Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 6th Annual Congress & Medicare Expo on Primary Healthcare Tokyo, Japan.

Day 1 :

  • Primary Healthcare
Location: tokyo
Speaker
Biography:

Ronald Dwinnells, M.D., MBA earned his medical degree from the University of Kentucky College of Medicine in 1983 and his MBA from George Washington University in 2000.  He is the Chief Executive Officer of the Ohio North East Health Systems, Inc. Located in northeast Ohio.  He is the President, Chair and Founder of Butterflies and Hope Memorial Foundation supporting improvements in behavioral and mental health problems.

Abstract:

Statement of the Problem:  Although problems related to mental health and substance abuse are major social and public health concerns associated with sizable individual and social costs, these conditions remain underdiagnosed in primary care settings.  Despite screening recommendations for depression and substance abuse, few studies have examined the efficacy of screening in community health centers.  Purpose and Methodology:  The purpose of this quasi-experimental design study was to examine the effectiveness of the behavioral health Screening, Brief Intervention, and Referral to Treatment (SBIRT) program at a community health center by comparing a study site where SBIRT activities occurred and a control site where no SBIRT processes ensued.  Findings: The study group was twice as likely (25.3%) to have depression and substance abuse diagnosed compared with the control group (11.4%) (p< .001).  Referral rates for the study group were more likely to occur (12.4%) compared with referral rates for the control group (1.0%) (P< .001); however, the kept appointment rates by patients for behavioral health referrals remained low for both groups.  Conclusion and Significance: SBIRT was effectively utilized in a community health center, resulting in increased rates for diagnosis of behavioral health problems and referrals of patients. Community health centers and other health care delivery models would improve their diagnostic and interventions rate by implementing a behavioral health screening program. 

Speaker
Biography:

Martin-Morgan has been a registered nurse for 20 years, working within the intensive care setting for the last 18 years.  She is a certified profession coach, Master NLP Practitioner, and certified emotional intelligence coach.  She attended University of Phoenix working toward her Doctorate of Management in Organizational Leadership all but dissertation.  She serves on the board of directors for GSI – Guardianship Services and is a volunteer on the Denton Medical Services local disaster relief organization.    

Abstract:

Forty to fifty percent of patients who are critically ill and on the ventilator 3 days or longer, will experience post-traumatic stress disorder (Zarbano, 2016).  A pilot study was conducted with the purpose of introducing the use of the ICU diary within the Intensive Care Unit (ICU) located in the USA. While the ICU diary has been widely used throughout Europe since the 1980’s, the United States health care system has been hesitant to use this tool.  The participants in this evidenced-based practice (EBP) study were ICU patients who were on the ventilator for 24 hours.  The psychological problems experienced by the critically ill patient has been attributed to delusional memories and gaps in the patients’ memories as to what happened to them while they were in the ICU.  The diary fills in the blanks and provides the patient a first-hand written report of what really happened to them.  Pictures were taken of the patient on the ventilator, providing a base-line measurement of how sick they had been, while providing a retrospective documented path of their physical and psychological recovery.  

            The participants in this study were critically ill and sedated, and unable to give consent.  The primary support person was approached by Martin-Morgan PI (principle investigator) to obtain consent to implement an ICU diary designed to help the patient understand what happened to them while they were critically ill.  The photographs provided the patient a visual recording of how sick they had been and the progress they had made.  

Speaker
Biography:

Coming Soon

Abstract:

Diagnostic imaging utilization grew rapidly over the past two decades. It remains unclear whether patients play a role in deciding the usage of imaging studies under patient cost-sharing incentives. To study this, I conducted in-depth conversations with both physicians and patients (see Figure 1 for a sample of interview questions). Half of the interviewed patients are enrolled in High Deductible Health Plans (HDHPs) at the point of our interview, and the rest are from non-HDHPs. I find that patients did play a role in deciding the usage of imaging studies in the way that HDHP patients are less likely to demand imaging studies than non-HDHP patients. However, as patients cannot distinguish low-value care from high-value care, HDHP patients avoid patient care in general. This is consistent with previous literature on patient cost-sharing and HDHPs where patients indiscriminately reduce medical care. It suggests that HDHP may be a blunt instrument reducing all diagnostic imaging, rather than helping physicians and patients choose high-value imaging.

  • Primary Care | Quality in Primary Care
Location: tokyo
Speaker
Biography:

Marilia Silva Paulo is currently finishing her PhD in International Health with specialization in Health Polices and Development. Her field of study is in Health Services Research, more specifically she has been working on how to improve quality in primary health care and delivery of care to chronic patients. Her passion is on improving health systems quality and empowering people to manage their own diseases. She is been working at the Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University.

Abstract:

Statement of the Problem: The Chronic Care Model (CCM) is a multicomponent model with an organizational approach that addresses how to deliver care for all individuals with chronic diseases and has its own assessment tools, like the Assessment Chronic Illness Care (ACIC)1,2. Objectives: To explore healthcare workers perception of the level of integration of the Chronic Care Model (CCM) in the daily care of chronic patients. Methodology & Theoretical Orientation: A purposive sample of 14 healthcare workers from Abu Dhabi’s health system was interviewed using a semi-structured topic guide based on the ACIC instrument. A mixed-methods approach was used, as interviews were recorded, transcribed verbatim, and subject to content analysis using words as the unit. Following each question on the topic guide, participants scored the corresponding ACIC subscale from 0 (limited support) to 11 (fully developed). Findings: Delivery system design was the element with the highest score 8.5 and the only fully developed element to support chronic illness care. All the other elements were rated as reasonably good with scores between 6.3 (community) and 8.1 (health system). Participants awarded high scores for some components; however, the qualitative findings did not always support the quantitative data indicating that the transition from doctor-centered to patient-centered is still in process. Conclusion & Significance: Abu Dhabi’s health system currently provides good support for chronic illness care. Strategies have been implemented to create a pathway towards the full development of the CCM best practices and healthcare excellence.

Luexay PHADOUANGDETH

Medical Doctor at Medical Science University in Vientian

Title: Village Health Information System in Sayaboury Province, Lao PDR
Speaker
Biography:

Dr. Luexay PHADOUANGDETH is graduated Medical Doctor at Medical Science University in Vientian, Lao PDR. Graduated Master of Public Health at Mahidol University, Thailand. Completed PhD at Khon kaen University Thailand. He has been trained Primary Health care advance program at Asian Public Health Development Institute at Mahidol University Thailand. Use to be PHC project management team in Sayaboury Provincial Health Office Sayaboury Province, Lao PDR. He has published paper “Maternal Near miss and Mortality in Sayaboury Province, Lao PDR.” In BMC Public Health Journal.

Abstract:

Health indicators are used to indicate health status of people; village health information system is database of each village. The system is consisting of demographic, birth and death, individual health information of each family member, environmental health and other PHC data of each family in the village. This study is aim to improve Quality of Primary Health Care Information System at village level in Sayaboury Province Lao PDR.

 

Participatory research action to create village health information system by Microsoft Excel platform for data collection and data analysis, and develop to Web based in second steps of study at 7 villages; pilot catchment area, Nala health center Sayaboury district Sayaboury Province Lao PDR. from 1st January 2017 to 31st December, 2017. New system of health information system at village level will be established, health center will be a hub of village health information, together with monthly updating total and specific target age group of population which related to CRVS, to provide data support health promotion, health prevention and other health activities. Data element of each specific health activities will be analyses by master excel program. Study result will be supported up-to-date, correctly, precisely, and believable data in monthly report of village and health center report to health information system of Lao MOH (DHIS2).

The study will develop village health information system including population base and other village health information at pilot study area, then extend to other area of Sayaboury Province and continue developing online system in the future.

Speaker
Biography:

Coming soon

Abstract:

Elderly is a fast growing population group in the world. In this stage they become more vulnerable and destitute due to lack of proper attention of society, particularly in physical and mental health care. Globally, developed and developing countries are seeking better ways to provide the best care for elderly people and take initiative to formulate improved policies to ensure proper care. The Government of Bangladesh recently has become more aware of the elderly services but this is not enough for their nursing and caring. In this regards, ethics is a fundamental part of older care and socio-legal settings are significant factors for the protection of elderly people. Moreover, the living arrangement and the familial relationship are considered a major determinant of elderly care and well-being. In the Bangladeshi society, there are two types of approaches to offer services for the elderly, family and institutional care. But, institutional care for the elderly in the country is still extremely limited. From both settings, they suffer from sufficient health and medical care, proper food and clothing, recreation and financial support. Unfortunately, there are no separate geriatrics departments for elderly care in both private and public hospitals all over the country. However, there is no statistics whether the elderly prefer live in institutions or in family and how far the family or institutions meet the needs of the elderly. This has remained as an important question in the field of elderly care. Thus, elderly population presents considerable challenges to governments and the society to provide innovative and efficient ways to deliver essential care and facilities. In this backdrop, this paper attempts to analyze the present institutional care services and challenges whether it is sufficient for the elderly people in Bangladesh.

 

Keywords: Elderly care, institutional services, ethics.

 

Retno Asti Werdhani

Medical Education coordinator in department of community medicine

Title: How community medicine implicates the design and delivery of future medical education?
Speaker
Biography:

Retno Asti Werdhani, born in Jakarta, August 25, 1975. Graduated School of Medicine University of Indonesia in 2000 and joined the faculty of medicine since 2001 in the department of community medicine. She has been a member of Medical Education Unit Faculty of Medicine University of Indonesia since 2010. She earned her master in clinical epidemiology in 2006 and graduated from doctoral of medicine in 2016. Currently she works as medical education coordinator in department of community medicine since 2014 and continue developing the role of community medicine in undergraduate medical curriculum. 

Abstract:

Abstract (300 word limit)

It was observed that teaching of the Community Medicine/Public Health subjects have already existed, but without links among departments. Primary Care Doctors are usually considered one of the leaders of health system and they should provide leadership in healthcare delivery as well as health system reform. Therefore, fresh graduate doctors who, in our country, will work in primary care (at least 1 year after graduation), need to understand various aspects of socio-demographic phenomenon to create a bridge between population and health. To create the bridge between population and health, there is a necessity of community medicine in medical education. Medical graduates have limited awareness of ongoing health challenges that health systems are facing. There are also lacks of effective teamwork and leadership as well as low interest in public health/community health among undergraduate students.1

 

Community Oriented Medical Education (COME) is an approach to medical education, which is focused on population groups and individual persons as well as all aspects of priority of health problems.2There are Five keys strategic direction according to WHO strategic framework for strengthening undergraduate medical education in addressing current health challenges.3Faculty of Medicine Universitas Indonesia has experience on implementing those strategies, one of which is a multi-department (community and clinical medicine) longitudinal and integrated clerkship module.4The module consist of many field practices (hospital and primary care based), and multidepartment personnel (committee and tutors), as well as medical education unit as our advisor.5

Speaker
Biography:

Coming Soon

Abstract:

Benzo[a]pyrene induced lung cancer by mechanism which interact with DNA and cause genetic changes; this mechanism accelerates the cell cycle progression and induces the abnormal cell proliferation. Selenium, N Acetyl cysteine and curcumin in nanocomposite have been shown to confer various biological effects, anticancer, enhance immune system and antioxidant properties. The present study was undertaken to evaluate the chemopreventive effect of nano (selenium ,acetl cysteine ,curcumin) (NSACC) and possess ability of SNACC with dose 4mg kg.b.w against Benzo[a]pyrene carcinogenesis with dose 200mgkg.bw divided at two doses the first at the 1st week of the experiment the second after 20 week from the time of the experiment.The results indicated that B[a]p induced lung cancer in mice's histopathologically and cause significant decrease of SOD, GSH,CAT values and significant increase of NOx, LP over expression of p53,cas3 and cas9.While, treating with(NSACC) causes significant increase of SOD, GSH, GPx, and significant decrease of CAT, LP, Nox, induction of p53, cas 3, cas 9 gradually then decrease to normal control values. From the obtained results, it could be concluded that inhibition of peroxidation and oxidative stress markers, enhanced antioxidant status, induction of p53 expression , caspase3 and 9 gene in mice lung tissue by NSACC suggest the potential efficacy of NSACC as an addition chemo preventive agent in treatment of lung carcinogenesis. These data provide direct evidence for the role of NSACC as very strong chemo preventive and treating drug for lung cancer induced by B[a]P.
Key Words: nanocomposite( selemium, n acetyl cysteine, curcumin), caspase3, 9, tumor suppressor gene p53, super oxidase dismutase.

Speaker
Biography:

Dr Rachel Nissanholtz-Gannot is a lawyer and serves as the head of the department of Health System Management at Ariel University. She is also a researcher at Myers-JDC-Brookdale Institute in Jerusalem. Her fields of interests are law, health and medical ethics. Her studies include issues, such as: Implementation of the Dying Patient Law; Physician – Pharma Relationship; Quality Indicators in Primary Health System; Changing Role of Community Nurses. The current study was published and Rachel is planning to continue another research on this issue.

Abstract:

Nurses have become key partners to the medical profession in promoting and monitoring the quality of community-based health services. Israel has had a highly effective national quality monitoring programme for community-based health services since 2004. The objective of this study is to analyse Israeli primary care physicians' (PCP's) perceptions of nurses’ roles in that program and their contributions to the monitoring and improvement of healthcare quality.

A representative sample of 1000 PCPs in Israel were surveyed using a  73-item questionnaire. . Altogether, responses were received from 605 of the 884 physicians (69%) who met the study criteria, for a response rate of 69%. Descriptive analyses were performed.

Most respondents (74%) agreed that nurses shared responsibility for improving the quality measures and that nurses contributed to practice quality. Physician characteristics typically had a minor impact on their perceptions as to whether the nurses contributed to quality improvement.  Physicians who felt that measurement improved care quality and those supporting programme continuation were likelier to perceive nurses to share responsibility. However, in open ended-questions about the changes they had made in their practice as a result of the programme, they made minimal reference to nurses’ importance and contributions in improvement of quality indicators 

There was a disparity between the closed-ended and open-ended questions regarding the way physicians depicted the roles of nurses in quality monitoring and improvement. This disparity suggests that  the nurses’ growing involvement in quality have not yet been fully internalised or appreciated by the physicians