Read by QxMD icon Read

Australian Family Physician

C W Michael Tam, Andrew Knight, Siaw-Teng Liaw
BACKGROUND: Risky alcohol drinking is a common problem in adults presenting in Australian general practice. Preventive health guidelines recommend routine delivery of alcohol screening and brief intervention (ASBI) by general practitioners (GPs). However, ASBIs have rarely been implemented successfully in a sustainable manner. OBJECTIVE: In this article, we explain the current state of empirical evidence for the effectiveness of ASBI in primary care and describe a pragmatic interpretation of how this evidence applies to routine care...
October 2016: Australian Family Physician
Michael B Stokes, Nitesh Nerlekar, Stuart Moir, Karen S Teo
BACKGROUND: Imaging of the heart is important in the diagnosis and follow-up of a broad range of cardiac pathology. The authors discuss the growing role of cardiac magnetic resonance imaging (CMR) in cardiology practice and its relevance to primary healthcare. OBJECTIVE: In this article we discuss the advantages of CMR over other imaging modalities, and give a brief description of the common CMR techniques and cardiac pathologies where CMR is especially useful. DISCUSSION: CMR provides specific advantages over other cardiac imaging modalities when evaluating pathology in congenital heart disease, cardiac masses, cardiomyopathies, and in some aspects of ischaemic and valvular heart diseases...
October 2016: Australian Family Physician
Jill E Thistlethwaite
No abstract text is available yet for this article.
October 2016: Australian Family Physician
Sarah Mahoney, Paul Worley, Helen Parry, Sally Clarke
BACKGROUND: In 2009, Flinders University established an urban, community-based, longitudinal integrated program providing medical students extended placements that offered continuities of patient care, clinical supervision and peer group. OBJECTIVE: The aim of this research was to analyse academic outcomes of the new placement program. METHODS: The results of all students undertaking Year 3 exams from 2011 to 2014 were collected and analysed...
October 2016: Australian Family Physician
Gary L Freed, Erin Turbitt, Marina Kunin, Sarah Gafforini, Lena Sanci, Neil Spike
BACKGROUND: Changes in the demography of Australia have resulted in changes in patterns of primary care delivery. One of these changes is that the proportion of paediatric visits has decreased. OBJECTIVE: The objectives of the article are to examine patient, practice and personal factors that influence a general practitioner's (GP's) decision to refer patients for paediatric specialty care, and investigate referral goals and experience with shared care. METHODS: A mail survey was sent out to 400 GPs who had referred at least two children to public hospital specialty clinics during 2014...
October 2016: Australian Family Physician
Meike Flore, Xiaoshuang Lilly Chen, Andrew Bonney, Judy Mullan, Bridget Dijkmans-Hadley, Adam Hodgkins, Gina Evans, Haley Frew, Gail Lloyd
BACKGROUND: Women with long-acting, reversible contraceptive devices inserted may choose to remove them prior to their planned expiry dates. OBJECTIVE: The objective of this study was to explore Australian women's experiences with the etonogestrel subdermal contraceptive implant (Implanon NXT) and why they had it removed early. METHODS: Semi-structured interviews were conducted with 18 women between June 2013 and January 2014. Transcriptions of the audio-taped interviews were analysed using a constant comparative analysis framework...
October 2016: Australian Family Physician
Kumiyo Inoue, Marguerite Kelly, Alexandra Barrett, Deborah Bateson, Kirsten I Black, Mary Stewart, Juliet Richters
BACKGROUND: The number of prescriptions for contraceptive implants has steadily increased in Australia, but implant use is still low. OBJECTIVE: The objectives of the study were to describe women's nuanced responses, and characterise their multidimensional and complex reasons for (dis)continuing use of the contraceptive implant. METHODS: A descriptive qualitative approach was used for this study. A larger qualitative study using in-depth, open-ended interviews, conducted in New South Wales between 2012 and 2013 with 94 women aged 16-49 years who had used contraception, included 10 interviews containing accounts of implant use...
October 2016: Australian Family Physician
Penelope Abbott, Joyce Davison, Parker J Magin, Wendy Hu
BACKGROUND: Nearly half of the people leaving prison see a general practitioner (GP) within a month of release, which provides an opportunity to promote health for this vulnerable group. OBJECTIVE: The objective of this article is to examine the expectations and experiences of GP care of women leaving prison. METHODS: Semi-structured interviews pre-release and post-release from prison were analysed using inductive thematic analysis. RESULTS: Sixty-nine interviews were conducted with 40 women while they were still in prison and 29 of these women after they were released...
October 2016: Australian Family Physician
Annette K Regan, Donna B Mak, Tyra Thomas, Paul V Effler
No abstract text is available yet for this article.
October 2016: Australian Family Physician
Helen Kaganov, Alex Ades
BACKGROUND: Uterine leiomyomas, or fibroids, represent a large proportion of gynaecological presentations in both general and specialist gynaecology practice. The diagnosis is relatively simple with current imaging modalities. The management of fibroids, however, is not always straightforward and can present many challenges. OBJECTIVE: This article reviews current approaches to the management of uterine fibroids, including novel techniques, and highlights important patient counselling points...
October 2016: Australian Family Physician
Anthony Khoo, Edmund Tse
BACKGROUND: Although hepatitis C virus (HCV) infection is associated with significant morbidity and mortality, OBJECTIVE: This article provides an overview for GPs on the principles involved in assessing and treating patients with chronic hepatitis C within a community setting. DISCUSSION: Treatment with DAA medications listed on the PBS should be considered for all patients with chronic HCV infection. These regimens are well tolerated, highly efficacious and have all-oral administration...
October 2016: Australian Family Physician
Jennifer L Marino, Lucy N Lewis, Deborah Bateson, Martha Hickey, S Rachel Skinner
BACKGROUND: Australia's teenage birth rate has fallen to historic lows, but teenage motherhood still occurs and can be challenging for mother and baby. OBJECTIVE: The aim of this article is to review current evidence on the epidemiology and clinical care of teenage pregnancy and parenting, and provide recommendations around management of these young people in Australia. DISCUSSION: Teenage mothers may have experienced family, sexual, and partner violence, family disruption, and socioeconomic disadvantage...
October 2016: Australian Family Physician
Kristen Moeller-Saxone, Louise McCutcheon, Stephen Halperin, Helen Herrman, Andrew M Chanen
BACKGROUND: Young people in out-of-home care, especially those with a history of multiple placements, typically have numerous and complex health needs, and worse health outcomes than their peers who grow up within a family of origin. A significant proportion of this can be attributed to policy failures and poor interagency communication. OBJECTIVE: The objective of this article is to describe the factors that contribute to the health needs of young people in out-of-home care and the tools available to support general practitioners (GPs) to provide care...
October 2016: Australian Family Physician
Julie Gordon, Lisa Valenti, Clare Bayram, Graeme C Miller
No abstract text is available yet for this article.
October 2016: Australian Family Physician
(no author information available yet)
Questions for this month's clinical challenge are based on articles in this issue. The clinical challenge is endorsed by the RACGP Quality Improvement and Continuing Professional Development (QI&CPD) program and has been allocated four Category 2 points (Activity ID:59922). Answers to this clinical challenge are available immediately following successful completion online at Clinical challenge quizzes may be completed at any time throughout the 2014-16 triennium; therefore, the previous months' answers are not published...
September 2016: Australian Family Physician
Lucy Sargent, Amanda McCullough, Chris Del Mar, John Lowe
BACKGROUND: Antibiotic resistance is a major global public health threat. Most antibiotic prescriptions for human consumption in primary care are for acute respiratory tract infections (ARTIs). Australia continues to be a high prescriber of antibiotics, compared with other Organisation for Economic Cooperation and Development (OECD) countries. Implementation of evidence-based strategies to reduce antibiotic use in primary care is needed. Delayed prescribing is one evidence-based strategy that is underused...
September 2016: Australian Family Physician
Ellen McIntyre, Katrina Erny-Albrecht, Christina Hagger, Petra Bywood, Lynsey Brown, Jodie Oliver-Baxter
BACKGROUND: The use of relevant quality research and evidence to inform policy and practice is complex, takes time and requires skill. Over the past 20 years, a knowledge exchange organisation (the Primary Health Care Research and Information Service [PHCRIS]) has developed, implemented and evaluated ways to accelerate the use of research and evidence to strengthen Australian primary healthcare and thereby enhance health. OBJECTIVE: This paper outlines how PHCRIS operates to accelerate the use of research and evidence in primary healthcare policy and practice...
September 2016: Australian Family Physician
Simon Morgan, Allison Thomson, Peter O'Mara, Amanda Tapley, Kim Henderson, Mieke van Driel, John Scott, Neil Spike, Lawrie McArthur, Parker Magin
BACKGROUND: Identification of Aboriginal and Torres Strait Islander status in healthcare settings is essential for the delivery of culturally appropriate care. Under-identification is common and practitioner confidence is a known barrier. OBJECTIVE: The objective of this research was to document the self-reported confidence of general practice registrars in identifying the Aboriginal and Torres Strait Islander status of their patients, and associations of this confidence...
September 2016: Australian Family Physician
Ian McRae, Paresh Dawda, Michelle Banfield, Anne Parkinson
BACKGROUND: A major component of integrated care is shared information. Computer-based clinical and administrative systems, particularly in multidisciplinary environments, provide an opportunity to directly measure the degree of integration. OBJECTIVE: The objective of this article is to explore the viability of automated measurement of integration within a multidisciplinary healthcare centre. METHODS: With the assistance of practice staff, researchers explored the structure and content of selected patient records in two practices to understand the viability of automated measurement...
September 2016: Australian Family Physician
Jennifer Martin, Sylvia D Kauer, Lena Sanci
BACKGROUND: Young people have a large burden of death and disease from risky road behaviours. Guidelines recommend injury prevention and harm minimisation counselling; however, little is known about road risks in youth attending primary care. OBJECTIVE: The aim of this study was to examine the type of road risks and associated behaviours in young people attending general practice. METHODS: A cross-sectional analysis was undertaken on health risk survey data from a sample of 901 patients, aged 14-24 years, attending 40 Victorian general practices in a stratified cluster randomised trial...
September 2016: Australian Family Physician
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"