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- The pros and cons of the implementation of a chronic care model in European rural primary care: the points of view of European rural general practitionersPublication . Kurpas, Donata; Petrazzuoli, Ferdinando; Szwamel, Katarzyna; Randall-Smith, Jane; Blahova, Beata; Dumitra, Gindrovel; Javorská, Kateřina; Mohos, András; Simões, José Augusto Rodrigues; Tkachenko, Victoria; Kern, Jean-Baptiste; Holland, Carol A; Gwyther, HollyIntroduction: This article describes the views of European rural general practitioners regarding the strengths, weaknesses, opportunities and threats (SWOT) of the implementation of a chronic care model (CCM) in European rural primary care. Methods: This was a mixed-methods online survey. Data were collected from 227 general practitioners between May and December 2017. Categorical data were analysed using descriptive methods while free-text responses were analysed using qualitative methods. The setting was rural primary care in nine European countries (including Central and Eastern Europe). Main outcomes measures were respondents’ evaluations of a chronic care model in their rural healthcare settings in terms of SWOT. Results: The SWOT analysis showed that the expertise of healthcare professionals and the strength of relationships and communications between professionals, caregivers and patients are positive components of the CCM system. However, ensuring adequate staffing levels and staff competency are issues that would need to be addressed. Opportunities included the need to enable patients to participate in decision making by ensuring adequate health literacy. Conclusion: The CCM could certainly have benefits for health care in rural settings but staffing levels and staff competency would need to be addressed before implementation of CCM in suchsettings. Improving health literacy among patients and their carers will be essential to ensure their full participation in the implementation of a successful CCM.
- Recommendations of the Polish Society of Physiotherapy, the Polish Society of Family Medicine, the College of Family Physicians in Poland and the European Rural and Isolated Practitioners Association regarding the use of simple forms of physiotherapy, including massage and self-massage in primary care, endorsed by the Polish Society of Physiotherapy SpecialistsPublication . Kassolik, Krzysztof; Rajkowska-Labon, Elżbieta; Wilk, Iwona; Dobrzycka, Anna; Tomasik, Tomasz; Andrzejewski, Waldemar; Kiljański, Marek; Petrazzuoli, Ferdinando; Jacquet, Jean-Pierre; Simões, José Augusto Rodrigues; Tkachenko, Victoria; Kurpas, DonataBackground In general practice, dysfunctions within the locomotor system are a recurring health issue. Most frequently, diagnoses and treatments relate to pain syndromes of the backbone, the shoulder girdle or the pelvic girdle. The authors believe that physiotherapy, along with other clinical disciplines, should be regarded as an important factor which influences the effectiveness of the therapeutic process in this area. In primary care, treatment of musculoskeletal disorders – especially at the stage of early clinical symptoms – should incorporate basic physiotherapy methods, e.g., massage, physical procedures, kinesiotherapy and the underrated education of the patient. Restoring appropriate spatial arrangement of tissues provides the right conditions for the regeneration and repair of muscles, ligaments and tendons, although it is a process that requires a long time. Therefore, it can be very important to introduce self-therapy in the form of systematically repeated, easy-to-replicate procedures in the scope of self-massage and self-kinesiotherapy. Objectives This paper presents the impact of physiotherapy in treating selected disorders and pain syndromes of the locomotor system with particular attention to the role of massage. Emphasis is placed on the meaning of self-massage in the process of restoring structural balance of tissues. The model of active inclusion of the patient in the treatment process as preparation for self-therapy is presented. This paper aims to justify the need to reorganize health services provided through general practicioners within the National Health Fund network by incorporating physiotherapy in primary care.