6^th Annual Congress & Medicare Expo on Primary Healthcare May 14-16, 2018 Tokyo, Japan

Biography:

He has completed his bachelor degree in nursing in West China School of Nursing, China. Now, he is a graduated student in West China School of Nursing, majoring in hemorrhagic stroke disease.

Abstract:

Background: World health organization reported that stroke was the second leading cause of death in 2015, killed more than 6 million people in 2015 and remained the biggest killer with ischemic heart disease in last 15 years. In China, stroke is the first leading cause of death and disability, causing great demands for post-discharge care form communities and other institutions.  The transitional care model was regarded as the first choice to solve this problem. The purpose of this study is to analysis the link and difference in different transitional care model, and to describe the use of them in patients with hemorrhagic stroke. Methodology: Search the online database including pubmed, medline, ovid embase and so on, and review the articles. Findings: There were some mature transitional care models all over the world. However, the concept, framework, interventions and evaluation of the models differed greatly. The use of transitional care model in patients with hemorrhagic stroke was effective in reducing the cost of medical care, increasing the quality of life of patients and caregivers. Conclusion & Significance: The transitional care model was effective in stroke patients. It was a connection between the hospital and primary health care institutions. More researches are need to build a transitional care model, which is suitable for the health care system, individually.  

Biography:

Yan Wang has completed her bachelor degree from nursing school,West China hospital of medicine,Sichuan University,China.And now is a graduated student of nursing school,West China hospitalof medicine,Sichuan University,China..

Abstract:

OBJECTIVE To study the influence of perinatal individualized comprehensive intervention on breastfeeding behavior of women with gestational diabetes.

METHOD A randomized controlled trial was used in this study.Gestational diabetes pregnant women who stayed in a women,s and children,s Hospital in Chengdu City,Sichuan Province from July 2017 To October 2017 were randomly divided into intervention group(n=107)and control group(n=105).The intervention group adopted perinatal individualized integrated intervention,the scale was assessed at admission,and individualized exercise ,diet and breastfeeding measures were fomulated.Breastfeeding,exercise and diet guidance immediately after delivery,and knowledge enhancement before discharge.Researcher take one to one ,face to face intervention throughout the process.The control   group was given routine feeding guidance.Breastfeeding,knowledge of breastfeeding knowledge and self-efficacy of breastfeeding were compared between the intervention group and the control group.

RESULT There was no difference in baseline data between the two groups of subjects at admission(P>0.05).The pure breastfeeding rate of the intervention group(31.8%) was higher than that of the control group(13.3%)(P=0.004) .The score of breastfeeding knowledge in the

 

intervention group(111.64±9.03) was higher than that of the control group(107.39±9.21)(P=0.001) and the inner dimension ,the skill dimension and the total score of the breastfeeding self-efficacy in the intervention group were all higer than the control group(P<0.01 for all).

CONCLUSION The adoption of perinatal individualized comprehensive intervention can significantly improve the exclusive breastfeeding rate,improve breast feeding knowledge and breastfeeding sele-efficacy in women with gestational diabetes.

 

 

 

 

 

 

Biography:

Jie Chen in his work uses a multidisciplinary perspective and involves collaboration with clinical leaders, community partners and organizational decision makers. Her research field includes health care delivery system and policy, health care disparities, behavioral health and economic evaluation. Recently, she has conducted research on patient-centered medical homes, including designing personalized patient activation and empowerment strategies to encourage and sustain patients’ involvement in their treatment.

 

 

Abstract:

Mental illness is a major public health concern in the United States. Untreated mental illnesses are associated with high mortality rates, increased risk of developing major chronic diseases, including heart disease, diabetes, asthma and hypertension and accelerating progression of coexisting physical illness and amplifying their disability. 68% of adults with a mental illness have one or more chronic physical conditions. A recent study showed that the overall cost of mental illness reached $201 billion in the United States in 2013, topping the list of the most-costly conditions. There is an increased awareness of the impact of social determinants of mental health. The need to address healthcare access and underlying social determinants of health will require a multisector integrated mental healthcare system to target population health. Public health and health promotion programs became a vital part of hospitals' effort to focus on the primary goal of benefiting the community at large. Research suggests that the partnership between hospital systems and public health has the potential to address some of the root causes of poor health. Our study shows that the integration of public health system is associated with the 9% reduction of health disparities between racial groups. Care coordination models include improving the use of a patient-centered medical home, clinician-patient continuity, team-based approaches, use of community hospital-based support, specialized outpatient programs for high-risk patients, home visits, patient navigation to link primary care and specialty care and referral tracking systems. Evidence consistently suggests that care coordination is essential to meet the growing demands for mental healthcare access while controlling costs and improving quality of service delivery.

 

Biography:

Rosa María Ostiguin Meléndez has completed her Doctorate from the University of Trujillo, Peru. She has published more than 19 articles in national and international journals and has been a Member of the Editorial Board of renowned Spanish-language nursing journals.

 

Abstract:

The family provides care for the development or preservation of the health of its members even under exceptional conditions of illness or disability. Health professionals for an assertive practice should consider the family as a subject with their own care processes that are valid and validated by their members. In this context, family care should be explored as a process where deep dimensions interact that give meaning and direction to do, to do and to be in group action, where love and the care ethos impels it permanently for the unfolding of care expressions/resonances, which are driven by fundamental family principles. The aim of the study was to explore family care in the Mexican population to analyze the dimensions that underlie and mobilize care in that social unit. The study was qualitative, exploratory and descriptive. Results show that care in Mexican families shows dimensions of care, ethics, aesthetic and ontological. Family care has three dimensions: Ethics that recover the virtuous sense of attitudes, habits, hopes and obligations that drive the duty of the family, also the aesthetic that weighs the feelings as the art of family care to precipitate the doing of care and the ontological that mobilizes the being-family to express the care of the group through the generational resonances of the same.

 

Biography:

Ejlertsson has her expertise in occupational health and has a passion for creating new pathways when improving the wellbeing of healthcare workers. She is exerting both qualitative and quantitative methods in her research, always using a salutogenic approach. Her research goals include creating a positive spiral, since healthy healthcare workers leads to better health care.

 

Abstract:

Statement of the Problem: Lack of recovery is connected to increased levels of stress-related problems and development of ill-health. Recovery outside the workplace has been studied previously, but a recent study found that recovery during working hours, regardless of recovery outside work, is valuable in relation to high self-rated health.

 

Aim: The aim of this study was to explore the concept of recovery during working hours, as described by the employees working in primary health care.

 

Methodology: Focus groups with a total of 50 staff members from different professions were conducted in eight primary health care centers in southern Sweden, using a semi-structured interview guide. The analysis was inspired by systematic text condensation.

 

Findings: The experience of recovery during working hours was described in a similar way in all the focus groups, although there were some individual differences. Three main categories were identified: (1) Variation (including changes in location, tasks and tempo), Companionship (including helpfulness, appreciation, social chat and laughter) and (3) Manageability (including completion, satisfaction, influence, control and reflection). The participants described how their work entailed many different opportunities for recovery, but there was not enough time or knowledge to accomplish them in the daily work. The workplace culture and atmosphere were significant factors for giving the employees possibilities to recover.

 

Conclusion & Significance: Recovery during working hours is multifaceted. All three categories identified in this study interact with each other and are, at various levels, prerequisites for recovery. We have not found any other available literature concerning this aspect and it can be considered as a novel finding. In a future study, the results will be used for an intervention in primary health care; with the aim of assessing to what extent these factors influence recovery in daily work, which will enhance the wellbeing of the employees.

 

Biography:

Kahabi Ganka Isangula is a Tanzanian Medical Doctor and Public Health Expert. He is currently studying at the School of Public Health and Community Medicine, UNSW, Sydney as a PhD Research Fellow. His research involves public health, health service delivery, epidemiology and non-communicable diseases.

 

Abstract:

Statement of the Problem: Recent research indicates an increasing burden of NCDs in low income Africa. The WHO emphasize on Best Buys as the cost-effective intervention in resource constrained settings with drug therapy, risk management and patient counseling as the cornerstones of biomedical NCDs response. However, the literature in low-income Africa persistently indicates poor NCDs health care seeking, non-adherence to medication and poor continuity with care. Research in high-income countries suggests improving trust in patient-doctor relationship as a promising strategy to address these challenges. Factors shaping patient trust in doctors have been extensively documented in western countries. What is not yet clear are the factors shaping patient trust in doctors in low income Africa’s healthcare settings. The purpose of this research is to examine the provider factors shaping patient trust in doctors in Tanzania using hypertension as a case study.

 

Methodology: A qualitative inquiry using audio-taped in-depth interviews with patients and providers was conducted between October 2015 and March 2016 in two characteristically rural districts of Tanzania. Data were managed using Nvivo 11 software and analyzed thematically.

 

Findings: The accounts of 34 patients representing 77% of the participants of the broader study on patient trust in doctors in Tanzania were analyzed. Features of good doctors ranging from reputation within the community and fellow patients, behaviors and demeanors portraying good customer care to technical skills were valued by patients as shaping their trust. Poor technical and behavioral competences were characterized as features of bad doctors consequently shaping distrust. These competences were characterized as manifesting along the spectrum of care: before, during and after patient-doctor encounter.

 

Conclusion & Significance: Doctor’s reputation, behavioral and technical skills are equally important in shaping patient trust. The findings of this study provide useful insights to medical professions and health training institutions in LIA to reshaping current practices and training curriculum respectively.