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A Journey towards Continuous Improvement in the Quality in Primary Care

Hassaan Tohid

Editor in Chief, Quality of Primary Care, University of California, USA

*Corresponding Author:
Dr. Hassaan Tohid
Editor in Chief – Quality in Primary Care
Consultant Neuroscientist (CASN)
Chief Neuroscientist & Professor of Neuroscience (Neuro-Cal), USA
E-mail: [email protected]

Submitted date: September 08, 2016; Accepted date: September 09, 2016; Published date: September 16, 2016


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I am delighted to introduce the volume 24, issue 4 of the journal “Quality in Primary Care”. The journal highlights various aspects that influence the quality of care directly and indirectly. As the medical science continues to advance, we are benefitted with various technological modalities like fMRI and computer softwares.[1] Nowadays, the electronic medical record (EMR) has become a necessity in almost all parts of the modern world especially in the developing countries. These technological advancements are necessary for improving the primary care quality. Despite these advancements and improvement in the quality of care, the doctor-patient relation is still doctor-centered rather than the patient centered in many parts of the world.[2]

Difficult Patients……A Myth or a Reality? Time to

Change the Clinician Behavior

Difficult Patients……A Myth or a Reality? Time to

Change the Clinician Behavior

The current issue of the Quality in Primary Care addresses all of the above mentioned topics precisely. The issue contains 13 published articles, addressing; the technological advancements; the current problems faced by the clinicians; and some information on prevention, control; and antibody testing of certain diseases. An interesting feature of this current issue is that it covers articles related to many dimensions of the primary care. It not only covers topics related to the adult medicine, but also pediatrics, as well as some interesting topics like psychiatry.

Psychiatry has an association with the gynecological and obstetric world, especially with pregnancy.[3] Considering this association, Elmetwally published an article about uterine blood flow in pregnant sheep.[4] Furthermore, Elmetwally et al. published an article on the Doppler Sonography. They suggested that it can be a helpful mode to assess the effects of maternal anxiety on Intrauterine Fetal Growth in Pregnant Sheep and Goats.[5]

No technological improvement is complete without any mention of genetics. This aspect in this issue was addressed by Pastor et al from Spain. They studied the genetic basis of chronic atrophic gastritis in a large family. Moreover, this issue contains a great article about EMR, an article about the Estimation of Age by Pulp-Tooth Area Ratio Using Three Computer Aided Software’s, and an article about prevention and control of cervical and breast cancer.

I addressed the importance of the patient centered clinical care and emphasized the importance of choosing the medical profession only when one loves the profession. Furthermore, Eshetu and Agedew covered the pediatric aspect of the care by publishing an article, “Determinant of Severe Acute Malnutrition among Children Aged 6-59 Months in Konso, Southern Ethiopia: Case Control Study”. In their study they concluded, that the Socioeconomic and demographic variables have an influence on the odds of malnutrition in children.[6]

In the end, St-Onge published a survey study conducted in Canada, the study concluded that the majority of participants perceived that the Quebec Poison Centre fulfills its missions, but expressed more uncertainties regarding the educational and research missions. They asked for improvement regarding accessibility to clinical services and training, elements on which the Quebec Poison Centre already made progress.[7]

We hope that you find Volume 24 issue 4 interesting, that you will not only enjoy reading but will also improve your knowledge about the topics covered in the current issue. We welcome your suggestions, so that we may improve the quality of the journal in future volumes.


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