Primary care orientation of family practice in the Philippines: Cross-sectional study in pilot sites

Background@#Universal Health Care law calls for strong primary care where essential services are responsive to the health needs of individuals, families, and communities. Similar to other countries, family physicians are the biggest workforce in primary care, but little is known about the kind of care that they provide. This study aimed to determine the process of care rendered by family physicians in the country to assess their readiness in implementing the standards of primary care services according to the Universal Health Care law.@*Methods@#Cross-sectional survey using a questionnaire that includes 6 key elements of UHC was conducted to family physicians participating in the pilot project of the Philippine Academy of Family Physicians practice networks. Process of care is part of the big data collected in the survey. The process of care variables was analyzed using descriptive statistics.@*Results@#There were 195 family physicians who completed the survey. There were about 14.87% from Luzon, 18.46% from NCR, 27.18% from the Visayas, and 39.49% from Mindanao. Overall, the participants provide comprehensive, coordinated, and continuing care. Few utilized electronic medical records (9%). Preventive services provided are immunization (82.05%), alcohol and smoking cessation (77.44%), nutrition advice (76.92%), and exercise prescription (73.33%). @*Conclusion@#Family physicians in the pilot sites provide comprehensive, coordinated, and continuing care. The majority also offer common preventive services such as immunization, smoking cessation, nutrition advice, and exercise prescription. Some process needed for UHC needs improvement such as the use of EMR and quality assurance activities.

Dental Hygienist-Led Dental Hygiene Process of Care for Self-Support Program Participants in Gangneung / 치위생과학회지

This study aimed to provide basic data for establishing the clinical basis for dental hygienist-led dental hygiene process of care by identifying multiple risk factors for self-support program participants in Gangneung city; we also compared oral health status and behavioral changes through customized oral health care. Four dental hygienists who were evaluated for degree of conformity provided dental hygiene process of care to eight self-support program participants who were selected as having an oral health risk among people in the self-support center. The clinical indicators measured during dental hygiene assessment and evaluation and behavioral changes due to dental hygiene intervention were compared and analyzed. With respect to clinical indicators, at the time of probe, the retention rate of patients with gingival bleeding decreased from 61.4% to 14.7% after intervention (p=0.004). Furthermore, the retention rate of patients with a periodontal pocket >4 mm decreased from 15.6% to 5.8% (p=0.001). The average modified O'Leary index of the patients improved from 23 to 40 (p=0.002). Previously, all eight subjects used the vertical or horizontal method of brushing; after dental hygiene care interventions regarding method and frequency of toothbrushing, use of oral care products, and individual interventions, they started using the rolling or Bass method of toothbrushing. Four of eight subjects reported using interdental toothbrushes after intervention. As a result of applying the change model to the transtheoretical behavior change of the subject, the result of strengthening the health behavior was confirmed. For promotion of oral health by the prevention-centered incremental oral health care system, dental hygienist-led dental hygiene management and maintenance is essential. It is thought that continuous research, such as for feasibility evaluation, cost benefit analysis, and preparation of legal systems, is needed to establish and activate dental hygiene management.

Reflexiones interacadémicas sobre el proceso de atención de enfermería / Inter-academical reflexions on the nursing process

El desarrollo de actividades interacadémicas en espacios de investigación sin lugar a dudas reporta la posibilidad de un intercambio de visiones sobre la disciplina y una experiencia en pro de la cultura de la Inter-multidisciplina. En el marco de la Unidad de Investigación la ENEO-UNAM, ha instituido los jueves académicos, escenario donde se diserta sobre temas relevantes para el cuidado a la salud, tal fue el caso del Proceso de Atención de Enfermería (PAE). En una jornada de cuatro sesiones se abordó por representantes de las diversas Academias de Enfermería e Investigadores en el tema, los diferentes escenarios en los que se evidencia el proceso, así como la problemática y forma de aproximarse al PAE. De dicha actividad se reconocieron tres aspectos nodales en torno al PAE a saber: Aspectos semánticos-nominales, los Teóricos conceptuales y los Instrumentales; todos de gran trascendencia e impostergable abordaje. Lo anterior inserto en una visión filosófica sobre el cuidado a partir de la aprehensión de persona y naturaleza, que lleven a considerar el verdadero humanismo con que se ha investido a la profesión de enfermería.

The development of interacademic activities in investigation spaces without doubt reports the possibility of an interchange of visions on the discipline and a experience for the culture of the Inter-discipline. Within the framework of the Unit of Investigation the ENEO-UNAM, has instituted academic thursdays, scene where dissert on excellent subjects for the care to the health, so was the case of the Nursing Process Attention (PAE by abbreviations in for Spanish) . In cycle of four sessions one approached by representatives of the diverse Academies of Nursing and Investigators in the subject, the different scenes in which the process is demonstrated, as well at the problematic and forms to come near to the PAE. We´re acknowledge of this activity, three aspects around the PAE : Aspects semantic-nominal, the conceptual theoreticians and Instrumentation; all of great importance and urgent boarding. All inserted in a philosophical vision on the care from the apprehension of person and the nature, who take to consider the true humanist whereupon she has been invested to the Nursing profession.