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Family Practice

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https://www.readbyqxmd.com/read/28531259/guideline-adherence-for-diagnostic-faeces-testing-in-primary-care-patients-with-gastroenteritis
#1
Alwin Schierenberg, Berna D L Broekhuizen, Martine D Nipshagen, Maarten B J Kommer, Patricia C J Bruijning-Verhagen, Sanne van Delft, Alma C van de Pol, Marc J M Bonten, Niek J de Wit
Background.: Gastroenteritis (GE) is a common reason for primary care consultation. Dutch clinical practice guidelines (CPG) recommend diagnostic faeces testing (DFT) only in primary care patients with severe illness, comprised immunity or increased transmission risk. For its superior accuracy, shorter turnaround time and ease of use, polymerase chain reaction (PCR)-based DFT has largely replaced conventional techniques. It is unknown whether this changed CPG adherence. Objective...
May 20, 2017: Family Practice
https://www.readbyqxmd.com/read/28486693/oncologists-views-on-the-importance-of-general-practitioners-for-cancer-patients-a-qualitative-interview-study-from-germany
#2
Jennifer Engler, Insa Kone, Christine Holmberg, Walter Baumann, Andrea Siebenhofer, Corina Güthlin
Background.: Integrated cancer care requires cooperation between specialists and general practitioners (GPs). Mutual understanding of each other's tasks and responsibilities is essential if cooperation is to be successful. While GPs' opinions about oncologists have been addressed in previous studies, less is known about oncologists' views on the role of GPs' in cancer care, especially with regard to GPs' patient-centred, communication-based tasks. Objective.: To assess oncologists' views on the importance of GPs for cancer patients...
May 9, 2017: Family Practice
https://www.readbyqxmd.com/read/28486675/short-course-versus-long-course-oral-antibiotic-treatment-for-infections-treated-in-outpatient-settings-a-review-of-systematic-reviews
#3
Elizabeth E Dawson-Hahn, Sharon Mickan, Igho Onakpoya, Nia Roberts, Matthew Kronman, Chris C Butler, Matthew J Thompson
Purpose.: To summarize the evidence comparing the effectiveness of short and long courses of oral antibiotics for infections treated in outpatient settings. Methods.: We identified systematic reviews of randomized controlled trials for children and adults with bacterial infections treated in outpatient settings from Medline, Embase, CINAHL, Cochrane Database of Systematic Reviews and The Database of Review of Effects. Data were extracted on the primary outcome of clinical resolution and secondary outcomes...
May 9, 2017: Family Practice
https://www.readbyqxmd.com/read/28486672/-meet-and-greet-intake-appointments-in-primary-care-a-new-pattern-of-patient-intakes
#4
Emily Gard Marshall, Imhokhai Ogah, Beverley Lawson, Richard J Gibson, Frederick Burge
Background.: Family physicians (FPs) are expected to take on new patients fairly and equitably and to not discriminate based on medical or social history. 'Meet and greet' appointments are initial meetings between physicians and prospective patients to establish fit between patient needs and provider scope of practice. The public often views these appointments as discriminatory; however, there is no empirical evidence regarding their prevalence or outcomes. Objectives...
May 9, 2017: Family Practice
https://www.readbyqxmd.com/read/28486622/motivational-interviewing-by-general-practitioners-for-type-2-diabetes-patients-a-systematic-review
#5
Isaraporn Thepwongsa, Radhakrishnan Muthukumar, Pattapong Kessomboon
Background.: Motivational interviewing (MI) is an effective tool to help clinicians with facilitating behavioural changes in many diseases and conditions. However, different forms of MI are required in different health care settings and for different clinicians. Although general practitioners (GPs) play a major role in Type 2 diabetes management, the effects of MI delivered by GPs intended to change the behaviours of their Type 2 diabetes patients and GP outcomes, defined as GP knowledge, satisfaction and practice behaviours, have not been systematically reviewed...
May 9, 2017: Family Practice
https://www.readbyqxmd.com/read/28486612/dutch-practice-nurses-adherence-to-evidence-based-smoking-cessation-treatment-guidelines
#6
Dennis de Ruijter, Eline S Smit, Hein de Vries, Ciska Hoving
Background.: Practice nurses in general practice sub-optimally adhere to evidence-based smoking cessation treatment guidelines, but factors explaining their adherence have not yet been investigated. Understanding such factors is important to develop interventions improving practice nurses' smoking cessation guideline adherence and patients' subsequent cessation success. This study explored the association between different socio-cognitive and predisposing factors, and practice nurses' adherence to the Dutch smoking cessation guideline in general (i...
May 9, 2017: Family Practice
https://www.readbyqxmd.com/read/28486577/considerations-on-requests-for-euthanasia-or-assisted-suicide-a-qualitative-study-with-dutch-general-practitioners
#7
Katja Ten Cate, Donald G van Tol, Suzanne van de Vathorst
Background.: In the Netherlands, euthanasia or assisted suicide (EAS) is neither a right of the patient nor a duty of the physician. Beside the legal requirements, physicians can weigh their own considerations when they decide on a request for EAS. Objective.: We aim at a better understanding of the considerations that play a role when physicians decide on a request for EAS. Methods.: This was a qualitative study. We analysed 33 interviews held with general practitioners (GPs) from various regions in the Netherlands...
May 9, 2017: Family Practice
https://www.readbyqxmd.com/read/28475721/what-do-we-know-and-need-to-know-about-transforming-primary-care
#8
Leif I Solberg
No abstract text is available yet for this article.
May 5, 2017: Family Practice
https://www.readbyqxmd.com/read/28475675/primary-care-physicians-use-of-the-proposed-classification-of-common-mental-disorders-for-icd-11
#9
David P Goldberg, Tai-Pong Lam, Fareed Minhas, Bushra Razzaque, Rebeca Robles, Julio Bobes, Celso Iglesias, Sandra Fortes, Jair de Jesus Mari, Linda Gask, José Ángel García, Anthony C Dowell, Marianne Rosendal, Geoffrey M Reed
Background.: The World Health Organization is revising the classification of common mental disorders in primary care for ICD-11. Major changes from the ICD-10 primary care version have been proposed for: (i) mood and anxiety disorders; and (ii) presentations of multiple somatic symptoms (bodily stress syndrome). This three-part field study explored the implementation of the revised classification by primary care physicians (PCPs) in five countries. Methods.: Participating PCPs in Brazil, China, Mexico, Pakistan and Spain were asked to use the revised classification, first in patients that they suspected might be psychologically distressed (Part 1), and second in patients with multiple somatic symptoms causing distress or disability not wholly attributable to a known physical pathology, or with high levels of health anxiety (Part 2)...
May 4, 2017: Family Practice
https://www.readbyqxmd.com/read/28472329/frailty-in-family-practice
#10
Sarah Callaghan, Susan M Smith
No abstract text is available yet for this article.
May 4, 2017: Family Practice
https://www.readbyqxmd.com/read/28472499/a-pharmacy-management-service-for-adults-with-asthma-a-cluster-randomised-controlled-trial
#11
Lai-Yan Wong, Siew-Siang Chua, Abdul-Rahman Husin, Hanisah Arshad
Background.: Although clinical guidelines are available for the management of asthma, this health condition is still poorly managed in many countries. Objectives.: To assess the effects of a Pharmacy Management Service (PharMS) on asthma control of adult patients. Methods.: This study comprised of a cluster randomised controlled trial (RCT) that was conducted from April 2014 to July 2015 at four government health clinics. The control participants received usual pharmacy service, while the intervention participants were recruited into the PharMS...
May 3, 2017: Family Practice
https://www.readbyqxmd.com/read/28472488/geographical-variation-in-anti-diabetic-prescribing-in-ireland-in-2013-and-2014-a-cross-sectional-analysis
#12
Mark E Murphy, Kathleen Bennett, Tom Fahey, Susan M Smith
Background.: Several new medications for type 2 diabetes (T2DM) have been introduced, including dipeptidyl peptidase-4 (DPP-4) inhibitors and glucagon-like peptide-1 receptor (GLP-1) agonists. Variation in the prescribing of these agents has implications for quality, safety and costs. We aimed to investigate geographical variation in the prescribing of anti-diabetic medications in Ireland. Methods.: Cross-sectional analyses were undertaken on the two main national pharmacy claims databases in Ireland in 2013 and 2014...
May 2, 2017: Family Practice
https://www.readbyqxmd.com/read/28472461/patient-reported-impact-of-after-hours-house-call-services-on-the-utilization-of-emergency-department-services-in-australia
#13
Chris O Ifediora, Gary D Rogers
Objectives.: This paper explores, from the patients' perspective, the likely impact of the Australian after-hours house-call (AHHC) medical services on emergency department (ED) presentations. This has become imperative given the significant cost difference between patient presentations to either the AHHC or ED and their practical implications for health care funding. Design, setting and participants.: A cross-sectional, self-reported survey of all 10 838 patients in Australia known to have patronized AHHC services over the last week of January 2016...
May 2, 2017: Family Practice
https://www.readbyqxmd.com/read/28472286/general-practitioners-attitudes-towards-and-experiences-with-referrals-due-to-supplemental-health-insurance
#14
Merethe K Andersen, Line B Pedersen, Michael Dupont, Kjeld Møller Pedersen, Anders Munck, Jørgen Nexøe
Background.: Supplemental health insurances (SHI) cover 38% of the Danish population. SHI can give faster access to, and additional treatment from, private health providers. However, this is contingent on a referral from the general practitioner (GP), further complicating clinical decision-making. Objectives.: To describe GPs' attitudes to SHI and their experiences with patients holding SHI. Moreover, we analysed associations between different GP characteristics; e...
May 2, 2017: Family Practice
https://www.readbyqxmd.com/read/28444208/adverse-impacts-of-chronic-pain-on-health-related-quality-of-life-work-productivity-depression-and-anxiety-in-a-community-based-study
#15
Kosuke Kawai, Alison Tse Kawai, Peter Wollan, Barbara P Yawn
Background.: Chronic pain has major clinical and social consequences. Few studies have examined any variation in the extent of impairment on quality of life and work productivity by site and type of chronic pain. Objective.: The objective of our study is to examine adverse impacts of chronic pain on physical and psychological health and work productivity. Methods.: Our community-population study was based on a phone-interview of adults with chronic pain, residing in Olmsted County, MN...
April 22, 2017: Family Practice
https://www.readbyqxmd.com/read/28444317/undocumented-and-documented-migrants-with-chronic-diseases-in-family-practice-in-the-netherlands
#16
Jonathan S O van de Sande, Maria E T C van den Muijsenbergh
Background.: Undocumented migrants (UM) face many barriers in accessing healthcare. It is unknown how these affect the care of UM with chronic diseases in general practices. In the Netherlands, a General practitioner (GP) is the gatekeeper to the healthcare system and primary care provider for UM. Objective.: To get insight into GP care for chronic diseases in UM compared with documented migrants (DM). Methods.: A survey study of medical records of UM and DM in five general practices in the Netherlands with extensive experience in caring for UM...
April 21, 2017: Family Practice
https://www.readbyqxmd.com/read/28407069/managing-transient-ischaemic-attacks-in-australia-a-qualitative-study
#17
Andrew R Davey, Daniel S Lasserson, Christopher R Levi, Parker J Magin
Background.: Stroke risk after transient ischaemic attack (TIA) is highest in the first few days. It is greatly reduced by commencing commonly used medications. Current Australian guidelines recommend that all TIAs be managed urgently by secondary-care specialists (mandatory for high-risk TIAs). The majority of TIAs present to general practice which creates a dilemma when specialist care is not readily accessible. There is a lack of evidence relating to the determinants of general practitioners' (GPs) actions in this situation...
April 12, 2017: Family Practice
https://www.readbyqxmd.com/read/28398553/how-do-stroke-survivors-and-their-carers-use-practitioners-advice-on-secondary-prevention-medications-qualitative-study-of-an-online-forum
#18
Nkeonye J Izuka, Matthew A W Alexander, Chantal Balasooriya-Smeekens, Jonathan Mant, Anna De Simoni
Background.: Secondary prevention medications reduce risk of stroke recurrence, yet many people do not receive recommended treatment, nor take medications optimally. Objective: . Exploring how patients report making use of practitioners' advice on secondary prevention medicines on an online forum and what feedback was received from other participants. Methods.: Thematic analysis of the archive of Talkstroke (2004-2011), UK. Posts including any secondary prevention medication terms, General Practitioner (GP) and their replies were identified...
April 10, 2017: Family Practice
https://www.readbyqxmd.com/read/28383725/reply-to-comments-on-taylor-et-al-survival-following-a-diagnosis-of-heart-failure-inprimary-care
#19
Paul Forsyth
No abstract text is available yet for this article.
April 5, 2017: Family Practice
https://www.readbyqxmd.com/read/28379415/adaptation-to-european-spanish-and-psychometric-properties-of-the-patient-activation-measure-13-in-patients-with-chronic-diseases
#20
Cibeles Moreno-Chico, Luis González-de Paz, Cristina Monforte-Royo, Emilia Arrighi, M Dolores Navarro-Rubio, Alberto Gallart Fernández-Puebla
Background: . The 13-item Patient Activation Measure (PAM-13) is an instrument that assesses people's knowledge, skills and confidence for self-management of their health and health care. Scores on the PAM-13 have been shown to predict adherence to health behaviours, health-related outcomes and health care costs. Objectives: . To develop a European Spanish adaptation of the original PAM-13 and to examine its psychometric properties in a sample of chronic patients...
March 31, 2017: Family Practice
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