Innovations in primary health care
https://doi.org/10.51523/2708-6011.2021-18-4-2
Abstract
This review is devoted to a number of important innovations and their role in modern medical practice of a family practitioner. We have discussed benefits, restrictions and controversies related to their use. We have also reviewed the evidence base on the practical implementation of these innovations. This review is devoted to a number of important innovations and their role in modern medical practice of a family practitioner. We have discussed benefits, restrictions and controversies related to their use. We have also reviewed the evidence base on the practical implementation of these innovations.
About the Authors
E. N. PlatoshkinBelarus
Eric N. Platoshkin, PHD, Head of Department of Internal Diseases No.2 with course of the Faculty of Professional Development and Retraining
Gomel
Yu. M. Platoshkina
Belarus
Yulia M. Platoshkina, anesthesiologist-resuscitator
Gomel
S. A. Shut
Belarus
Sviatlana A. Shut, PhD, Associate Professor at Department of Internal Diseases No. 2 with course of the Faculty of Professional Development and Retraining
Gomel
H. N. Ramanov
Belarus
Heorgy N. Ramanov, PhD, Associate Professor at Department of Internal Diseases No. 2 with the course of the Faculty of Professional Development and Retraining
Gomel
A. N. Kavalchuk
Belarus
Anna N. Kavalchuk, Assistant Lecturer at Department of Internal Diseases No. 2 with the course of the Faculty of Professional Development and Retraining
Gomel
S. P. Tishkov
Belarus
Sergey P. Tishkov, Assistant Lecturer at the Department of Internal Diseases No. 2 with the course of the Faculty of Professional Development and Retraining
Gomel
P. I. Bartnouski
Belarus
Pavel I. Bartnouski, Assistant Lecturer at Department of Internal Diseases No. 2 with the course of the Faculty of Professional Development and Retraining
Gomel
S. H. Seifidinova
Belarus
Sviatlana H. Seifidinova, Assistant Lecturer at Department of Internal Diseases No. 2 with the course of the Faculty of Professional Development and Retraining
Gomel
References
1. Lingervelder D, Koffijberg H, Kusters R, IJzerman MJ. Point-of-care testing in primary care: A systematic review on implementation aspects addressed in test evaluations. Int J Clin Pract. 2019 Oct;73(10):е13392. DOI: https://doi.org/10.1111/ijcp.13392
2. El-Osta A, Woringer M, Pizzo E, Verhoef T, Dickie C, Z Ni M, et al. Does use of point-of-care testing improve cost-effectiveness of the NHS Health Check programme in the primary care setting? A cost-minimisation analysis BMJ. BMJ Open. 2017 Aug 15;7(8):e015494. DOI: https://doi.org/10.1136/bmjopen-2016-015494
3. Hobbs FD, Delaney BC, Fitzmaurice DA, Wilson S, Hyde CJ, Thorpe GH, et al. A review of near patient testing in primary care. Health Technol Assess. 1997;1(5):1-229.
4. Cooke J, Butler C, Hopstaken R, Dryden MS, McNulty C, Hurding S, et al. Narrative review of primary care point-of-care testing (POCT) and antibacterial use in respiratory tract infection (RTI). BMJ Open Respiratory Research. 2015;2(1):e000086. DOI: https://doi.org/10.1136/bmjresp-2015-000086
5. Schols AMR, Dinant G-J, Cals JWL, “Point-of-care testing in general practice: just what the doctor ordered?”. Br J Gen Pract. 2018 Aug;68(673):362-363. DOI: https://doi.org/10.3399/bjgp18X698033
6. Myhr K, Sandvik H, Morken T, Hunskaar S. Point-of-care ultrasonography in Norwegian out-of-hours primary health care. Scand J Prim Health Care. 2017;35(2):120-125.
7. Sorensen B, Hunskaar S. Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations. Ultrasound J. 2019 Dec;11:31. DOI: https://doi.org/10.1186/s13089-019-0145-4
8. Mengel-Jørgensen T, Jensen MB. Variation in the use of point-of-care ultrasound in general practice in various European countries. Results of a survey among experts. Eur J Gen Pract. 2016 Dec;22(4):274-277. DOI: https://doi.org/10.1080/13814788.2016.1211105
9. Evangelista L, Juncadella E, Copetti S, Pareja A, Torrabadella J, Evangelista A. Diagnostic usefulness of pocket echography performed in hypertensive patients by a general practitioner. Med Clin (Barc). 2013 Jul 7;141(1):1-7.
10. Mjølstad OC, Snare SR, Folkvord L, Helland F, Grimsmo A, Torp H, et al. Assessment of left ventricular function by GPs using pocket-sized ultrasound. Fam Pract. 2012;29(5):534-540. DOI: https://doi.org/10.1093/fampra/cms009
11. Blois B. Office-based ultrasound screening for abdominal aortic aneurysm. Can Fam Physician. 2012 Mar; 58(3):e172-178.
12. Bailey RP, Ault M, Greengold NL, Rosendahl T, Cossman D. Ultrasonography performed by primary care residents for abdominal aortic aneurysm screening. J Gen Intern Med. 2001;16(12):845-849.
13. Bravo-Merino L, González-Lozano N, Maroto-Salmón R, Meijide-Santos G, Suárez-Gil P, Fañanás-Mastral A. Validez de la ecografía abdominal en Atención Primaria para detección de aneurisma de aorta abdominal en varones de entre 65 y 75 años. Aten Primaria. 2019 Jan;51(1):11-17. DOI: https://doi.org/10.1016/j.aprim.2017.10.005
14. Lindgaard K, Riisgaard L. ‘Validation of ultrasound examinations performed by general practitioners’. Scand J Prim Health Care. 2017; 35(3):256-261. DOI: https://doi.org/10.1080/02813432.2017.1358437
15. Mumoli N, Vitale J, Giorgi-Pierfranceschi M, Sabatini S, Tulino R, Cei M, et al. General Practitioner-Performed Compression Ultrasonography for Diagnosis of Deep Vein Thrombosis of the Leg: A Multicenter, Prospective Cohort Study. Ann Fam Med. 2017 Nov;15(6):535-539. DOI: https://doi.org/10.1370/afm.2109
16. Lang A, Edwards F, Norton D, Semple L, Williams H. Using mobile ECG devices to increase detection of atrial fibrillation across a range of settings in south London. Future Healthc J. 2020;7(1):86-89. DOI: https://doi.org/10.7861/fhj.2019-0033
17. Perez MV, Mahaffey KW, Hedlin H, Rumsfeld JS, Garcia A, Ferris T, at al. Apple Heart Study Investigators. Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation. N Engl J Med. 2019;381(20):1909-1917. DOI: https://doi.org/10.1056/NEJMoa1901183
18. Bumgarner JM, Lambert CT, Hussein AA, Cantillon DJ, Baranowski B, Wolski K, at al. Algorithm for Automated Detection of Atrial Fibrillation. J Am Coll. Cardiol. 2018;71(21):2381-2388. DOI: https://doi.org/10.1016/j.jacc.2018.03.003
19. Rajakariar K, Koshy AN, Sajeev JK, Nair S, Roberts L, Teh AW. Accuracy of a smartwatch based single-lead electrocardiogram device in detection of atrial fibrillation. Heart. 2020 May;106(9):665-670. DOI: https://doi.org/10.1136/heartjnl-2019-316004
20. Benezet-Mazuecos J, García-Talavera CS, Rubio JM. Smart devices for a smart detection of atrial fibrillation. J Thorac Dis. 2018 Nov;10(Suppl 33):S3824-S3827. DOI: https://doi.org/10.21037/jtd.2018.08.138
21. Tarassenko L, Greenhalgh T. Question: Should smartphone apps be used as oximeters? Answer: No. CEBM [Electronic resource]. 2020 Apr. [date of access 2020 Apr 1]. Available from: https://www.cebm.net/covid-19
22. Car J, Sheikh A. Telephone consultations. BMJ. 2003 May 3;326(7396):966-969. DOI: https://doi.org/10.1136/bmj.326.7396.966
23. Online version of the NHS Long Term Plan: overview and summary [Electronic resource]. 2020 Feb. [date of access 2020 February 10]. Available from: https://www.longtermplan.nhs.uk/online-version/overview-and-summary
24. Farr M, Banks J, Edwards HB, Northstone K, Bernard E, Salisbury C, et al. Implementing online consultations in primary care: a mixed-method evaluation extending normalisation process theory through service co-production. BMJ Open. 2018 Mar 19;8(3):e019966. DOI: https://doi.org/10.1136/bmjopen-2017-019966
25. Riel NV, Auwerx K, Debbaut P, Hees SV, Schoenmakers B. The effect of Dr Google on doctor–patient encounters in primary care: a quantitative, observational, cross-sectional study. BJGP Open. 2017 May 17;1(2):bjgpopen17X100833. DOI: https://doi.org/10.3399/bjgpopen17X100833
26. About the NHS website [Electronic resource]. 2020 Feb. [date of access 2020 February 10]. Available from: https://www.nhs.uk/about-us/about-the-nhs-website/
27. About the NHS website [Electronic resource]. 2020 Feb. [date of access 2020 February 10]. Available from: https://www.nhs.uk/nhs-services/online-services/nhs-app/about-the-nhs-app/
28. Gilbert S, Mehl A, Baluch A, Cawley C, Challiner J, Fraser H, et al. How accurate are digital symptom assessment apps for suggesting conditions and urgency advice? A clinical vignettes comparison to GPs. BMJ Open. 2020 Dec 16;10(12):e040269. DOI: https://doi.org/10.1136/bmjopen-2020-040269
29. National Statistical Committee of the Republic of Belarus: Official statistic. [Electronic resource]. [date of access 2020 February 10]. Available from: https://www.belstat.gov.by/ofitsialnaya-statistika/makroekonomika-i-okruzhayushchaya-sreda/informatsionno-telekommunikatsionnye-tekhnologii/graficheskiy-material-grafiki-diagrammy/dostup-naseleniya-v-vozraste-6-72-let-k-uslugam-seti-internet/ (in Russ.).
30. Yuen J, Xie F. Medical education during the COVID-19 pandemic: perspectives from UK trainees. Postgrad Med J. 2020 Jul;96(1137):432-433. DOI: https://doi.org/10.1136/postgradmedj-2020-137970
31. Chipps J, Brysiewicz P, Mars M. A systematic review of the effectiveness of videoconference-based tele-education for medical and nursing education. Worldviews Evid Based Nurs. 2012 Apr;9(2):78-87. DOI: https://doi.org/10.1111/j.1741-6787.2012.00241.x
32. Royal College of General Practitioners. MRCGP: Recorded Consultation Assessment (RCA) [Electronic resource]. 2020 Dec. [date of access 2020 Dec 10]. Available from: https://www.rcgp.org.uk/training-exams/mrcgp-exam-overview/mrcgp-recorded-consultation-assessment.aspx
33. Hobbs FDR, Bankhead C, Mukhtar T, Stevens S, Perera-Salazar R, Holt T, at al. National Institute for Health Research School for Primary Care Research. Clinical workload in UK primary care: a retrospective analysis of 100 million consultations in England 2007-14. Lancet. 2016 Jun 4;387(10035):2323-2330. DOI: https://doi.org/10.1016/S0140-6736(16)00620-6
34. Hawthorne K, Jackson B, Fisher D. New teams in general practice. Inno vAiT. 2018;11(9):506-512. DOI: https://doi.org/10.1177/1755738018783786
35. Barnes DE. Social prescribing. InnovAiT. 2020;13(11):638-641. DOI: https://doi.org/10.1177/1755738020950340
36. Health Education England. General Practice Assistants. [Electronic resource]. [date of access 2020 Dec 10]. Available from: https://www.hee.nhs.uk/our-work/gp-assistant
Review
For citations:
Platoshkin E.N., Platoshkina Yu.M., Shut S.A., Ramanov H.N., Kavalchuk A.N., Tishkov S.P., Bartnouski P.I., Seifidinova S.H. Innovations in primary health care. Health and Ecology Issues. 2021;18(4):17-25. https://doi.org/10.51523/2708-6011.2021-18-4-2