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Family Practice

Eugene Y H Tang, Christopher Price, Blossom C M Stephan, Louise Robinson, Catherine Exley
Background: Memory and cognitive deficits post stroke are common and associated with increased risk of future dementia. Rehabilitation tends to focus on physical recovery; however, once in the community, it is unclear what happens in the longer term to the stroke-survivor with new memory difficulties. Objective: The aim of this qualitative study was to examine in stroke-survivors what factors influence contact with health professionals. Method: Semi-structured interviews were conducted with stroke-survivors and their family carers where memory difficulties were reported at 6 months post stroke...
November 19, 2018: Family Practice
Peninah Murage, Max O Bachmann, S Michael Crawford, Sean McPhail, Andy Jones
Background: Poor geographical access to health services and routes to a cancer diagnosis such as emergency presentations have previously been associated with worse cancer outcomes. However, the extent to which access to GPs determines the route that patients take to obtain a cancer diagnosis is unknown. Methods: We used a linked dataset of cancer registry and hospital records of patients with a cancer diagnosis between 2006 and 2010 across eight different cancer sites...
November 19, 2018: Family Practice
L Adelyn Cohen, Christine A Limbers
Background: Mothers of children with diabetes are at-risk for experiencing parenting stress and diminished mental/emotional health. To the best of our knowledge, no studies to date have examined whether there are differences in these outcomes between mothers whose diabetic child is managed in a patient-centred medical home or not. Objective: The objective of the present study was to assess whether there were differences in mental health and parenting stress among mothers whose diabetic child was managed in a patient-centred medical home or not...
November 16, 2018: Family Practice
Ngiap Chuan Tan, Agnes Ying Leng Koong, Lok Pui Ng, Pei Lin Hu, Eileen Yi Ling Koh, Kee Tung Tan, Peter Kirm Seng Moey, Mei Xuan Tan, Chia Siong Wong, Thean Yen Tan, Hanley Jian An Ho, Mark I-Cheng Chen
Background: Women with urinary tract infections (UTIs) often present with urinary complaints such as frequency of micturition, dysuria, foul-smelling urine and other non-specific symptoms like fever. Physicians may order urine microscopy to guide empirical antibiotic prescription. However, the performance of this approach has not been assessed. Objectives: This study aimed to determine the accuracy of UTI symptoms and urine microscopy associated with culture-positive UTI in Asian women...
November 15, 2018: Family Practice
Ignacio Aznar-Lou, Maria Iglesias-González, Maria Rubio-Valera, M Teresa Peñarrubia-Maria, Juan M Mendive, Ana G Murrugarra-Centurión, Montserrat Gil-Girbau, Laura González-Suñer, Carmen Peuters, Antoni Serrano-Blanco
Objective: The study assessed the predictive factors of diagnostic accuracy and treatment approach (antidepressants versus active monitoring) for depression in primary care. Methods: This is a cross-sectional study that uses information from a naturalistic prospective controlled trial performed in Barcelona (Spain) enrolling newly diagnosed patients with mild to moderate depression by GPs. Treatment approach was based on clinical judgement. Diagnosis was later assessed according to DSM-IV criteria using Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) interview by an external researcher...
November 12, 2018: Family Practice
Satoru Kodama, Sakiko Morikawa, Chika Horikawa, Dai Ishii, Kazuya Fujihara, Masahiko Yamamoto, Taeko Osawa, Masaru Kitazawa, Takaho Yamada, Kiminori Kato, Shiro Tanaka, Hirohito Sone
Background: Efficacy of programs for patients with diabetes mellitus (DM) that have promoted family members to help with patients' self-care activities has been largely inconsistent. This meta-analysis aims to assess the effect of family-oriented diabetes programs for glycemic control (GC). Methods: Electronic literature searches were conducted for clinical trials with a parallel design wherein there were two groups according to whether family members were included (intervention group) or not included (control group) and changes in glycohemoglobin A1C (A1C) were assessed as a study outcome...
November 12, 2018: Family Practice
Cedric Piroulas, Louise Devillers, Cecile Souty, Jonathan Sicsic, Philippe Boisnault, Mathilde François
Background: The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature. Objective: To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care. Method: A retrospective cohort study using Observatory of General Medicine Datalink from 1995 to 2010. All patients consulting a GP from the Datalink network for pharyngitis have been included...
November 12, 2018: Family Practice
Mary Ann O'Brien, Diego Llovet, Frank Sullivan, Lawrence Paszat
Background: The National Lung Screening Trial demonstrated that screening with low-dose computed tomography significantly reduces mortality from lung cancer in high-risk individuals. Objective: To describe the role preferences and information needs of primary care providers (PCPs) in a future organized lung cancer screening program. Methods: We purposively sampled PCPs from diverse health regions of Ontario and from different practice models including family health teams and community health centres...
November 5, 2018: Family Practice
Floor Holvast, Richard C Oude Voshaar, Hans Wouters, Karin Hek, Francois Schellevis, Huibert Burger, Peter F M Verhaak
Background: Depression is common among older adults and is typically treated with antidepressants. Objective: To determine the non-adherence rates to antidepressants among older adults in primary care, based on non-initiation, suboptimal implementation or non-persistence. Methods: We selected all patients aged ≥60 years and diagnosed with depression in 2012, from the Netherlands Institute for Health Services Research (NIVEL) Primary Care Database...
November 5, 2018: Family Practice
Elizabeth Jane Halcomb, Susan McInnes, Christopher Patterson, Lorna Moxham
Background: Mental health issues are increasingly prevalent within the community. Many people experiencing mental health issues have established relationships with primary care providers, including general practice nurses (GPNs). With the recent growth of general practice nursing, it is timely to explore the evidence for GPNs to provide mental health interventions for adults with mental illness within their scope of practice. Objective: To synthesize the evidence about nurse-delivered interventions in primary care for adults with mental illness...
October 26, 2018: Family Practice
Nesrine S Farrag, Farida Abdelwahab, Ghada R Ismail
Background: Timely antenatal care (ANC) has been proven to save lives and maximizes health and potential. The study aimed to assess ANC utilization rates in Damietta district, Egypt and to identify the components of ANC provided and factors affecting utilization rates. Methods: A cross-sectional study was conducted in four Family Health Centers (FHC) in Damietta district. The study included any mother, who gave birth within the last 6 months, after giving written consent to participate...
October 26, 2018: Family Practice
Kai Sing Sun, Tai Pong Lam, Kwok Fai Lam, Tak Lam Lo, David Vai Kiong Chao, Edmund Wing Wo Lam, Hoi Yan Chan
Background: Most of the previous studies of help seeking for psychological distress were conducted in Western countries. Chinese studies have had a stronger emphasis on psychosis. Objective: This study aims to understand how Hong Kong Chinese primary care attenders see psychological distress, including its causes, management approaches and recovery, and whether their views are different from Western views. Method: Nine focus groups and six individual interviews were conducted in Hong Kong among Chinese primary care attenders with/without known distress, patients' significant others and the general public, and a questionnaire survey was conducted with 1626 primary care attenders recruited from 13 private clinics and 6 public clinics...
October 22, 2018: Family Practice
Maeva Jego, Emilia Debaty, Leila Ouirini, Hélène Carrier, Emma Beetlestone
Background: Patients suffering from mental health disorders have complex care needs, associating poorer physical health status and depreved social condition. Given their central role in primary health care, GPs should be highly involved in providing global and cooperative care to these patients in partnership with mental health specialists. Objective: To understand the GP's views, attitudes and needs in the care of patients with mental disorders. Methods: We led a qualitative study from June to July 2017, with semi-structured interviews led on GPs' activity in Marseille (France)...
October 22, 2018: Family Practice
Megan Freund, Breanne Hobden, Simon Deeming, Natasha Noble, Jamie Bryant, Robert W Sanson-Fisher
Introduction: The detection of harmful alcohol use and the delivery of brief advice in primary care are less than optimal. Given limited health care resources, deciding where best to allocate funding to optimize health outcomes is imperative. A simple data-based tool could be useful when access to specialist health economic advice is unavailable. This study aimed to examine the utility of a simple data-based calculator to facilitate priority setting in general practice for reducing alcohol-related harm...
October 22, 2018: Family Practice
Madelyn E N Loadsman, Theo J M Verheij, Alike W van der Velden
Background: There is a lack of recently published data on impetigo presentation incidence and treatment practices in the routine Western European primary care setting. Objectives: To investigate impetigo incidence, treatments and recurrence in primary care in the Netherlands. Methods: A retrospective, observational study. Electronic records of patients treated for impetigo in 2015 at 29 general practices in Utrecht and surrounds were reviewed...
October 19, 2018: Family Practice
Marre M M de Koning, Nathalie Reurink, Marianne F Mol, Bart Koes
No abstract text is available yet for this article.
October 19, 2018: Family Practice
Luis A Murillo, Georgi Alex Grekoff, John C Sheffield
Background: As depression screening becomes a standard in primary care, the question remains of how effective and equitable screening can be implemented to avoid cultural and language-related disparities. Methods: In this retrospective cohort study, rates of depression screening were compared for 3626 adult patients at a family medicine residency-based health centre in Pennsylvania, USA. The PHQ-2/PHQ-9 modality was verbally administered by nursing staff at the time of patient intake as part of a universal screening initiative...
October 8, 2018: Family Practice
Bonnie M Vest, Jessica A Kulak, Gregory G Homish
Background: Non-VA health care providers in the USA have been called upon to screen patients for veteran status as a means to better identify military-related health sequelae. Despite this recognized need, many service members are still not being asked about veteran status. Objective: The purpose of this research was to qualitatively assess, from non-VA primary care providers' point-of-view, barriers to providing care to veterans, the training providers perceive as most useful and the tools and translational processes they think would be most valuable in increasing military cultural competency...
October 3, 2018: Family Practice
Elke Huntink, Jan Koetsenruijter, Michel Wensing, Jan van Lieshout
Background: To enhance cardiovascular risk management and patients' self-management, a tailored programme to improve cardiovascular risk management was tested in a randomized trial. The presented study concerned secondary analysis. Objectives: To explore the correlations of practice nurses' counselling skills at baseline on chronic illness care (measured with Patient Assessment of Chronic Illness Care questionnaire) and patients' self-management (assessed with Patient Activation Measure) at follow-up and to examine the effect of the tailored implementation programme on chronic illness care and patients' self-management...
October 1, 2018: Family Practice
Yusuke Teratani, Hideharu Hagiya, Toshihiro Koyama, Mayu Adachi, Ayako Ohshima, Yoshito Zamami, Hiroyoshi Y Tanaka, Yasuhisa Tatebe, Ken Tasaka, Naoko Mikami, Kazuaki Shinomiya, Yoshihisa Kitamura, Mitsunobu R Kano, Shiro Hinotsu, Toshiaki Sendo
Background: In this age of antimicrobial resistance, unnecessary use of antibiotics to treat non-bacterial acute respiratory tract infections (ARTIs) and inappropriate use of antibiotics in treating bacterial ARTIs are public health concerns. Purpose: Our aim is to identify the pattern of oral antibiotic prescriptions for outpatients with ARTIs in Japan. Methods: We analysed health insurance claims data of patients (aged ≤74 years) from 2013 to 2015, to determine the pattern of antibiotic prescriptions for outpatient ARTIs and calculated the proportion of each antibiotic...
September 29, 2018: Family Practice
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