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Family Practice

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https://www.readbyqxmd.com/read/28043961/stakeholder-engagement-in-diabetes-self-management-patient-preference-for-peer-support-and-other-insights
#1
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
https://www.readbyqxmd.com/read/28034918/patient-perspectives-on-engagement-in-shared-decision-making-for-asthma-care
#2
Hazel Tapp, Diane Derkowski, Melissa Calvert, Madelyn Welch, Sara Spencer
INTRODUCTION: Engagement of patient and advocacy group stakeholders is increasingly considered essential to meaningful outcomes research. Patient-centred research benefits from partnership formation between patients, clinicians and research team members. Here, we describe the rationale for engaging patients on a research team and a case study of patient engagement on an asthma shared decision-making study. METHODS: Here, we describe a case study of patient engagement in outcomes research and examine the variety of roles patients are engaged in and the associated impact on the study...
December 29, 2016: Family Practice
https://www.readbyqxmd.com/read/28034917/active-surveillance-for-low-risk-localized-prostate-cancer-what-do-men-and-their-partners-think
#3
Arun Mallapareddi, Julie Ruterbusch, Elyse Reamer, Susan Eggly, Jinping Xu
BACKGROUND: Active surveillance (AS) is recognized as a reasonable treatment option for low-risk localized prostate cancer (LPC) but continues to be chosen by a minority of men. To date, limited data are available regarding reasons why men with low-risk LPC adopt AS. PURPOSE: The aim of this study is to better understand conceptualizations, experiences and reasons why men with low-risk LPC and their partners adopt AS. METHODS: We conducted five focus groups (FGs), three among men with low-risk LPC who had chosen AS and two with their partners...
December 29, 2016: Family Practice
https://www.readbyqxmd.com/read/28034916/engaging-patients-in-primary-care-practice-transformation-theory-evidence-and-practice
#4
REVIEW
Anjana E Sharma, Kevin Grumbach
Patient engagement is a fundamental strategy for achieving patient centred care and is receiving increasing attention in primary care reform efforts such as the patient-centred medical home and related care models. Much of the prior published theory and evidence supporting patient engagement has focused on improving engagement in individual care. Much less is understood about engaging patients as partners in practice improvement at the primary care clinic or practice level. We review the historical and policy context for the growing interest in the USA and UK in patient engagement at the primary care practice level, highlight findings from systematic reviews of the research evidence on practice-level patient engagement and discuss practical considerations for implementing patient engagement...
December 29, 2016: Family Practice
https://www.readbyqxmd.com/read/27993909/participatory-research-what-is-the-history-has-the-purpose-changed
#5
EDITORIAL
Ann C Macaulay
No abstract text is available yet for this article.
December 18, 2016: Family Practice
https://www.readbyqxmd.com/read/27920121/is-knowledge-translation-without-patient-or-community-engagement-flawed
#6
Vivian R Ramsden, Norma Rabbitskin, John M Westfall, Maret Felzien, Janice Braden, Jessica Sand
BACKGROUND: The engagement of patients/individuals and/or communities has become increasingly important in all aspects of the research process. OBJECTIVE: The aim of this manuscript is to begin the discussion about the use and implementation of authentic engagement in the development of presentations and manuscripts which evolve from research that has engaged patients/individuals and/or communities. METHODS: Community-Based Participatory Research; Transformative Action Research...
December 5, 2016: Family Practice
https://www.readbyqxmd.com/read/27920120/effects-of-an-intervention-s%C3%A3-kl%C3%A3-k-on-prescription-of-potentially-inappropriate-medication-in-elderly-patients
#7
Cecilia Lenander, Åsa Bondesson, Nina Viberg, Ulf Jakobsson, Anders Beckman, Patrik Midlöv
BACKGROUND: Polypharmacy is known to increase the risk for drug-related problems, and some drugs, potentially inappropriate medications (PIMs), are especially troublesome. OBJECTIVE: To analyse the effects on prescription of PIMs of the SÄKLÄK project, an intervention model created to improve medication safety for elderly patients in primary care. METHOD: The SÄKLÄK project was a multiprofessional intervention in primary care consisting of self-assessment, peer review, feedback and written agreements for change...
December 5, 2016: Family Practice
https://www.readbyqxmd.com/read/27920119/randomized-trial-to-reduce-emergency-visits-or-hospital-admissions-using-telephone-coaching-to-complex-patients
#8
María González-Ortega, Joan Gené-Badia, Belchin Kostov, Vicente García-Valdecasas, Carmen Pérez-Martín
BACKGROUND: Comorbidity remains a matter of international interest, given growing prevalence of chronic conditions. OBJECTIVE: To evaluate the impact that adding a telephone coaching intervention by a family physician to usual care has on reducing resource consumption and improving health status, caregiver burden and quality of life among complex chronic patients (CCP) compared with usual care. METHODS: A randomized controlled trial was conducted on a random sample of CCP from three primary care teams in Barcelona...
December 5, 2016: Family Practice
https://www.readbyqxmd.com/read/27920118/patients-views-on-general-practitioners-role-during-treatment-and-follow-up-of-colorectal-cancer-a-qualitative-study
#9
Daan Brandenbarg, Carriene Roorda, Michelle Stadlander, Geertruida H de Bock, Marjolein Y Berger, Annette J Berendsen
PURPOSE: To clarify experiences and preferences of patients regarding the current and future role of GPs during treatment and follow-up care of colorectal cancer (CRC). METHODS: Qualitative semi-structured, audio-recorded, face-to-face interviews in patients' homes in the north of the Netherlands were performed. Patients were sampled purposively on age, gender, time since diagnoses and primary health care use. Data were transcribed verbatim and analysed thematically by two independent researchers until saturation was reached...
December 5, 2016: Family Practice
https://www.readbyqxmd.com/read/27920117/reliability-and-validity-of-the-dutch-version-of-the-consultation-and-relational-empathy-measure-in-primary-care
#10
Inge van Dijk, Nick Scholten Meilink Lenferink, Peter L B J Lucassen, Stewart W Mercer, Chris van Weel, Tim C Olde Hartman, Anne E M Speckens
BACKGROUND: Empathy is an essential skill in doctor-patient communication with positive effects on compliance, patient satisfaction and symptom duration. There are no validated patient-rated empathy measures available in Dutch. OBJECTIVE: To investigate the validity and reliability of a Dutch version of the Consultation and Relational Empathy (CARE) Measure, a widely used 10-item patient-rated questionnaire of physician empathy. METHODS: After translation and back translation, the Dutch CARE Measure was distributed among patients from 19 general practitioners in 5 primary care centers...
December 5, 2016: Family Practice
https://www.readbyqxmd.com/read/27920116/frequency-of-a-positive-family-history-of-colorectal-cancer-in-general-practice-a-cross-sectional-study
#11
Jasper Plath, Andrea Siebenhofer, Insa Koné, Marlene Hechtner, Sylvia Schulz-Rothe, Martin Beyer, Ferdinand M Gerlach, Corina Guethlin
BACKGROUND: Evidence on the frequency of a positive family history of colorectal cancer (CRC) among individuals aged <55 years is lacking. General practice setting might be well suited for the identification of individuals in this above-average risk group. OBJECTIVE: To determine the frequency of a reported positive family history of CRC among patients aged 40 to 54 years in a general practice setting. METHODS: We conducted a cross-sectional study in 21 general practices in Germany...
December 5, 2016: Family Practice
https://www.readbyqxmd.com/read/27789518/high-prevalence-of-insomnia-and-hypnotic-use-in-patients-visiting-their-general-practitioner
#12
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
https://www.readbyqxmd.com/read/27784723/dientamoeba-fragilis-colonization-is-not-associated-with-gastrointestinal-symptoms-in-children-at-primary-care-level
#13
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
https://www.readbyqxmd.com/read/27650308/a-systematic-review-of-women-s-and-health-professional-s-attitudes-and-experience-of-preconception-care-service-delivery
#14
REVIEW
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...
December 2016: Family Practice
https://www.readbyqxmd.com/read/27623689/quality-of-qualitative-studies-centred-on-patients-in-family-practice-a-systematic-review
#15
REVIEW
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...
December 2016: Family Practice
https://www.readbyqxmd.com/read/27614099/the-psychometric-properties-of-the-hopkins-symptom-checklist-10-a-rasch-analysis-based-on-adolescent-data-from-norway
#16
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...
December 2016: Family Practice
https://www.readbyqxmd.com/read/27591746/receiving-family-physician-s-advice-and-the-stages-of-change-in-smoking-cessation-among-arab-minority-men-in-israel
#17
Nihaya Daoud, Samah Hayek, Aya Biderman, Abdallah Mashal, Yeal Bar-Zeev, Ofra Kalter-Leibovici
BACKGROUND: Receiving physician advice (PA) can increase patient's willingness to quit smoking and influence the 'stages of change' in quitting. However, less is known about this association among minority groups for whom cessation is more challenging. OBJECTIVE: We examined whether receiving advice on smoking cessation from a family physician is associated with the 'stages of change' in quitting smoking-i.e. pre-contemplation, contemplation, preparation or action-among Arab minority men in Israel with high smoking prevalence...
December 2016: Family Practice
https://www.readbyqxmd.com/read/27587566/interprofessional-communication-between-oncologic-specialists-and-general-practitioners-on-end-of-life-issues-needs-improvement
#18
John J Oosterink, Mariska G Oosterveld-Vlug, Jolien J Glaudemans, H Roeline W Pasman, Dick L Willems, Bregje D Onwuteaka-Philipsen
BACKGROUND: Timely end-of-life (EOL) discussions between patients and physicians are considered essential for high-quality EOL care, but research shows that these discussions frequently do not occur or occur late. In oncology, one barrier for timely EOL discussions is poor collaboration between oncologic specialists and GPs. OBJECTIVE: To explore interprofessional communication and coordination between oncologic specialists and GPs on EOL discussions. METHODS: We conducted in-depth interviews with 16 GPs and 14 oncologic specialists...
December 2016: Family Practice
https://www.readbyqxmd.com/read/27587565/a-comparison-of-medical-records-and-patient-questionnaires-as-sources-for-the-estimation-of-costs-within-research-studies-and-the-implications-for-economic-evaluation
#19
Paddy Gillespie, Eamon O'Shea, Susan M Smith, Margaret E Cupples, Andrew W Murphy
BACKGROUND: Data on health care utilization may be collected using a variety of mechanisms within research studies, each of which may have implications for cost and cost effectiveness. OBJECTIVE: The aim of this observational study is to compare data collected from medical records searches and self-report questionnaires for the cost analysis of a cardiac secondary prevention intervention. METHODS: Secondary data analysis of the Secondary Prevention of Heart Disease in General Practice (SPHERE) randomized controlled trial (RCT)...
December 2016: Family Practice
https://www.readbyqxmd.com/read/27578837/a-human-factors-systems-approach-to-understanding-team-based-primary-care-a-qualitative-analysis
#20
Marlon P Mundt, Matthew P Swedlund
BACKGROUND: Research shows that high-functioning teams improve patient outcomes in primary care. However, there is no consensus on a conceptual model of team-based primary care that can be used to guide measurement and performance evaluation of teams. OBJECTIVE: To qualitatively understand whether the Systems Engineering Initiative for Patient Safety (SEIPS) model could serve as a framework for creating and evaluating team-based primary care. METHODS: We evaluated qualitative interview data from 19 clinicians and staff members from 6 primary care clinics associated with a large Midwestern university...
December 2016: Family Practice
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