The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
T M Mccashland - One of the best experts on this subject based on the ideXlab platform.
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Posttransplantation Care: role of the Primary Care Physician versus transplant center.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation S, 2001Co-Authors: T M MccashlandAbstract:1. Forty percent of transplant centers expect the Primary Care Physician to be the Primary Physician; 40% have both a Primary Care Physician and a hepatologist manage the patient. 2. Transplant centers expect Primary Care Physicians to provide general preventive medicine, physical examinations, vaccinations, and, rarely, management of hypertension, renal dysfunction, and diabetes. 3. A high percentage of Primary Care Physicians feel comfortable caring and managing the overall health Care of a long-term liver transplant patient. 4. Primary Care Physicians feel at most ease managing preventive Care, annual physical examinations, hypertension, diabetes mellitus, hyperlipidemia, bone disease, and vaccinations. 5. Primary Care Physicians should be aware of the common medical conditions of the liver transplant patient of hypertension, diabetes, obesity, hyperlipidemia, and recurrent disease. 6. Common medical conditions for both the transplant centers and Primary Care Physicians are hypertension, dyslipidemia, diabetes mellitus, malignancy, bone disease, pregnancy, vaccination, infectious prophylaxis, and headaches.
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Posttransplantation Care: Role of the Primary Care Physician versus transplant center
Liver Transplantation, 2001Co-Authors: T M MccashlandAbstract:Abstract Key Points 1. Forty percent of transplant centers expect the Primary Care Physician to be the Primary Physician; 40% have both a Primary Care Physician and a hepatologist manage the patient. 2. Transplant centers expect Primary Care Physicians to provide general preventive medicine, physical examinations, vaccinations, and, rarely, management of hypertension, renal dysfunction, and diabetes. 3. A high percentage of Primary Care Physicians feel comfortable caring and managing the overall health Care of a long-term liver transplant patient. 4. Primary Care Physicians feel at most ease managing preventive Care, annual physical examinations, hypertension, diabetes mellitus, hyperlipidemia, bone disease, and vaccinations. 5. Primary Care Physicians should be aware of the common medical conditions of the liver transplant patient of hypertension, diabetes, obesity, hyperlipidemia, and recurrent disease. 6. Common medical conditions for both the transplant centers and Primary Care Physicians are hypertension, dyslipidemia, diabetes mellitus, malignancy, bone disease, pregnancy, vaccination, infectious prophylaxis, and headaches. ( Liver Transpl 2001;7:S2-S12. )
Gary L Hart - One of the best experts on this subject based on the ideXlab platform.
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osteopathic Physicians and international medical graduates in the rural Primary Care Physician workforce
Family Medicine, 2012Co-Authors: Meredith A Fordyce, Mark P Doescher, Frederick M Chen, Gary L HartAbstract:BACKGROUND AND OBJECTIVES Primary Care Physician (PCP) shortages are a longstanding problem in the rural United States. This study describes the 2005 supply of two important components of the rural PCP workforce: rural osteopathic (DO) and international medical graduate (IMG) PCPs. METHODS American Medical Association (AMA) and American Osteopathic Association (AOA) 2005 Masterfiles were combined to identify clinically active, non-resident, non-federal Physicians aged 70 or younger. Rural-Urban Commuting Area codes were used to categorize practice locations as urban, large rural, small rural, or isolated small rural. National- and state-level analyses were performed. PCPs included family Physicians, general internists, and general pediatricians. RESULTS DOs comprised 4.9% and IMGs 22.2% of the total clinically active workforce. However, they contributed 10.4% and 19.3%, respectively, to the rural PCP workforce, although their relative representation varied geographically. DO PCPs were more likely than allopathic PCPs to practice in rural places (20.5% versus 14.9%, respectively). IMG PCPs were more likely than other PCPs to practice in rural persistent poverty locations (12.4% versus 9.1%). The proportion of rural PCP workforce represented by DOs increased with increasing rurality and that of IMGs decreased. CONCLUSIONS DO and IMG PCPs constitute a vital portion of the rural health Care workforce. Their ongoing participation is necessary in addressing existing rural PCP shortages and handling the influx of newly insured residents as the Patient Protection and Affordable Care Act (ACA) comes into effect. The impact on rural DO and IMG PCP supply of ACA measures intended to increase their numbers remains to be seen.
Mariano Giorgi - One of the best experts on this subject based on the ideXlab platform.
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Latin American Expert Consensus for Comprehensive Management of Type 2 Diabetes from a Metabolic–Cardio–Renal Perspective for the Primary Care Physician
Diabetes Therapy, 2021Co-Authors: Roopa Mehta, Daniel Pichel, Chih Hao Chen-ku, Pablo Raffaele, Antonio Méndez Durán, Francisco Padilla, Jose Javier Arango Alvarez, José Esteban Costa Gil, Juan Esteban Gómez Mesa, Mariano GiorgiAbstract:Growing scientific evidence from studies on type 2 diabetes (T2D) has recently led to a better understanding of the associated metabolic–cardio–renal risks. The large amount of available information makes it essential to have a practical guide that summarizes the recommendations for the initial management of patients with T2D, integrating different aspects of endocrinology, cardiology, and nephrology. The expert consensus presented here does not attempt to summarize all the evidence in this regard but rather attempts to define practical summary recommendations for the Primary Care Physician to improve the clinical prognosis and management of patients with T2D, while ensuring economic sustainability of health systems, beyond glycemic control.
Anand K Narayan - One of the best experts on this subject based on the ideXlab platform.
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impact of Primary Care Physician interaction on longitudinal adherence to screening mammography across different racial ethnic groups
Journal of The American College of Radiology, 2019Co-Authors: Efren J Flores, Diego B Lopez, Randy C Miles, Mckinley Glover, Constance D Lehman, Benjamin H Harvey, Anand K NarayanAbstract:Abstract Purpose Regular contact with a Primary Care Physician (PCP) is associated with increased participation in screening mammography. Older studies suggested that PCP interaction may have a smaller effect on screening mammography uptake among racial and ethnic minorities compared with whites, but there is limited contemporary evidence about the effect of PCP interaction on screening mammography uptake across different racial and ethnic groups. The purpose of this study was to evaluate the association between PCP contact and longitudinal adherence with screening mammography guidelines over a 10-year period across different racial/ethnic groups. Methods This HIPAA-compliant and institutional review board–approved retrospective single-institution study included women between the ages of 50 and 64 years who underwent screening mammography in the calendar year of 2005. The Primary outcome of interest was adherence to recommended screening mammography guidelines (yes or no) at each 2-year interval from their index screening mammographic examination in 2005 until 2015. Patients were defined as having a high level of PCP interaction if their PCPs were listed in the electronic medical record within the top three providers with whom the patients had the most visits during the study period. Generalized estimating equation models were used to estimate the effect of high PCP interaction on screening mammography adherence while adjusting for correlated observations and patient characteristics. Results Patients in the high PCP interaction group had increased longitudinal adherence to recommended screening mammography (adjusted odds ratio [OR], 1.51; 95% confidence interval [CI], 1.42-1.73; P Conclusions High levels of PCP interaction result in similar improvements in longitudinal screening mammography adherence for all racial/ethnic minority groups. Future efforts will require targeted outreach to assist Medicaid and uninsured patient populations overcome barriers to screening mammography adherence.
Nathalie Jette - One of the best experts on this subject based on the ideXlab platform.
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relationship between Primary Care Physician visits and hospital emergency use for uncomplicated hypertension an ambulatory Care sensitive condition
Canadian Journal of Cardiology, 2014Co-Authors: Robin L Walker, Guanmin Chen, Finlay A Mcalister, Norm R C Campbell, Brenda R Hemmelgarn, Elijah Dixon, William A Ghali, Doreen M Rabi, Karen Tu, Nathalie JetteAbstract:Abstract Background Hospitalizations for ambulatory Care-sensitive conditions (ACSCs) represent an indirect measure of access and quality of community Care. The purpose of this study was to examine the association between one ACSC, uncomplicated hypertension, and previous Primary Care Physician (PCP) utilization. Methods A cohort of patients with hypertension was identified using administrative databases in Alberta between fiscal years 1994 and 2008. We applied the Canadian Institute for Health Information's case definition to detect patients with uncomplicated hypertension as the most responsible reason for hospitalization and/or Emergency Department (ED) visit. We assessed hypertension-related and all-cause PCP visits. Results The overall adjusted rate of ACSC hospitalizations and ED visits for uncomplicated hypertension was 7.1 and 13.9 per 10,000 hypertensive patients, respectively. The likelihood of ACSC hospitalization for uncomplicated hypertension was associated with age, household income quintile, region of residence, and Charlson comorbidity status (all P Conclusions As the frequency of hypertension-related PCP visits increased, the rate of ACSC hospitalizations and/or ED visits for uncomplicated hypertension increased. This suggests that ACSC hospitalization for uncomplicated hypertension might not be a particularly good indicator for access to Primary Care.
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clinical research relationship between Primary Care Physician visits and hospital emergency use for uncomplicated hypertension an ambulatory Care sensitive condition
2014Co-Authors: Robin L Walker, Guanmin Chen, Finlay A Mcalister, Brenda R Hemmelgarn, Elijah Dixon, William A Ghali, Doreen M Rabi, Karen Tu, Nathalie Jette, Hude QuanAbstract:Background: Hospitalizations for ambulatory Care-sensitive conditions (ACSCs) represent an indirect measure of access and quality of community Care. The purpose of this study was to examine the association between one ACSC, uncomplicated hypertension, and previous Primary Care Physician (PCP) utilization. Methods: A cohort of patients with hypertension was identified using administrative databases in Alberta between fiscal years 1994 and 2008. We applied the Canadian Institute for Health Information’s case definition to detect patients with uncomplicated hypertension as the most responsible reason for hospitalization and/or Emergency Department (ED) visit. We assessed hypertension-related and all-cause PCP visits.