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Family Practice

Carola van Dipten, Saskia van Berkel, Vincent A van Gelder, Jack Fm Wetzels, Reinier P Akkermans, Wim Jc de Grauw, Marion Cj Biermans, Nynke D Scherpbier-de Haan, Willem Jj Assendelft
No abstract text is available yet for this article.
February 16, 2017: Family Practice
Inge Spronk, Joke C Korevaar, Jako S Burgers, Tit Albreht, François G Schellevis
No abstract text is available yet for this article.
February 13, 2017: Family Practice
Yolanda Ribas, Meritxell Coll, Avelina Espina, Concepció Jiménez, Montserrat Chicote, Marta Torné, Ines Modolell
No abstract text is available yet for this article.
February 13, 2017: Family Practice
Maiken Pontoppidan, Nete K Niss, Jan H Pejtersen, Megan M Julian, Mette S Væver
No abstract text is available yet for this article.
February 3, 2017: Family Practice
Vincent A van Gelder, Nynke D Scherpbier-de Haan, Saskia van Berkel, Reinier P Akkermans, Inge S de Grauw, Eddy M Adang, Pim J Assendelft, Wim J C de Grauw, Marion C J Biermans, Jack F M Wetzels
No abstract text is available yet for this article.
February 2, 2017: Family Practice
Anthea Dallas, Mieke van Driel, Simon Morgan, Amanda Tapley, Kim Henderson, Chris Oldmeadow, Jean Ball, Andrew Davey, Katie Mulquiney, Joshua Davis, Neil Spike, Lawrie McArthur, Rebecca Stewart, Parker Magin
No abstract text is available yet for this article.
February 1, 2017: Family Practice
Michele L Allen, Diego Garcia-Huidobro, Tiana Bastian, G Ali Hurtado, Roxana Linares, María Veronica Svetaz
No abstract text is available yet for this article.
February 1, 2017: Family Practice
Martin Dawes
No abstract text is available yet for this article.
February 1, 2017: Family Practice
Clare J Taylor, Ronan Ryan, Linda Nichols, Nicola Gale, Fd Richard Hobbs, Tom Marshall
BACKGROUND: Heart failure is a common long term condition affecting around 900 000 people in the UK and patients commonly present to primary care. The prognosis of patients with a code of heart failure in their primary care record is unknown. OBJECTIVE: The study sought to determine the overall survival rates for patients with heart failure in a primary care population from the time of diagnosis. METHODS: Survival analysis was carried out using UK primary care records from The Health Improvement Network (THIN) between 1 January 1998 and 31 December 2012...
January 30, 2017: Family Practice
Helle Riisgaard, Jens Søndergaard, Maria Munch, Jette V Le, Loni Ledderer, Line B Pedersen, Jørgen Nexøe
BACKGROUND: Recent research has shown that a high degree of task delegation is associated with the practise staff's overall job satisfaction, and this association is important to explore since job satisfaction is related to medical as well as patient-perceived quality of care. OBJECTIVES: This study aimed: (1) to investigate associations between degrees of task delegation in the management of chronic disease in general practice, with chronic obstructive pulmonary disease (COPD) as a case and the staff's work motivation, (2) to investigate associations between the work motivation of the staff and their job satisfaction...
January 24, 2017: Family Practice
Lisa Carter-Harris, Susan Brandzel, Karen J Wernli, Joshua A Roth, Diana S M Buist
BACKGROUND: Lung cancer screening with annual low-dose computed tomography is relatively new for long-term smokers in the USA supported by a US Preventive Services Task Force Grade B recommendation. As screening programs are more widely implemented nationally and providers engage patients about lung cancer screening, it is critical to understand behaviour among high-risk smokers who opt out to improve shared decision-making processes for lung cancer screening. OBJECTIVE: The purpose of this study was to explore the reasons for screening-eligible patients' decisions to opt out of screening after receiving a provider recommendation...
January 24, 2017: Family Practice
Laura B Portalupi, Carmen L Lewis, Carl D Miller, Kerry L Whiteman-Jones, Kay A Sather, Donald E Nease, Daniel D Matlock
BACKGROUND: People who have experienced illness due to significant disease, multimorbidity and/or advanced age are high utilizers of the health care system. Yet this population has had little formal opportunity to participate in guiding the health care research agenda, and few mechanisms exist for researchers to engage this population in an efficient way. OBJECTIVE: We describe the process of developing a standing patient and family advisory panel to incorporate this population's voice into research in the USA...
January 24, 2017: Family Practice
Ineke C Nugteren, Laura A M Duineveld, Thijs Wieldraaijer, Henk C P M van Weert, Irma M Verdonck-de Leeuw, Cornelia F van Uden-Kraan, Jan Wind
BACKGROUND: As colon cancer is increasingly becoming a chronic illness with a broad range of symptoms, there is a need for individually tailored care for these patients. OBJECTIVE: To investigate patients' opinions about GP involvement in survivorship care and the use of eHealth applications, such as Oncokompas(2.0), to support self-management. Oncokompas(2.0) is an interactive website that monitors quality of life via participant-reported outcomes and provides feedback and personalized supportive care...
January 24, 2017: Family Practice
Riana Rahmawati, Beata V Bajorek
BACKGROUND: Self-medication is commonly practised by patients, underpinned by health beliefs that affect their adherence to medication regimens, and impacting on treatment outcomes. OBJECTIVES: This review explores the scope of self-medication practices among people with hypertension, in terms of the scale of use, types of medication and influencing factors. METHOD: A comprehensive search of English language, peer-reviewed literature published between 2000 and 2014 was performed...
January 24, 2017: Family Practice
Dan Wu, Tai Pong Lam, Kwok Fai Lam, Xu Dong Zhou, Kai Sing Sun
PURPOSE: To examine the public's views towards their choice of first-contact care and its associated factors in urban China. METHODS: A mixed-method study was adopted using individual interviews, focus group interviews and a cross-sectional survey. The study was conducted among the general public between September 2014 and September 2015 in Zhejiang province, China. RESULTS: . Six focus groups and 13 individual interviews were conducted. The questionnaire was completed by 1248 respondents with a response rate of 83%...
January 24, 2017: Family Practice
Laura Sirri, Silvana Grandi, Eliana Tossani
BACKGROUND: Medically unexplained symptoms (MUS) are common in primary care and are one of the most challenging clinical encounters for general practitioners (GPs). OBJECTIVE: To assess GPs' clinical experience with MUS and its relationship with their gender, age and length of practice. METHODS: Four hundred and thirty-three Italian GPs were invited to complete a questionnaire encompassing the following MUS-related features: workload, cognitive and emotional responses, management strategies, attitudes towards psychological interventions, sources of education and educational needs...
January 24, 2017: Family Practice
Jessica S Chung, Henry N Young, Megan A Moreno, Harald Kliems, Elizabeth D Cox
BACKGROUND: Engaging patients across the research trajectory supports research that is generalizable, high quality, timely and actionable. However, this approach comes with challenges and opportunities as investigators and engaged patient stakeholders encounter institutional policies around patient engagement, privacy and research participant protection. OBJECTIVE: To describe the resolution and impact of quandaries arising when patient stakeholders' values and preferences conflicted with institutional policies...
January 24, 2017: Family Practice
Juul Houwen, Peter L B J Lucassen, Hugo W Stappers, Pim J J Assendelft, Sandra van Dulmen, Tim C Olde Hartman
BACKGROUND: Many general practitioners (GPs) find the care for patients with medically unexplained symptoms (MUS) challenging. The patients themselves are often not satisfied with the care they receive. OBJECTIVES: The aim of this study is to explore what patients with MUS expect from their GP by looking at relevant communication elements in consultations as identified by patients. METHODS: We video-recorded everyday consultations with GPs and asked the GPs immediately after the consultation whether MUS were presented...
January 24, 2017: Family Practice
Anne R J Dekker, Theo J M Verheij, Alike W van der Velden
BACKGROUND: Childhood infections are common in general practice. Although clinical guidelines recommend restrictive antibiotic use for children, antibiotics are too often prescribed. OBJECTIVE: The aim of this study was to obtain insight in antibiotic prescribing for children related to clinical diagnoses. This is pivotal to define improvement strategies in the antibiotic management. METHODS: In this observational study, we used consultation data collected from 45 general practices in the Netherlands in 2012...
January 24, 2017: Family Practice
Bethany M Kwan, Bonnie Jortberg, Meredith K Warman, Ilima Kane, Robyn Wearner, Romona Koren, Thomas Carrigan, Vincent Martinez, Donald E Nease
BACKGROUND: Self-management support (SMS) for patients with diabetes can improve adherence to treatment, mitigate disease-related distress, and improve health outcomes. Translating this evidence into real-world practice is needed, as it is not clear which SMS models are acceptable to patients, and feasible and sustainable for primary care practices. OBJECTIVE: To use the Boot Camp Translation (BCT) method to engage patient, practice, community resource and research stakeholders in translation of evidence about SMS and diabetes distress into mutually acceptable care models and to inform patient-centred outcomes research (PCOR)...
January 1, 2017: Family Practice
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