Role of survey physicians: the Italian experience Simona Giampaoli Istituto Superiore di Sanità Rome, Italy.

Slides:

Advertisements

Similar presentations

Common Wealth Fund Webinar February 5, 2013

Advertisements

Its Wandsworth CCGs 1st birthday! Have a look at what NHS Wandsworth Clinical Commissioning Group has achieved – with your help – over the past year...

Prevention and Health Promotion in General Practice Matti Pietikäinen Chief Physician Medical Director, Outpatient Services City of Kuopio.

Breast Cancer Early Detection is Your Best Protection

Shared Medical Visits. What Is a Shared Medical Visit?  A shared medical visit is usually a 90-minute medical visit that is shared with 8 to 15 other.

Combs Ford Surgery Patient Information Screen October 2013.

Services In The Practice Chronic Disease Clinics Why you should visit the service Appointments are with the practice nurses at a time to suit the patient.

Middle-sized primary health centre as an optimal environment for learning medicine ?

Socioeconomic differences in the utilisation of health care services: a European overview Anton Kunst for the international seminar on socioeconomic differences.

School for Primary Care Research Increasing the evidence base for primary care practice The School for Primary Care Research is a partnership between the.

Southern New Hampshire Health System Southern New Hampshire Medical Center 188 bed acute care community hospital 2/3 market share in southern NH area.

HPH COORDINATING CENTRE OF THE HEALTH PROMOTING HOSPITALS REGIONAL NETWORK OF EMILIA-ROMAGNA - ITALY AUSL DI REGGIO EMILIA - LOCAL HEALTH AUTHORITY OF.

Science-Based Health Care

Applied Epidemiology Epidemiology of Chronic Obstructive Pulmonary Disease (COPD) By Chris Callan 23 April 2008.

Detailed Physical Examination CHAPTER 12. Detailed Physical Examination Patients Needing a Detailed Examination.

Periodic Health Evaluations Components, Procedures, and Why They Could Save Your Life!!!

And Tobacco. Oral Health and Tobacco Almost everybody knows that smoking can cause lung diseases, diabetes, heart disease, and stroke. Ever think about.

CONGESTIVE HEART FAILURE By: Sade Jordan Donisha Grier.

By: Kyra Alexander.  Heart Failure is a condition in which the heart cannot pump enough blood into the rest of the body.  Often a long-term (Chronic)

Quitting Smoking How to stop smoking … for good!.

Consent for Research Study RESCUE: Randomized Evaluation of Patients with Stable Angina Comparing Utilization of Diagnostic Examinations ACRIN

Adrian Edwards Shared Decision Making in Cardiology: Training Workshop.

The Health Seeking Behaviors of Young African American Males and Their Thoughts About Prostate Cancer Veronica A. Clarke-Tasker, Ph.D., RN, MBA, MPH, Professor.

February is Heart & Stroke Awareness Month. Did you know???? Heart Disease and Stroke is Preventable if you know your RISK FACTORS.

2 nd Training Seminar on Planning and Preparing for EHES at the National Level Key points regarding informed consent Susanna Conti Istituto Superiore di.

World Spirometry Day, October 14, 2010 Running a mass spirometry event.

Mobile Occupational Health Unit and Workers’ Health Surveillance at Workplaces Republic of Turkey Occupational Health and Safety Institute (ISGUM) Dr.

Screening Introduction to Primary Care:

Medicare Annual Wellness Exam Presented by: Susan Duden, CPC. March 24, 2012.

1 Smoking Prevalence and Healthcare Provider Smoking Cessation Advice among US Worker Groups: The National Health Interview Survey Smoking is the most.

PAR-Q Seven Questions Designed to identifiy those who need medical clearance. If answer “yes” to any question should refer to physician for clearance.

CASA Secondment: Good practices from the Veneto Region Francesca Vanzo, Arsenàl.IT Poznan, 04 th April 2014.

© 2009 The McGraw-Hill Companies, Inc. All rights reserved 38-1 Purpose of General Physical Examination  To confirm an overall state of health Baseline.

Diabetes mellitus organization of care the experience of Syria Bassam ABDULMASSIH MD Endocrinologist Istanbul Friday,April

Expected Results EMPOWER the collaborating network between institutions and projects related to the Programme Gaining Health and to the general health.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 9 Continuity of Care.

Scleroderma: Education is the Key. By, Dana Tanner.

Improving the effectiveness of integrated care teams Rob Darracott Pharmacy Voice.

Purpose of General Physical Examination

PHEPA COUNTRY PRESENTATION ITALY Emanuele Scafato * Director, WHO COLLABORATING CENTRE FOR RESEARCH AND HEALTH PROMOTION ON ALCOHOL AND ALCOHOL-RELATED.

Health Examination Surveys in Europe Hanna Tolonen National Public Health Institute, Finland.

In-Reach Hospital Program In-Reach Hospital Program Coordinating Multiple Service Providers Rare Presentation Partnership between: South Central Human.

 The first piece of information that the AT should collect on each athlete prior to the start of practice.  Identify any athletes who may be at risk.

Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Hypertension in General Practice – an APO-audit Jens Damsgaard.

By: Kaylee Copas. What is cancer? Cancer is the uncontrolled growth of abnormal cells in the body. Cancerous cells are also called malignant cells.

PUTTING PREVENTION FIRST Vascular Checks/ NHS Health Checks.

Survey of Respiratory Diagnostic Laboratories to Inform the National COPD Strategy T McCarthy,* A McGowan, ¥ M O’Connor,* on behalf of the National COPD.

THE MEDICAL CENTRE Your Patient Survey Results January 2014.

Where is your future taking You?

WELCOME TO SHIPLEY MEDICAL PRACTICE

YOUR LOGO HERE Comprehensive Physical Examination $00.00

Word Study “A” Choose the correct words: chest

WELCOME TO SHIPLEY MEDICAL PRACTICE

Evidence-based Medicine

Purpose of General Physical Examination

Nursing Health Assessment

Key Principles of Health Information Systems Standard11.1

Primary Care in the Czech Republic

Patient Medical Records

Injury Prevention Jenna Bidoglio, ATC Belleville High School

NHS ADULT SCREENING PROGRAMMES

Aortic Dissection Diagnosis & Missed Diagnosis Dr Ruth Large

Asthma Allison Ormond, RN Pamlico County Primary School.

ASBAIT School Districts

Exam Room Health Center Health Center Front Desk Waiting Room

It’s Wandsworth CCG’s 1st birthday!

Smoking cessation rate as point prevalence quit rate from year 1 to 5 in the Lung Health Study with 5,587 chronic obstructive pulmonary disease patients.

Lesson 3 PCH 9.PCH.1 Analyze wellness, disease prevention, and recognition of symptoms 9.PCH1.3 Explain the procedures for health screenings, check ups,

Presentation transcript:

Role of survey physicians: the Italian experience Simona Giampaoli Istituto Superiore di Sanità Rome, Italy

Physical examination (Seven Countries Study) Mouth – number of teeth edentulous Thyroid – presence of goiter Heart - sounds Lung - murmurs Abdomen - liver Pulses – arms, legs, etc. Skin Collection of symptoms and signs No diagnoses Only one person made diagnoses reviewing the papers, ECG, etc. (Menotti)

Health Examination Survey/ Osservatorio Epidemiologico Cardiovascolare 20 centres, one per Region OUR ACTIVITIES AT REGIONAL LEVEL inform Health Local Authorities (General Director of the Hospital/District) involve Director of the Cardiology/Prevention/Medicine Unit inform GPs

Health Examination Survey/ Osservatorio Epidemiologico Cardiovascolare Tasks of the Director of Cardiology/Preventive/Medicine Unit: sign the letter of invitation and lab exam results select the nurses employed in the screening nominate the leader of the group (nurse or young medical doctor) GOOD OPPORTUNITY TO TEACH EPIDEMIOLOGY AND HOW TO MEASURE RISK FACTORS IN A PREVENTIVE SETTING

Health Examination Survey/ Osservatorio Epidemiologico Cardiovascolare PROBLEMS Nurses and physicians are used to medical emergencies requiring prompt intervention,…… they are not used to work in preventive settings and to apply standardized procedures requiring specific time frame. Prevention requires time and willingness to talk to patients Usually persons do not like to wait before blood drawing as they are fasting and uncomfortable with blood draw

Health Examination Survey/ Osservatorio Epidemiologico Cardiovascolare Roles of the survey physician reviews and signs lab exams (ECG, spirometry, bone densitometry, laboratory tests) results can be hand-delivered or sent by surface mail (systematic reviews have found that physician advices are associated with quitting smoking in 2% smokers )

Health Examination Survey/ Osservatorio Epidemiologico Cardiovascolare The presence of a physician (GP) increases participation rate

Health Examination Survey/ Osservatorio Epidemiologico Cardiovascolare Other limitations (convince physician to collect data using standardized procedures) Cost (select preferably physician in retirement)