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Family Practice

Bjørn Bjorvatn, Eivind Meland, Elisabeth Flo, Thomas Mildestvedt
BACKGROUND: Sleep problems are common in the general population, but there are few prevalence studies among patients visiting their GP. Since sleep problems frequently co-occur with existing psychological and somatic conditions, the prevalence is likely to be higher in patients visiting their GPs compared to the prevalence in the general population. OBJECTIVES: To estimate the prevalence of insomnia [based on the Diagnostic and Statistical Manual for Mental disorders (DSM)-version IV] and hypnotic use among patients in general practice and to evaluate whether the prevalence depended on sex and age...
October 27, 2016: Family Practice
Gea A Holtman, Justin J Kranenberg, Marco H Blanker, Alewijn Ott, Yvonne Lisman-van Leeuwen, Marjolein Y Berger
BACKGROUND: Dientamoeba fragilis is commonly identified in children in primary care and is suspected to cause gastrointestinal disease. OBJECTIVE: To determine the association between D. fragilis colonization and gastrointestinal symptoms in children. METHODS: We performed a cross-sectional study with children who presented in primary care with gastrointestinal symptoms. The associations between D. fragilis colonization and specific symptoms were explored by means of logistic regression analyses...
October 26, 2016: Family Practice
Sarah Dennis, Helen K Reddel, Sandy Middleton, Iqbal Hasan, Oshana Hermiz, Rosemary Phillips, Alan J Crockett, Sanjyot Vagholkar, Guy B Marks, Nicholas Zwar
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is commonly managed in primary care but there is poor awareness of evidence-based guidelines and the quality and interpretation of spirometry is suboptimal. OBJECTIVES: The aims of this qualitative study were to explore how an intervention involving case finding and management of COPD was implemented, and the extent to which the GPs and practice nurses (PNs) worked in partnership to diagnose and manage COPD...
September 30, 2016: Family Practice
Sarah E R Bailey, Obi C Ukoumunne, Elizabeth Shephard, Willie Hamilton
BACKGROUND: Although the association between raised platelet count (thrombocytosis) and cancer has been reported in primary and secondary care studies, UK GPs are unaware of it, and it is insufficiently evidenced for laboratories to identify and warn of it. This systematic review aimed to identify and collate evidence from studies that have investigated thrombocytosis as an early marker of cancer in primary care. METHODS: EMBASE (OvidSP), Medline (Ovid), Web of Science and The Cochrane Library were searched for relevant studies...
September 28, 2016: Family Practice
Anne MacFarlane, Rose Galvin, Madeleine O'Sullivan, Chris McInerney, Eoghan Meagher, Daniel Burke, Joseph W LeMaster
BACKGROUND: There are increasing imperatives for patients and members of the public to engage as partners in identifying health research priorities. The use of participatory methods to engage stakeholders in health care in research prioritization is not commonly reported. OBJECTIVE: This article analyses the use of World Cafés as a participatory method for research prioritization with marginalized communities in Ireland and the USA. METHODS: The principles of purposeful and snowball sampling were followed in both settings and a diverse range of community and health care stakeholders participated (n = 63 Ireland and n = 55 USA)...
September 27, 2016: Family Practice
Elizabeth Ford, Judy Shakespeare, Fatin Elias, Susan Ayers
BACKGROUND: Perinatal anxiety and depression are widespread, with up to 20% of women affected during pregnancy and after birth. In the UK, management of perinatal mental health falls under the remit of general practitioners (GPs). We reviewed the literature on GPs' routine recognition, diagnosis and management of anxiety and depression in the perinatal period. METHOD: A systematic search of Embase, Medline, PsycInfo, Pubmed, Scopus and Web of Science was conducted...
September 22, 2016: Family Practice
David L Hahn, Amanda E Hoffmann, Maret Felzien, Joseph W LeMaster, Jinping Xu, Lyle J Fagnan
BACKGROUND: Patient engagement throughout research is a way to generate more relevant patient-important research questions, methods and results with the ultimate aim of facilitating translation of research into practice. Tokenism is defined as the practice of making perfunctory or symbolic efforts to engage communities or patients. OBJECTIVE: We wanted to explore how tokenism might influence engaging patients in research to help researchers work towards more genuine engagement...
September 22, 2016: Family Practice
Ryan R Landoll, Matthew K Nielsen, Kathryn K Waggoner
BACKGROUND: Research has shown significant contribution of integrated behavioural health care; however, less is known about the perceptions of primary care providers towards behavioural health professionals. OBJECTIVE: The current study examined barriers to care and satisfaction with integrated behavioural health care from the perspective of primary care team members. DESIGN: This study utilized archival data from 42 treatment facilities as part of ongoing program evaluation of the Air Force Medical Service's Behavioral Health Optimization Program...
September 21, 2016: Family Practice
Amie Steel, Jayne Lucke, Rebecca Reid, Jon Adams
BACKGROUND: The value and importance of preconception care (PCC) have been acknowledged by leading health organizations as a vital element within preventive medicine and health promotion for the wider population. The translation of PCC from position statement to relevant service and programme delivery is essential for the benefits of PCC to be realized and relies on insights from health services research. This article aims to review contemporary health services research literature examining women's and health professionals' perceptions and experiences of PCC services...
September 20, 2016: Family Practice
János Sándor, Attila Nagy, Anett Földvári, Edit Szabó, Orsolya Csenteri, Ferenc Vincze, Valéria Sipos, Nóra Kovács, Anita Pálinkás, Magor Papp, Gergely Fürjes, Róza Ádány
BACKGROUND: Because the cardiovascular mortality in Hungary is high, particularly among the socio-economically deprived and the Roma, it is implied that primary health care (PHC) has a limited ability to exploit the opportunities of evidence-based preventions, and it may contribute to social health inequalities. OBJECTIVES: Our study investigated the underuse of PHC preventive services. METHODS: Random samples of adults aged 21-64 years free of hypertension and diabetes mellitus were surveyed with participation rate of 97...
September 20, 2016: Family Practice
Parker Magin, Nigel Catzikiris, Amanda Tapley, Simon Morgan, Elizabeth G Holliday, Jean Ball, Kim Henderson, Taryn Elliott, Cathy Regan, Neil Spike
BACKGROUND: Home visits (HVs) and nursing home visits (NHVs) are accepted as core elements of general practice. There is concern regarding declining rates of HVs and an increasing demand for NHVs together with a perceived decreased willingness of younger GPs to provide these services. OBJECTIVES: To establish the prevalence and associations of recently vocationally qualified GPs ('graduates') performing HVs and NHVs. METHODS: A cross-sectional questionnaire-based study of recent (within 5 years) graduates of 3 of Australia's 17 regional general practice training programs...
September 14, 2016: Family Practice
Felicity Goodyear-Smith
Moving from evidence-based medicine through knowledge translation into evidence-based practice presents many challenges. Implementation research requires collaboration of researchers and end users to adapt interventions in response to different contexts. Such research progresses iteratively in response to feedback, reflection and then action, using theory of change and interactive response to diversity. The proliferation of terminology used to describe this research genre requires development of a robust taxonomy to categorize overlapping concepts where engagement of end users in the research process is core...
September 14, 2016: Family Practice
Benoit Cambon, Philippe Vorilhon, Laurence Michel, Jean-Sébastien Cadwallader, Isabelle Aubin-Auger, Bruno Pereira, Hélène Vaillant Roussel
BACKGROUND: Qualitative research is often used in the field of general medicine. Our objective was to evaluate the quality of published qualitative studies conducted using individual interviews or focus groups centred on patients monitored in general practice. METHODS: We have undertaken a review of the literature in the PubMed and Embase databases of articles up to February 2014. The selection criteria were qualitative studies conducted using individual interviews or focus groups, centred on patients monitored in general practice...
September 12, 2016: Family Practice
Annette Løvheim Kleppang, Curt Hagquist
BACKGROUND: The Hopkins Symptom Checklist (HSCL-10) is widely used for both clinical and epidemiological purposes to measure psychological distress among adolescents and adults. OBJECTIVE: The purpose of this study was to investigate the psychometric properties of the HSCL-10 among adolescents in Norway using Rasch analysis. METHODS: The study is based on cross-sectional data from the Norwegian Youth Health Surveys, conducted by the Norwegian Institute of Public Health in 2001 and 2009...
September 10, 2016: Family Practice
Marlous F Kortekaas, Marie-Louise E L Bartelink, Geert J M G van der Heijden, Arno W Hoes, Niek J de Wit
BACKGROUND: Education in evidence-based medicine (EBM) is an important part of the postgraduate training of GPs. Evaluation of its effect on EBM behaviour in daily clinical practice is difficult and instruments are scarce. Working in accordance with guidelines is considered as one of the key indicators of EBM behaviour. OBJECTIVE: To develop and validate an instrument assessing guideline adherence of GP trainees in clinical practice. METHODS: We developed an instrument that assesses guideline adherence, taking conscious deviation into account...
October 2016: Family Practice
Tesshu Kusaba, Kotaro Sato, Shingo Fukuma, Yukari Yamada, Yoshinori Matsui, Satoshi Matsuda, Takashi Ando, Ken Sakushima, Shunichi Fukuhara
BACKGROUND: Long-term care for the elderly is largely shouldered by their family, representing a serious burden in a hyper-aging society. However, although family dynamics are known to play an important role in such care, the influence of caring for the elderly on burden among caregiving family members is poorly understood. OBJECTIVE: To examine the influence of family dynamics on burden experienced by family caregivers. METHODS: We conducted a cross-sectional study at six primary care clinics, involving 199 caregivers of adult care receivers who need long-term care...
October 2016: Family Practice
Cindy L K Lam
No abstract text is available yet for this article.
October 2016: Family Practice
Clarissa Kripke
No abstract text is available yet for this article.
October 2016: Family Practice
Peter K Orton, Denis Pereira Gray
BACKGROUND: The length of consultations is an important factor affecting the quality of care in general practice. It is however difficult to study as many factors are simultaneously involved. Much that is known is about patient factors as so far, doctor factors have been neglected. OBJECTIVE: To investigate multiple factors affecting consultation length, how they interact and the association between consultation length and patient-centredness. METHODS: Previously collected observational data from 38 National Health Service NHS GPs in England stratified according to doctor's gender, experience and degree of emotional exhaustion were used...
October 2016: Family Practice
Erin P Kane, Ashley W Collinsworth, Kathryn L Schmidt, Rachel M Brown, Christine A Snead, Sunni A Barnes, Neil S Fleming, James W Walton
BACKGROUND: Type II diabetes continues to be a major health problem in USA, particularly in minority populations. The Diabetes Equity Project (DEP), a clinic-based diabetes self-management and education program led by community health workers (CHWs), was designed to reduce observed disparities in diabetes care and outcomes in medically underserved, predominantly Hispanic communities. OBJECTIVE: The purpose of this study was to evaluate the impact of the DEP on patients' clinical outcomes, diabetes knowledge, self-management skills, and quality of life...
October 2016: Family Practice
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