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Recent News and Articles on the Keywords: primary care + point out + need  Related to the article below (Last Update: 5/5/2008)


CNN
This is a rush transcript from "The Beltway Boys", May 3, 2008 ...
FOXNews - 50 minutes ago
How will that affect the Democratic primary? GARRETT: In Indiana, the range of projection models is about 22 or 23 24 percent of the Democratic voter turn ...
RussiaToday
Clinton Leads on 'Bread and Butter' in Indiana The Washington Independent
Hilary's last stand? Sunday Herald
CQPolitics.com - Toledo Blade
all 1,714 news articles »
MP stresses need to avoid health cuts
Harborough Mail, UK -
Andrew Robathan MP and Catherine Griffiths, the chief executive of Leicestershire County and Rutland Primary Care Trust (LCRPCT), spoke at length about the ...
Clinton and Obama Bounce Between NC and Indiana
ABC News -
Clinton also said her opponent doesn?t cover everyone in his health care plan and also pointed out that they differ on their mortgage crisis relief plans. ...
Virtual Desktop LOCKDOWN -- If you're holding out for a hero to ...
TMCnet -
A compact, specialized desktop hypervisor is the sole interaction point between client and network. All the big names in server virtualization have desktop ...
Medical Specialties Hit by a Growing Pay Gap
Wall Street Journal -
Some doctors point out that shortages in medical specialties often correct themselves on their own. "We don't have [a neuro-ophthalmologist] on every street ...

Charlotte Weekly
Union County Primary 2008
Charlotte Weekly, NC -
I do believe we need to be fully disclosed. People are going to make something out of something that?s not there or something that is there. ...
Cleanliness of hospitals is in our hands, say health chiefs
ChronicleLive, UK -
This year the project is focusing on non-acute settings such as in-patient wards, care homes, doctors? surgeries, patients? homes and primary care trust ...
Nicholas von Hoffman: The next president will face a stack of ...
Dallas Morning News, TX - May 4, 2008
They may be able to do that kind of thing in Sweden, where they tax the bejabbers out of the citizenry and where, much more to the point, the krona is as ...
Q1 2008 Quest Diagnostics Earnings Conference Call - Final
Insurance News Net (press release), PA -
LAURE PARK: At this point in time we have seen the letter that has been sent to the physicians which would indicate they need take care of some matters ...DGX
Q1 2008 Amylin Pharmaceuticals, Inc. Earnings Conference Call - Final
Insurance News Net (press release), PA -
Indeed, we are finding the primary care market especially a greater challenge than we anticipated. Our growth in later adopters, who are predominantly ...
Event Brief of Q1 2008 Amylin Pharmaceuticals, Inc. Earnings ... Insurance News Net (press release)
all 2 news articles »  AMLN
Source: Google News

The research needs of primary care: Trials must be relevant to patients -
P Thomas - BMJ: British Medical Journal, 2000 - pubmedcentral.nih.gov
... in 1997 ) states that there is an urgent need for both ... Wilson et al (p 24) point
out that clinical trials must be conducted in primary care rather than ...

Systematic review of whether nurse practitioners working in primary care can provide equivalent care … -
S Horrocks, E Anderson, C Salisbury - BMJ: British Medical Journal, 2002 - pubmedcentral.nih.gov
... studies if the nurse provided care at first point of contact for unselected patients
in primary care including general practice, out of hours ...

Developmental studies of work as a test bench of activity theory: The case of primary care medical …
Y Engestriim - Understanding practice: Perspectives on activity and context, 1993 - books.google.com
... recently initiated a new reform in primary medical care ... addresses or to their already
existing care relations. ... Ol -son, and Williams (1985) point out, this is ...

Chronic Illness Management: What Is the Role of Primary Care? -
AA Rothman, EH Wagner - Annals of Internal Medicine, 2003 - annals.highwire.org
... other papers in this supplement point out that physicians ... of effective chronic disease
care (30-32 ... managers are unavailable to most primary care practices, but ...

Primary care: core values: patients' priorities -
J Neuberger - BMJ, 1998 - pubmedcentral.nih.gov
... first port of call for health care, and as ... really good advice from their primary
healthcare providers. ... People point out that doctors always know where, and to ...

… of nurse telephone consultation in out of hours primary care: randomised controlled trial -
V Lattimer, S George, F Thompson, E Thomas, M … - BMJ, 1998 - pubmedcentral.nih.gov
... be underpowered to establish equivalence in British primary care. ... practitioners
providing out of hours care had been ... to the intervention at the point at which ...

Evaluating the Quality of Medical Care -
A DONABEDIAN - The Milbank Quarterly, 2005 - Blackwell Synergy
... studies of relationships between prenatal care and the ... between one procedural end
point and another ... confirmation of appendicitis in primary appendectomies, as ...

Primary Care Medicine in Crisis: Toward Reconstruction and Renewal -
G Moore, J Showstack - Annals of Internal Medicine, 2003 - annals.highwire.org
... by replacing outdated approaches with those of competitors who responded better
to changing consumer needs. ... Many experts point out that primary care is an ...

… or collectively constructed" mindlines?" Ethnographic study of knowledge management in primary care -
J Gabbay, A le May - BMJ, 2004 - pubmedcentral.nih.gov
... his ?younger partners would gently point out? where his ... rather than try to factor
out, the power ... Primary care clinicians work in ?communities of practice ...

The'new genetics' and primary care: GPs' views on their role and their educational needs -
EK Watson, D Shickle, N Qureshi, J Emery, J … - Family Practice, 1999 - Oxford Univ Press
... genetic services to become more closely linked with primary care. ... more?I feel very
ignorant at this point in time ... fast mathematician you can't work out a sum ...

Source: Google Scholar

Survey points out need for education for primary care physicians on rarely seen cancers

(PHILADELPHIA) Many primary care physicians may lack the necessary knowledge when it comes to recognizing the signs, symptoms and making proper diagnoses in cases of blood cancers such as leukemia and lymphoma, a recent survey indicates.

But co-author Richard Wender, M.D., professor and chair of Family and Community Medicine at Jefferson Medical College of Thomas Jefferson University and Jefferson’s Kimmel Cancer Center in Philadelphia, says that such results are hardly surprising.

“The findings reflect the challenges that primary care doctors face,” Dr. Wender says. “Primary care physicians see a lot of patients with a variety of symptoms, often which are rarely life threatening. In the case of leukemia, the symptoms – anemia, lethargy, low-grade fever – can be over a spectrum of severity and often non-specific.”

While the results may serve as a wake-up call for more education and training, he notes, they should also point out the need for primary care physicians to be aware of a growing trend: cancer patients increasingly becoming long-term survivors who are at risk to develop second cancers years or decades later resulting from earlier cancer therapies as adults and in some cases, in childhood. The team reports its results December 10, 2007 at the annual meeting of the American Society of Hematology in Atlanta.

“Our survey shows that there are a lot of education gaps – which is not surprising since these are rare diseases,” Dr. Wender says. “Yet many of these patients live a long time, and the primary care doctors have responsibility to help coordinate care. Leukemia survivors, and in particular lymphoma survivors, almost always return to the primary care doctor for their care eventually. It probably means we need better technology and access to information. There could be some opportunities to make some diagnoses earlier.” No one knows, however, if earlier referrals would make a difference in patient survival for such diseases, he adds.

The survey was conducted by the Hematologic Oncology Primary Intervention Networking Group and for the Institute for Continuing Healthcare Education, part of a federal Centers for Disease Control and Prevention-supported initiative. The group’s goal is to help patients with blood cancers live beyond the five-year mark (often considered to be a cure) by educating primary care doctors on disease signs and symptoms and encouraging appropriate referrals to specialists. The group made presentations at primary care physician meetings, distributed educational material and conducted a survey.

In all, 357 individuals responded to the survey, either online or from educational booths at meetings. In one example, when asked how to monitor a 54-year-old Hodgkin’s disease survivor for five years, only 44 percent gave the correct answer. Respondents showed a lack of knowledge regarding appropriate studies to order for patient presenting with specific lab tests and symptoms consistent with leukemia.

“This is a new area of study,” Dr. Wender notes. “Primary care doctors have some shared responsibility in both cancer diagnosis and in the long-term followup.”
 
 
 
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