by doctorate of pharmacy student pharmacists in a community pharmacy. Design: Cross-sectional survey. Setting: Independent and chain community pharmacy locations in Pittsburgh, Pennsylvania. Participants: Fourth professional year (PY4) advanced experiential student pharmacists on community rotations at the designated settings who performed OTC consultations and the participants of these encounters. Main Outcome Measured: Financial and clinical impact of an OTC consultation performed by student pharmacists on rotation. Results: A total of 559 OTC consultations were offered in 5 participating community pharmacy settings over a period of 1 year. Student pharmacists initiated 62.4% of all documented interactions and 60.5% of all participants accepted the consultation offer. The student pharmacists’ OTC recommendations resulted in significant cost savings to the participant. Those participants accepting consultation reported being more likely to consult with a pharmacist in the future. PY4 students were also able to demonstrate capability in impacting clinical outcomes on several occasions by implementing OTC medication changes due to patient safety concerns. Conclusion: Student pharmacist OTC consultations have the potential to positively impact both financial and clinical outcomes associated with the use of OTC medications.

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Heller, Kenneth. "Consultation to Community Groups". Counseling Psychologist 13, n.º 3 (julho de 1985): 403–9. http://dx.doi.org/10.1177/0011000085133008.

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Biros, Michelle H. "Does Community Consultation Matter?" Academic Emergency Medicine 20, n.º 1 (janeiro de 2013): 104–5. http://dx.doi.org/10.1111/acem.12044.

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Mclaughlin, Hugh, Denise Brown e Alys M. Young. "Consultation, Community and Empowerment". Journal of Social Work 4, n.º 2 (agosto de 2004): 153–65. http://dx.doi.org/10.1177/1468017304044859.

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CARSON, LYN. "PERSPECTIVES ON COMMUNITY CONSULTATION". Australian Planner 32, n.º 4 (janeiro de 1995): 217–21. http://dx.doi.org/10.1080/07293682.1995.9657691.

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Lu, Jiayun, Emily Ketterer e Patricia McGuire. "Implementation of psychiatric e-consultation in family medicine community health centers". International Journal of Psychiatry in Medicine 54, n.º 4-5 (22 de agosto de 2019): 296–306. http://dx.doi.org/10.1177/0091217419869081.

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Psychiatric E-consult is an innovative model of psychiatric consultation via the electronic health record. The project was completed as a quality improvement effort within a residency program in order to increase timely access to psychiatric consultation. Over 100 electronic consultations were requested in the initial 20 months of this project. Questions ranged from assistance with medication management, diagnostic clarification, to referral to outside resources. Findings from this quality improvement project include that the e-consultation model enhanced primary care physicians’ and associated primary care health professionals’ management of behavioral issues, increased behavioral health knowledge, and subjectively improved patient care.

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Matthews, Alicia K., Susan Newman, Emily E. Anderson, Amparo Castillo, Marilyn Willis e Wendy Choure. "Development, implementation, and evaluation of a Community Engagement Advisory Board: Strategies for maximizing success". Journal of Clinical and Translational Science 2, n.º 1 (fevereiro de 2018): 8–13. http://dx.doi.org/10.1017/cts.2018.13.

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IntroductionThe purpose of this paper is to describe the formation, operation, and evaluation of a Community Engagement Advisory Board (CEAB) that serves as a resource of the University of Illinois at Chicago’s (UIC) Center for Clinical and Translational Sciences (CCTS).MethodsCurrent CEAB roles and functions, operating procedures for research consultations and program evaluation strategies were described. Investigators receiving a consultation from 2009 to 2017 (n=91, response rate 78%) were surveyed via an online survey immediately after the consultation and at 12-month follow-up.ResultsOverall, CEAB members were viewed as having sufficient information (92%) and expertise (79%) to provide consultation. Satisfaction levels with the specific consultation received and the overall consultation service were high. The majority of investigators indicated that they would come back to the CEAB for a future consultation, if needed, and would recommend a consultation to others (93% and 96%, respectively). At 12-months, 87% of respondents indicated they had implemented at least some of the recommendations received and 93% said that the consultation influenced their subsequent research.ConclusionsData from recent annual evaluations highlight the benefits of CEAB for consulting investigators. Our model can be used to inform the development of future CEAB boards.

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Paberzs, Adam, Patricia Piechowski, Jordan Poll, Meghan Spiroff, Karen Calhoun, Ayse Buyuktur, Athena McKay, Donald Vereen e Susan Woolford. "4475 Meeting Partners Where They Are: Tailoring Community-Engaged Research Consultation Services". Journal of Clinical and Translational Science 4, s1 (junho de 2020): 87–88. http://dx.doi.org/10.1017/cts.2020.275.

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OBJECTIVES/GOALS: One of the most significant challenges to community engagement experienced by Clinical and Translational Science Award (CTSA) institutions is inadequate capacity of academic and community partners to engage in collaborative research. Several CTSAs within the consortium provide consultation services to help address this gap. METHODS/STUDY POPULATION: For over 10 years, the Michigan Institute for Clinical and Health Research (MICHR), a CTSA at the University of Michigan, has provided CEnR-specific consultations to partners seeking support for a variety of needs. Consultations can be requested for assistance with identifying potential partners, developing partnership infrastructure, finding CEnR funding opportunities, and incorporating CEnR approaches into research plans. When a consultation is requested, MICHR’s Community Engagement (CE) Program responds by planning a meeting with staff and faculty who have relevant skills, expertise, and connections. After the initial meeting, the CE Program provides follow-up communication and support based on the needs of the specific request, and often facilitates connections with potential partners. RESULTS/ANTICIPATED RESULTS: The two most frequent types of consultation requests involve 1) making connections with potential researchers or community partner organizations, and 2) providing guidance on research grant applications that involve community engagement. MICHR provides approximately 50 CEnR consultations each year, which have resulted in development of new partnerships, grant submissions, and research projects that utilize CEnR principles and address community-identified health priorities. DISCUSSION/SIGNIFICANCE OF IMPACT: This presentation will describe the evolution of MICHR’s CEnR consultation process and highlight successful outcomes and lessons learned over its 12-year history. CONFLICT OF INTEREST DESCRIPTION: NA

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Longfield, Jenice N., Michael J. Morris, Kimberly A. Moran, John F. Kragh, Rick Wolf e Toney W. Baskin. "Community meetings for emergency research community consultation*". Critical Care Medicine 36, n.º 3 (março de 2008): 731–36. http://dx.doi.org/10.1097/01.ccm.ob013e318161fb82.

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Jalal, Zahraa, Sania Akhtar, Katherine Finlay, Kathryn King, Neera Goel e Jonathan Ward. "Perceptions of UK Community Pharmacists on Current Consultation Skills and Motivational Interviewing as a Consultation Approach: A Qualitative Study". Pharmacy 7, n.º 2 (31 de maio de 2019): 52. http://dx.doi.org/10.3390/pharmacy7020052.

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Objectives: Community pharmacists’ roles in the UK are evolving; pharmacists currently deliver a wider range of clinical services with more patient-focused care. The objectives of this study were (i) to investigate UK community pharmacists’ views on their current communication skills in pharmacist-patient facing consultations, and (ii) to explore the perceptions of UK community pharmacists towards the application of motivational interviewing (MI) in a pharmacy consultation. In-depth qualitative face-to-face, semi-structured interviews with ten practicing community pharmacists were carried out, ranging from 30–60 min in length. The interviews were audio recorded, transcribed verbatim and thematic analysis was employed. Four themes emerged from the data: (1) the fight for time; (2) wrestling with consultation styles; (3) a personal communication evolution; and (4) unfamiliar but engaging motivational interviewing. These themes demonstrated the juxtaposition between the desire for patient-centred care and the pressures of managing broader dispensing work. Participants were critical of academic and continuous professional learning (CPD) training in communication skills and there was a strong recognition of the potential role of MI in promoting patient autonomy and outcomes. Participants recognized a few elements of MI techniques in their current consultations, but welcomed further training on behavioral change for effective consultations, expressing a desire for practical MI-specific training. Face-to-face CPD of consultation skills is needed to avoid the feeling of isolation among UK practicing pharmacists and rigidity in consultation delivery. Support for community pharmacists from other pharmacy staff could relieve current pressures and allow pharmacists time to develop and acquire effective skills for patient facing roles. Behavioural change consultation skills training for pharmacists could be an effective strategy to address these current challenges.

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Kalowski, J. "Community consultation: lessons from Sydney". Proceedings of the Institution of Civil Engineers - Management, Procurement and Law 161, n.º 2 (maio de 2008): 65–69. http://dx.doi.org/10.1680/mpal.2008.161.2.65.

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Schmidt, Terri A., Nicole M. DeIorio e Katie B. McClure. "The Meaning of Community Consultation". American Journal of Bioethics 6, n.º 3 (julho de 2006): 30–32. http://dx.doi.org/10.1080/15265160600685804.

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Zaner, Richard M. "A Comment on Community Consultation". American Journal of Bioethics 7, n.º 2 (março de 2007): 29–31. http://dx.doi.org/10.1080/15265160601109184.

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Contant, Charles, Laurence B. McCullough, Lorna Mangus, Claudia Robertson, Alex Valadka e Baruch Brody. "Community consultation in emergency research*". Critical Care Medicine 34, n.º 8 (agosto de 2006): 2049–52. http://dx.doi.org/10.1097/01.ccm.0000227649.72651.f1.

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Mathieson, W. E., e T. A. Winters. "COMMUNITY CONSULTATION IN DEVELOPMENT PROJECTS". APPEA Journal 38, n.º 2 (1998): 145. http://dx.doi.org/10.1071/aj97086.

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The management of community consultation is a critical step in achieving timely Government approval for projects and laying the foundation for sound long-term relationships between local communities and project developers. The benefits of good relationships with local communities will flow on to Government support for the project, employee relations, service from local suppliers, and supportive neighbours. Both Government and project proponents are increasingly recognising the value of public participation in the environmental assessment of projects-it makes good business sense.The Queensland Government guidelines state that an appropriate public participation program is essential to the full conduct of the impact assessment (Department of Family, Youth and Community Care). This paper considers the issues involved in developing an appropriate community consultation program and looks specifically at the program adopted by BHP for the assessment of a proposed ammonium nitrate plant near Moura in Central Queensland. The BHP program was commended by the Department of Family, Youth and Community Care as a best practise example for other similar industrial projects.There is, however, community consultation and community consultation. The ammonium nitrate project was near a town which had suffered serious population decline and associated loss of services and infrastructure standards over the last decade. The town had also recently experienced major trauma as a result of the Moura underground mine tragedy in 1994.The social environment was in marked contrast to the environment of other projects which BHP had recently been involved in, such as the Minerva gas development project near Port Campbell in Victoria. Where the major focus of Minerva community consultation had been to address community concern about the environmental effects of the project and the impact of industrial development on the inherent lifestyle values of the area; the Moura community consultation program focussed on direct impacts on immediate neighbours and water resources, while the broader community debate was about employment opportunity, rebuilding the resources of the local community, and what can we do to make sure this project goes ahead?Whether the community supports industrial development or otherwise, community consultation is still an essential element of project planning. The issues will vary enormously from community to community-the focus will not always be on green issues. The key is to listen generously to the community and respond in a manner that genuinely recognises and addresses its particular issues.

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Lesandrini, Jason, e Joseph Bertino. "Community Outreach and Ethics Services". Ethics & Medics 45, n.º 2 (2020): 3–4. http://dx.doi.org/10.5840/em202045218.

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The core functions of health care ethics committees are consultation, education, and policy development. In order to better function in these areas, it is necessary for committees to take a proactive approach in relationships with the surrounding community. Local universities provide an opportunity for committee members to teach ethics courses as well as find new members with practical experience through internships and mentorships. Reaching out to local health care organizations regarding ethics consultations for patients and physicians is also beneficial. Community organizations may be interested in classes or consultations and can give ethics organizations an opportunity to learn more about recurring problems and concerns of the surrounding community. Finally, working with the local diocese builds lasting relationships that can increase understanding and respect between the committee, clergy, and lay people in the community.

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Lewis, Roger J. "Community Consultation by Randomly Reaching Out to the Community". Annals of Emergency Medicine 53, n.º 3 (março de 2009): 351–53. http://dx.doi.org/10.1016/j.annemergmed.2008.09.020.

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Chen, Zhu, Qingli Song, An Wang, Dong Xie e Huiying Qi. "Study on the Relationships between Doctor Characteristics and Online Consultation Volume in the Online Medical Community". Healthcare 10, n.º 8 (16 de agosto de 2022): 1551. http://dx.doi.org/10.3390/healthcare10081551.

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Background. As a new medical service model, the online health community can integrate various medical resources to the maximum extent and improve the accessibility and utilization rate of hospital high-quality medical resources. Objective. Research based on the characteristics of doctors can enable doctors to display themselves on the network platform better, provide better services for patients, and improve the quality of medical services for doctors. Method. By crawling the characteristic data of doctors in Good Doctor Online, using dynamic analysis, correlation analysis and regression analysis, this study explores the relationships between each characteristic data and online consultation volume. Results. The doctor’s title and city level representing the static characteristics of the doctor have a weak impact on the doctor’s online consultation volume, and the doctor’s dynamic characteristics such as the number of patient completions, the number of gifts received, and the number of published articles can have a positive impact on the doctor’s online consultation volume. However, the recommended heat will negatively affect the online consultation volume, and the comment text has no significant impact on the doctor’s online consultation volume. Conclusion. Therefore, doctors should actively publicize and show their professional level and constantly optimize their dynamic characteristics, increasing the number of online consultations and thus improving their influence.

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Edwards, Meryl. "Community Consultation and Participation Resource Kit". New South Wales Public Health Bulletin 10, n.º 6 (1999): 65. http://dx.doi.org/10.1071/nb99031.

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Sheehan, Mark. "Is the Community Consultation Requirement Necessary?" American Journal of Bioethics 6, n.º 3 (julho de 2006): 38–40. http://dx.doi.org/10.1080/15265160600685887.

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Tyler, Carl V., e Michael D. Wells. "A Community-Health System Intervention to Improve the Primary Healthcare of Adults With Down Syndrome Through Electronic Consultations". Intellectual and Developmental Disabilities 59, n.º 3 (24 de maio de 2021): 256–64. http://dx.doi.org/10.1352/1934-9556-59.3.256.

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Abstract Health systems often fail to tap the expertise of the developmental disabilities community support and service system. In this 9-month pilot health system-level quality improvement project, a multi-disciplinary team of physician, pharmacist, and disabilities advocate reviewed electronic records of patients with Down syndrome in advance of pre-scheduled appointments with their primary care physician (PCP) and generated 100 electronic consultations. Post-consultation chart review documented meaningful uptake of clinical recommendations, including screening for thyroid disease, celiac disease, and heart disease, pneumococcal vaccination, and screening physical examination for myelopathy. In addition to clinical recommendations regarding screening, diagnosis, and treatment, each consultation provided an average of eight tailored suggestions for potential community-based resources related to mental and behavioral health, recreation, socialization, and other relevant services and supports. “Push” multi-disciplinary electronic consultations in advance of primary care appointments enriched with input from disabilities community experts have the potential to improve the quality of health care provided to persons with developmental disabilities.

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Pettersson, Gerd, e Kristina Strom. "Consultation in Special Needs Education in Rural Schools in Sweden– An Act of Collaboration between Educators". Journal of Education and Training 4, n.º 1 (9 de dezembro de 2016): 8. http://dx.doi.org/10.5296/jet.v4i1.10422.

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The article attempts to shed light on how the expertise of special educators can be utilized in classroom teachers' professional development at rural schools with a diverse student body. The study focused on the educational consultations that took place between the two types of professionals, namely the special educators and the classroom teachers, at three rural schools in three communities in northern Sweden. The special educators did not work at the schools. Rather, they worked at Community centers and ran the consultation with the aid of ICT or when they visited the schools. The multiple-case study describes and analyzes the a) context for consultation, b) how consultation is used to support the teachers, and c) the consultation strategies. The data collection methods were observations, interviews, and questionnaires. After the interviews were transcribed, the data were analyzed by thematic content analysis. The results show that the consultations were based on students’ needs, but the consultations focused on the learning environment more than on individual shortcomings. The two professionals collaborated and shared their professional expertise across professional boundaries. This boundary-crossing professional collaboration seems to deepen the consultation between the two professionals and enable them to work together to create a learning environment that supports all pupils.

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Zhou, Fengli, Zhouhan Wang, Xiaojun Mai, Xiaoyun Liu, Christopher Reid, Sally Sandover, Kouxing Zhang e Dan Xu. "Online Clinical Consultation as a Utility Tool for Managing Medical Crisis During a Pandemic: Retrospective Analysis on the Characteristics of Online Clinical Consultations During the COVID-19 Pandemic". Journal of Primary Care & Community Health 11 (janeiro de 2020): 215013272097551. http://dx.doi.org/10.1177/2150132720975517.

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Coronavirus disease 2019 (COVID-19) is a newly-identified infectious diseases that has rapidly spread throughout the world with rising fatalities with declaration by World Health Organization as the pandemic. Online consultations have been shown to alleviate the pandemic with our study aims to demonstrate whether online consultation can be a solution for acute health crisis. Retrospective analysis of the characteristics of online consultations through two primary care online-consultation platforms during COVID-19 pandemic was performed at the Third Affiliated Hospital of Sun Yat-Sen University, which led the assessment of COVID-19-symptoms patients in Guangzhou. The 3473 online consultations were divided into pre-pandemic and pandemic period groups with Chi-square test as statistical analysis method. The number of online consultations has increased with diagnosis of upper respiratory tract infection, psychological conditions, COVID-19-related investigations and interventions. The increased online consultations met the increased demand of the relevant clinical services and reduced the overwhelming hospital presentations, thus decreasing the potential COVID-19 spread inside the major tertiary hospital and sparing the resources for acute crisis management. The epidemiology and disease characteristics of online consultations during the pandemic have been demonstrated with identification of the enabling factors and potential barriers in improving online healthcare in China with online consultation model being a durable solution for pandemic in future.

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Al Harthi, Thuraiya, Huda Anwar, Anwaar Al Lawati, Fathyia Al Shuriqi, Fakhria Al Rashdi, Adil Al Mahrouqi, Mohammed Al Ismaili et al. "The Impact of Covid-19 on Diabetes Care in Muscat Governorate: A Retrospective Cohort Study in Primary Care". Journal of Primary Care & Community Health 12 (janeiro de 2021): 215013272110519. http://dx.doi.org/10.1177/21501327211051930.

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Background COVID-19 pandemic has led to health service modification and temporary disruption of the routine care provided to patients with diabetes mellitus (DM) in primary care. This was done to minimize outpatient visits, permit physical distancing, and ensure patients’ and healthcare providers safety. There is no evidence that explored or measured the impact of COVID-19 pandemic on diabetes services and patients’ glycemic outcome in Oman. Aim and Objectives To explore the accessibility of DM services in primary care after COVID-19 pandemic announcement, and measure patients’ glycemic outcome. Methods Before and after, retrospective cohort study using Al-Shifa healthcare database in primary care. One thousand adult patients with diabetes who attended DM clinic before pandemic announcement in 2019 were randomly selected and followed up until end of 2020. Patients aged ≥18 years and had at least 2 visits in 2019 were included. Access to DM services was identified by number of patients received care, frequency of consultations, mode of consultation, and type of intervention given to patients. Patients’ glycated hemoglobin (HbA1c), and other glycemic parameters after pandemic announcement in 2020 were determined and compared with the same parameters before pandemic in 2019. Association between patients’ HbA1c and mode of consultation was measured using multivariable regression analysis. Results A total of 937 patients continued to follow and received DM care after pandemic announcement. Median number of consultations was 2 with interquartile range (IQR): 3-2. 57.4% had face-to-face alone, 32.4% had combined face to face and telephone consultation, and 10% had telephone consultation alone. Mean difference in HbA1c (%) before and after pandemic announcement was 0.2 ± 1.4 (95% CI: 0.1 to 0.3), P = .002. With multivariable linear regression, the mean difference in HbA1c was −0.3 (−2.3 to 1.5), P = .734 for telephone consultation alone, −0.5 (−2.4 to 1.4), P = .613 for face-to-face alone, and −0.5 (−2.4 to 1.3), P = .636 for combined consultations, compared to those who did not receive any formal consultation. Conclusion Despite service modification and disruption of comprehensive care in primary care after COVID-19 pandemic announcement, DM services were accessible as majority of patients maintained follow up. There was an overall increase in mean glycated hemoglobin, however, it was a less than 1 unit increase. After adjusting for multivariable, glycated hemoglobin was reduced among those who received consultation including telephone consultation compared to those who did not, however evidence was unconvincing.

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Sumikawa, Yuka, Chikako Honda, Kyoko Yoshioka-Maeda e Noriko Yamamoto-Mitani. "Characteristics of COVID-19-Related Free Telephone Consultations by Public Health Nurses in Japan: A Retrospective Study". Healthcare 9, n.º 8 (9 de agosto de 2021): 1022. http://dx.doi.org/10.3390/healthcare9081022.

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This study aimed to (1) describe the characteristics of community residents who used coronavirus disease 2019 (COVID-19)-related telephone consultation systems by public health nurses (PHNs) and (2) analyze the concerns they had during the first wave of COVID-19 in Japan. Among 1126 telephone consultations, PHNs recorded telephone consultations between 25 March, and 30 April, 2020, in City A, Japan. We analyzed 1017 consultations involving 799 (79%) community residents (resident group) and 218 (21%) organizational representatives (organization group) located in City A. Half of the consultations were made during midmorning, and most of the consultations were regarding COVID-19 symptoms. Among the resident group, visiting a primary care doctor was the most common recommendation by the PHNs; there was no difference in provision of consultation by sex. Health- and welfare-related organizations mainly consulted PHNs about “having COVID-19-related symptoms” and “undergoing PCR testing,” and PHNs’ recommended them to visit a primary care doctor and coordinate PCR testing. The results suggest that public health centers should provide more helpful information on COVID-19 that accurately reflects the concerns of the population.

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Dalinis, Pamela M. "Bioethics Consultation". Journal of Hospice & Palliative Nursing 6, n.º 2 (abril de 2004): 117–22. http://dx.doi.org/10.1097/00129191-200404000-00015.

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Waspiah, Waspiah, Rodiyah Rodiyah, Andry Setiawan, Kartika Fajar Cahyani, Adinda Ratna Pertiwi e Bayu Bimantara. "Coffee and Counsel Clinic: Constructing a More Comfortable Place for Legal Aid in the Sub-Urban Community". Indonesian Journal of International Clinical Legal Education 3, n.º 3 (30 de setembro de 2021): 399–410. http://dx.doi.org/10.15294/ijicle.v3i3.48609.

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Legal assistance is one of the needs of the community in the midst of many legal cases today. The existing consultations and assistance also seem formal and very rigid, such as being carried out in offices and the like. In fact, in the success of legal assistance, the comfort of both parties is the main key. This program emphasizes the development of a more comfortable pattern of legal assistance and consultation by combining coffee shops as an alternative place for legal consultation. This program was developed and implemented in Wanureja Village, Tegal, Kendal Regency, Indonesia. This place and program have continually provided clients with access to the best legal advice and representation available, all in an informal, stress-free setting with a low cost for the initial consultation. We meet you where you are most comfortable –an in-person meeting at an attorney’s office, a conversation at the local coffee house, or if you are disabled or incapacitated in any way, at your location.

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Băcilă, Ciprian, e Claudia Anghel. "Telepsychiatry in the Romanian Health System During COVID-19 Pandemic". Acta Medica Transilvanica 25, n.º 3 (1 de setembro de 2020): 75–77. http://dx.doi.org/10.2478/amtsb-2020-0056.

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AbstractWith the covid-19 pandemic and the related restrictions to reduce the spread of the virus, the interaction between doctor and patient has changed, especially in the outpatients department. Thus, the need for remote consultations also appeared in the Romanian health system, especially in the psychiatric one. Although in other countries psychiatrists were familiar with this form of consultation, for Romanian psychiatrists, who were not trained either in residency or during medical school, it was a great challenge. If until March 2020 the patient’s consultation had to be performed only in the physical presence of a doctor, once the COVID-19 pandemic appeared, the Romanian government and the president, through the legislative acts issued, provided a legal framework for conducting this remote consultations. With the advent of telepsychiatry, discussions arose in the psychiatric community about the advantages and disadvantages of this type of consultation.

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Means, Robert T. "Case Mix of Nonmalignant Hematology in Inpatient Hematology/Oncology Consultation: Review of a 14 Month Experience from a Single University/Community Hybrid Hospital". Blood 124, n.º 21 (6 de dezembro de 2014): 5974. http://dx.doi.org/10.1182/blood.v124.21.5974.5974.

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Most graduates of Hematology/Oncology fellowship programs will enter community based practice, which is largely outpatient and predominantly solid tumor oncology. An understanding of the spectrum of disorders encountered in practice is helpful in the development of clinically relevant curricula. Little has been reported about the case mix encountered in community-based inpatient Hematology/Oncology consultation. In 2009, University of Kentucky (UK) Healthcare assumed ownership of an adjacent community hospital. It was managed as a University and community physician staffed hybrid, with a level of acuity and case mix intended to be comparable to community hospitals. Inpatient services were comprised of general internal medicine, family medicine, psychiatry, general surgery, and orthopedics. Transplant patients, those requiring other surgical specialties or advanced intensive care unit management, and patients actively treated with chemotherapy were admitted to UK Chandler Medical Center. With the exception of Infectious Diseases and Nephrology, all other specialty consultation was by University services. From January 2010 to March 2011, Hematology/Oncology consultations were provided by a single faculty physician as his sole inpatient responsibility. During that period, 164 consultation requests were received, reflecting 108 individual patients and leading to 464 encounters. Consultations were received from both University and community physician practices. (Fewer than 10 encounters were seen by other physicians covering weekends/holidays and are not included in the analysis). Solid tumor oncology patients were the single largest category of patients (27.8%) but were not a majority of cases. Malignant hematology patients were 5.5% of the total patients. Nonmalignant hematology patients represented the majority of patients (64%). Three patients (2.7%) were found to have no hematologic or malignant disorder. Of the nonmalignant hematology patients, the largest single category was coagulation disorders other than thrombocytopenia (13.9% of total patients). Half of these were related to thromboembolic events. The next largest category was sickle cell patients (12% of total patients), followed by cytopenias associated with liver disease/hypersplenism (9.3%), isolated thrombocytopenia and isolated anemia (7.4% each) and combined cytopenias (6.5%). The majority of isolated anemia cases reflected anemia of chronic disease, with the remainder due to iron deficiency/blood loss and/or B12 deficiency. Although sickle cell patients represented only 12% of total patients, they represented 35.9% of consultation requests (p<0.05, Fisher exact text), reflecting frequent readmissions. Conclusion: In a hospital with a level of acuity and patient mix believed comparable to a community hospital, the majority of inpatient hematology/oncology consultations represented a spectrum of nonmalignant hematologic disorders. The training of individuals anticipating careers in community practice should include broad exposure to nonmalignant hematology. Disclosures Means: American Board of Internal Medicine: Member, Hematology Examination Committee Other.

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Maybee, Abby, Samantha Winemaker, Michelle Howard, Hsien Seow, Alexandra Farag, Hun-Je Park, Denise Marshall e Jose Pereira. "Palliative care physicians’ motivations for models of practicing in the community: A qualitative descriptive study". Palliative Medicine 36, n.º 1 (17 de dezembro de 2021): 181–88. http://dx.doi.org/10.1177/02692163211055022.

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Background: Internationally, both primary care providers and palliative care specialists are required to address palliative care needs of our communities. Clarity on the roles of primary and specialist-level palliative care providers is needed in order to improve access to care. This study examines how community-based palliative care physicians apply their roles as palliative care specialists, what motivates them, and the impact that has on how they practice. Design: A qualitative descriptive study using semi-structured virtual interviews of community-based palliative care specialists. We asked participants to describe their care processes and the factors that influence how they work. Setting/participants: A qualitative descriptive study using semi-structured virtual interviews of community-based palliative care physicians in Ontario, Canada was undertaken between March and June 2020. At interview end, participants indicated whether their practice approaches aligned with one or more models depicted in a conceptual framework that includes consultation (specialist provides recommendations to the family physician) and takeover (palliative care physician takes over all care responsibility from the family physician) models. Results: Of the 14 participants, 4 worked in a consultation model, 8 in a takeover model, and 2 were transitioning to a consultation model. Different motivators were found for the two practice models. In the takeover model, palliative care physicians were primarily motivated by their relationships with patients. In the consultation model, palliative care physicians were primarily motivated by their relationships with primary care. These differing motivations corresponded to differences in the day-to-day processes and outcomes of care. Conclusions: The physician’s personal or internal motivators were drivers in their practice style of takeover versus consultative palliative care models. Awareness of these motivations can aid our understanding of current models of care and help inform strategies to enhance consultative palliative care models.

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Mantzourani, Efi, Andrew Evans, Rebecca Cannings-John, Haroon Ahmed, Kerenza Hood, Nicholas Reid, Robin Howe, Emma Williams e Cheryl Way. "Impact of a pilot NHS-funded sore throat test and treat service in community pharmacies on provision and quality of patient care". BMJ Open Quality 9, n.º 1 (fevereiro de 2020): e000833. http://dx.doi.org/10.1136/bmjoq-2019-000833.

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ObjectiveA National Health Service (NHS)-funded sore throat test and treat (STTT) service was introduced in selected pharmacies in two local health boards in Wales, as an extension to the national pharmacy common ailment scheme. The aim of this study was to evaluate the impact of STTT on provision and quality of patient care, namely antibiotic use, patient safety and general practitioner (GP) consultation rates.MethodsSecondary analyses of STTT consultation data to describe service outcomes, and routine data to explore changes in antibiotic prescribing and the prevalence of complications. Data were also collected from one GP practice to explore the feasibility of measuring changes in sore throat consultation rates in general practice.ResultsLess than 20% of 1725 consultations resulted in antibiotic supply. The availability of STTT was associated with greater reductions in prescriptions for phenoxymethylpenicillin than in areas where STTT was not available (−3.8% and −3.4%, difference 0.4%). When pharmacy supplies were included, the reductions in the supply of the antibiotic were similar. No increase in the monthly number of incidents of quinsy was detected, and patients were appropriately referred to other healthcare professionals during pharmacy consultations. GP consultation rates since introduction of STTT were found to be lower than the equivalent monthly average since 2014.ConclusionsData from the first 5 months of the STTT service suggest that it may have a role in safely rebalancing uncomplicated sore throat management from general practice to community pharmacies while continuing to promote antibiotic stewardship.

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Mai, Chun-Wai, Jennifer See Hui Tan, Gina Wan Lee Koay e Lucas Yang Xian Lim. "Integrative Nutrition CARE in the Community—Starting with Pharmacists". Pharmacy 8, n.º 3 (13 de setembro de 2020): 170. http://dx.doi.org/10.3390/pharmacy8030170.

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Dietary supplementation is increasingly sought after by consumers looking to meet the demands of a modern lifestyle. Effective supplementation requires knowledge of the purpose and proper use of nutritional supplements. Unverified or inadequate guidance on supplementation can propagate misconceptions and increase undue fears of side effects. Community pharmacists are best placed to guide consumers on nutritional supplement use. In this review, a panel comprised of community pharmacists, pharmacy academia, and dietitians (n = 6) convened to provide an experience- and evidence-based guidance on rational drug use, patient education, and integrated and personalized nutrition care in both community and hospital pharmacy settings. A novel framework to guide community pharmacist-led consultations on supplementation is proposed. The four-step CARE (Categorize, Assess, Recommend, Empower) guide was developed to facilitate and optimize outcomes of pharmacist-led nutritional supplement consultation. Telehealth advancements in the form of digital health applications and personalized nutrigenomic DNA testing support Integrative Nutrition Care, and will further promote appropriate supplementation use to improve overall well-being in the community. Practical implementation of the CARE guide is necessary to ascertain its applicability for optimizing outcomes of pharmacist-led consultation and the recommendation of nutritional supplements.

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Simonelli, Jeanne. "‘Teaching’ Practicing: The Zapatista Community Consultation Process". Practicing Anthropology 27, n.º 4 (1 de setembro de 2005): 43–44. http://dx.doi.org/10.17730/praa.27.4.d81575662k5k4958.

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The articles featured in this issue of Practicing Anthropology provide insight into the ways in which communities and applied anthropologists are working together in partnerships aimed at culturally appropriate tourism. Some of these projects are formal and well developed; others, new initiatives. All of them illustrate the ways in which local needs can be met in ways that make cultural sense.

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Swerdlow, Michael. "Consultation and Education in Community Mental Health". Practicing Anthropology 9, n.º 3 (1 de julho de 1987): 15–18. http://dx.doi.org/10.17730/praa.9.3.c48xx25044117150.

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Within the field of community mental health, the specialty of consultation and education offers anthropologists numerous job opportunities. During the last three years I have directed the Consultation and Education (C&E) Department at St. Mary's Community Mental Health Center in Hoboken, New Jersey. My anthropological training has been as asset in this job. Moreover, I have found this field to be professionally satisfying. In this article I would like to make other anthropologists aware of this career opportunity and show how many of the skills which anthropologists possess are readily transferable to this field.

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Dickert, Neal, e Jeremy Sugarman. "Ethical Goals of Community Consultation in Research". American Journal of Public Health 95, n.º 7 (julho de 2005): 1123–27. http://dx.doi.org/10.2105/ajph.2004.058933.

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Moore, Jean. "COMMUNITY MENTAL HEALTH CONSULTATION IN POLICE COURT". Perspectives in Psychiatric Care 18, n.º 5 (16 de janeiro de 2009): 204–9. http://dx.doi.org/10.1111/j.1744-6163.1980.tb00088.x.

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Peterson, Carolyn L. "Regulation and Consultation in Community Care Facilities". Psychiatric Services 36, n.º 4 (abril de 1985): 383–88. http://dx.doi.org/10.1176/ps.36.4.383.

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Bishop, Patrick. "Introduction: Community Consultation and the Policy Process". Australian Journal of Public Administration 61, n.º 1 (março de 2002): 13. http://dx.doi.org/10.1111/1467-8500.00254.

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Savage, Stephen P., e Charles Wilson. ""Ask a Policeman": Community Consultation in Practice". Social Policy & Administration 21, n.º 3 (setembro de 1987): 252–63. http://dx.doi.org/10.1111/j.1467-9515.1987.tb00281.x.

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Rennert, G., e Y. Raz. "A community-oriented familial cancer consultation service". European Journal of Cancer 29 (janeiro de 1993): S126. http://dx.doi.org/10.1016/0959-8049(93)91309-9.

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McCarroll, James E., Robert J. Ursano, Carol S. Fullerton e Kathleen M. Wright. "Community consultation following a major air disaster". Journal of Community Psychology 20, n.º 4 (outubro de 1992): 271–75. http://dx.doi.org/10.1002/1520-6629(199210)20:4<271::aid-jcop2290200402>3.0.co;2-q.

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Ruder, Aimee Danette, Douglas Lamont Smith, Michael Thornton Madsen e Frederic Henry Kass. "Is there a benefit to having a clinical oncology pharmacist on staff at a community oncology clinic?" Journal of Oncology Pharmacy Practice 17, n.º 4 (19 de janeiro de 2011): 425–32. http://dx.doi.org/10.1177/1078155210389216.

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Background. The John Marsh Cancer Center is an ambulatory oncology clinic located in Hagerstown, MD. In 2004, a clinical oncology pharmacist was hired to help manage therapies and control cost. The objective was to evaluate clinical interventions, consultations and cost savings by the clinical oncology pharmacist. Methods. This was a retrospective descriptive analysis of clinical interventions by the clinical oncology pharmacist from September 4, 2004 to October 27, 2006. Interventions were categorized as either drug-related or consultative. Drug-related interventions included medication reconciliation, dosing, and adverse effect management and prevention. Consultations incorporated drug information questions, patient visits, and patient education sessions. Information was extracted from an online documentation program linked to medical charts. Results. A total of 583 clinical interventions were documented among 199 patients. Average time spent per intervention was 10 minutes. Drug-related and consultative interventions accounted for 35% and 65%, respectively. Included among the drug-related interventions were adverse events (131), medication reconciliation (52) and dosing (22). Consultation services consisted of patient education (143), patient visits (124) and drug information (25). The on-site pharmacist saved $210,000 by admixing chemotherapy. Patient and colleague surveys evaluated pharmacist services with positive ratings of 95% and 98%, respectively. Conclusion. Analysis of clinical interventions, cost-savings, and feedback from patients and colleagues confirmed beneficial services provided by a clinical pharmacist in this outpatient oncology center.

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Seston, Elizabeth M., Chiamaka Julia Anoliefo, Jinghua Guo, Joanne Lane, Chikwado Okoro Aroh, Samantha White e Ellen I. Schafheutle. "Community Pharmacist Consultation Service: A Survey Exploring Factors Facilitating or Hindering Community Pharmacists’ Ability to Apply Learnt Skills in Practice". Pharmacy 10, n.º 5 (21 de setembro de 2022): 117. http://dx.doi.org/10.3390/pharmacy10050117.

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Background: The NHS Community Pharmacist Consultation Service (CPCS) offers patients requiring urgent care a consultation with a community pharmacist, following referral from general practice or urgent care. The study explored the impact of undertaking a Centre for Pharmacy Postgraduate Education (CPPE) CPCS learning programme, and barriers and enablers to CPCS delivery. Methods: CPPE distributed an online survey to those who had undertaken their CPCS learning. The survey explored participants’ knowledge, confidence and application of taught skills/tools, including clinical history-taking, clinical assessment, record keeping, transfer of care, and Calgary-Cambridge, L(ICE)F and SBARD communication tools. Details on barriers and enablers to CPCS delivery were also included. Results: One-hundred-and-fifty-nine responses were received (response rate 5.6%). Knowledge of, and confidence in, taught skills were high and respondents reported applying skills in CPCS consultations and wider practice. Barriers to CPCS included a lack of general practice referrals, staffing levels, workload, and GP attitudes. Enablers included a clear understanding of what was expected, minimal concerns over indemnity cover and privacy, and positive patient attitudes towards pharmacy. Conclusion: This study demonstrates that community pharmacists can extend their practice and contribute to the enhanced provision of urgent care in England. This study identified barriers, both interpersonal and infrastructural, that may hinder service implementation.

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Springer, Beata. "Konsultacje społeczne jako forma demokratycznej partycypacji mieszkańców w zarządzaniu wspólnotą lokalną". Wrocławskie Studia Politologiczne 21 (14 de março de 2017): 131–45. http://dx.doi.org/10.19195/1643-0328.21.9.

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Public consultation as a form of democratic participation in managing of local communityThe article discusses the issue of public consultation, legal and formal issues, used in national and European law. It shows the genesis of the Polish regulation of consultation. It presents one of the mechanisms for social participation in the local community and the opportunities offered by the use of this toolIt discusses how important it should be to consult with the people, to communicate with the public. The subject of the study is also a critical analysis of the solutions adopted in resolutions concerning the holding of consultations. At the same time particular examples of solutions used in resolutions of local government are shown. Attention is drawn to the irregularities in constructing the resolutions and the reluctance of parts of local authorities to carry out the consultations. The whole bearing was selected decisions and case law of the administrative courts.

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Petruzzello, Steven J., Daniel M. Landers, Darwyn E. Linder e Don R. Robinson. "Sport Psychology Service Delivery: Implementation Within the University Community". Sport Psychologist 1, n.º 3 (setembro de 1987): 248–56. http://dx.doi.org/10.1123/tsp.1.3.248.

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In this paper we outline a sport psychology service delivery program that has been implemented at Arizona State University. We feel this is a unique program in that it is housed within, and funded by, the Department of Intercollegiate Athletics. The program has four major components: (a) an undergraduate psychological skills course, (b) psychological skills training programs for athletic teams and small groups of athletes, (c) individual psychological consultation for athletes, and (d) psychological skills seminars and consultations with coaches. Each of these components is explained in detail. In addition, information is presented regarding the future directions for the program.

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Alte, Dietrich, Werner Weitschies e Christoph A. Ritter. "Evaluation of Consultation in Community Pharmacies with Mystery Shoppers". Annals of Pharmacotherapy 41, n.º 6 (junho de 2007): 1023–30. http://dx.doi.org/10.1345/aph.1h565.

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BACKGROUND: Consultation of patients in community pharmacies (CPs) must meet standards, especially in selling over-the-counter drugs; however, there has been no information as to whether northeastern German CPs meet these standards. OBJECTIVE: To estimate aspects of consultation quality in CPs in Mecklenburg-Vorpommern, located in northeastern Germany, study factors related to consultation quality, and check compliance with Pharmacy Practice Law, because not all pharmaceutical professions may legally sell drugs. METHODS: In 2005, 6 mystery shoppers (pharmacy students) presented with a headache to 146 of 398 CPs; they requested a sleeping pill plus an antihistaminic drug and completed data collection forms. Consultation scores were calculated and effects of pharmacy/staff characteristics on consultation were modeled with linear (consultation score) and logistic regression (failure to detect a drug—drug interaction). Variables used in models were staff profession, pharmacy size (number of staff), city/town size (number of pharmacies), and day of the week in which shoppers visited the pharmacy. RESULTS: Despite a high willingness of pharmacy staff to provide consultation (83% spontaneously offered advice), northeastern German CPs did not achieve their professional mission. Extreme variation was evident in their questioning of the mystery shoppers regarding use of important single items (from 1% for pregnancy/breast-feeding considerations to 56% for dosing instructions). In all cases, drugs were sold to the shoppers; most (91%) were single agents. Drug—drug interaction detection was low: 43 (30%) counselors informed mystery shoppers about the interaction. The profession of the consulting staff and the size of the pharmacy were associated with consultation quality (highest for pharmacists; lowest for small pharmacies [2–4 staff]). For interaction detection, consulting staff profession was relevant: pharmacists had OR of 3.2 for the detection compared with pharmacy engineers/assistants. In 7 pharmacies, staff illegally sold drugs to customers. CONCLUSIONS: Northeastern German CPs have much need and potential for improvement in consultation quality and drug—drug interaction detection. In-depth elicitation of symptoms and details of patients' situations must be improved. Relevant training should be provided, including use of software to identify drug interactions. Mystery shopper studies give valuable information for tailoring training schemes.

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Kanne, Geraldine E., Melissa Black, Marilyn Disco, Rhonda Mack-Minniefield, David Halpern, Gina Upchurch, Heidi White e Mitchell T. Heflin. "THE DUKE INTERAGENCY CARE TEAM: A BRIDGE TO GERIATRIC COMMUNITY RESOURCES". Innovation in Aging 3, Supplement_1 (novembro de 2019): S251—S252. http://dx.doi.org/10.1093/geroni/igz038.943.

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Abstract The Duke Geriatric Workforce Enhancement Program aims to improve linkages between primary care practices (PCP’s) and community-based organizations by developing an interdisciplinary, community-based team to consult with PCPs, identifying resources to help vulnerable older adults. The Inter-agency Care Team (ICT) includes a nurse practitioner, pharmacists, community resource specialists, geriatricians and geriatrics and advanced practice nursing fellows. PCP’s refer older adults with complex care needs through the EHR for virtual consultation by the ICT. Team members review medical records and call participants and caregivers to obtain permission for the consult, gather information on function, social factors, medical problems, and their perceived needs. The ICT meets to review each case and sends written recommendations to the PCP and patient. To date, the ICT performed consultations for 73 older adults with a mean age of 76 years. 69% were female. 71% were black and 26% white. Frequently identified needs included personal/home safety (74%), medication management (64.3%), food security (63.0%), cognition (49.3%), transportation (38.4%) and advance care planning (31.5%). In the 90 days before consultation, 32.9% of patients had ED visits and 21.9% were hospitalized. In the 90 days after, 24.7% had ED visits and 13.7% were hospitalized. (Differences were not statistically significant.) ICT provided virtual consultation for complex older adults with prevalent social needs and high rates of ED visits and hospitalization. The team worked with PCP’s to connect these patients more directly to community resources. Further study is needed to know rates of adherence with recommendations and true impact on health outcomes.

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