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European Journal of General Practice

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https://www.readbyqxmd.com/read/29243572/development-dissemination-and-applications-of-a-new-terminological-resource-the-q-code-taxonomy-for-professional-aspects-of-general-practice-family-medicine
#1
Marc Jamoulle, Melissa Resnick, Julien Grosjean, Ashwin Ittoo, Elena Cardillo, Robert Vander Stichele, Stefan Darmoni, Marc Vanmeerbeek
BACKGROUND: While documentation of clinical aspects of General Practice/Family Medicine (GP/FM) is assured by the International Classification of Primary Care (ICPC), there is no taxonomy for the professional aspects (context and management) of GP/FM. OBJECTIVES: To present the development, dissemination, applications, and resulting face validity of the Q-Codes taxonomy specifically designed to describe contextual features of GP/FM, proposed as an extension to the ICPC...
December 15, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29243549/how-primary-care-reforms-influenced-health-indicators-in-manisa-district-in-turkey-lessons-for-general-practitioners
#2
Celalettin Cevik, Kaan Sozmen, Bulent Kilic
BACKGROUND: Turkish health reforms began in 2003 and brought some significant changes in primary care services. Few studies in Turkey compare the shift from health centres (HC) to family physicians (FP) approach, which was initiated by reforms. OBJECTIVES: This study compares health status indicators during the HC period before reforms (2003-2007) and the FP period after reforms (2008-2012) in Turkey. METHODS: This study encompasses time series data consisting of the results of a 10-year assessment (2003-2012) in Manisa district...
December 15, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29202616/series-practical-guidance-to-qualitative-research-part-4-trustworthiness-and-publishing
#3
Irene Korstjens, Albine Moser
In the course of our supervisory work over the years we have noticed that qualitative research tends to evoke a lot of questions and worries, so-called frequently asked questions (FAQs). This series of four articles intends to provide novice researchers with practical guidance for conducting high-quality qualitative research in primary care. By 'novice' we mean Master's students and junior researchers, as well as experienced quantitative researchers who are engaging in qualitative research for the first time...
December 5, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29199486/series-practical-guidance-to-qualitative-research-part-3-sampling-data-collection-and-analysis
#4
Albine Moser, Irene Korstjens
In the course of our supervisory work over the years, we have noticed that qualitative research tends to evoke a lot of questions and worries, so-called frequently asked questions (FAQs). This series of four articles intends to provide novice researchers with practical guidance for conducting high-quality qualitative research in primary care. By 'novice' we mean Master's students and junior researchers, as well as experienced quantitative researchers who are engaging in qualitative research for the first time...
December 4, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29172801/the-new-european-guideline-on-cardiovascular-disease-prevention-how-to-make-progress-in-general-practice
#5
Suzanne Marchal, Arnoud W J Van't Hof, Monika Hollander
The new guideline on cardiovascular disease (CVD) prevention, issued by the European Society of Cardiology was endorsed by 10 other societies, including Wonca Europe. It advices on how to reduce the cardiovascular (CV) risk in the population and attributes an important role to the general practitioner (GP). The GP is involved in treatment of the high-risk population as well as in public health measures to encourage a healthy lifestyle and CV risk factor reduction in the whole population. The new guideline gives room for a personalized approach and emphasizes that CV risk estimation and counselling need regular follow-up...
November 27, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29172800/the-acceptability-and-effectiveness-of-a-questionnaire-for-the-identification-of-risk-factors-for-hiv-and-hepatitis-b-and-c-an-observational-study-in-general-practice
#6
Amélie Aïm-Eusébi, Emmanuel Prothon, Catherine Majerholc, Diana Barger, Yazdan Yazdanpanah, Jean-Pierre Aubert
BACKGROUND: Many people in Europe remain undiagnosed for human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV). OBJECTIVES: To evaluate acceptability and effectiveness of a questionnaire designed to facilitate identification of risk factors for these viruses. METHODS: We performed an observational study, in a prospectively enrolled cohort of patients in Paris (France) seen in 2014. Eighteen GPs administered a questionnaire to the first 50 patients, collecting information about risk factors...
November 27, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29393709/challenges-for-clinical-practice-and-research-in-family-medicine-in-reducing-the-risk-of-chronic-diseases-notes-on-the-egprn-spring-conference-2017-in-riga
#7
Vija Silina, Ruth Kalda
Chronic diseases in most cases belong to the category of non-communicable diseases (NCDs), which are the main cause of mortality globally. Cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and cancer are the four NCDs responsible for 82% of NCD deaths. Prevention of NCDs implies health promotion activities that encourage healthy lifestyle and limit the initial onset of chronic diseases. Prevention also includes early detection activities, such as screening at-risk populations, as well as strategies for appropriate management of existing diseases and related complications...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29384397/quaternary-prevention-reviewing-the-concept
#8
Carlos Martins, Maciek Godycki-Cwirko, Bruno Heleno, John Brodersen
BACKGROUND: According to the Wonca International Dictionary for General/Family Practice Quaternary Prevention is defined as: 'Action taken to identify patient at risk of overmedicalization, to protect him from new medical invasion, and to suggest to him interventions, which are ethically acceptable.' The concept of quaternary prevention was initially proposed by Marc Jamoulle and the targets were mainly patients with illness but without a disease. OBJECTIVES: The purpose of this opinion article is to open the debate around a new possible definition and a new conceptual model of quaternary prevention based on the belief that quaternary prevention should be present in physicians' minds for every intervention they suggest to a patient...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29364002/cross-sectional-multicentre-study-on-the-cohort-of-all-the-french-junior-lecturers-in-general-practice
#9
Marie Barais, Catherine Laporte, Matthieu Schuers, Olivier Saint-Lary, Paul Frappé, Clarisse Dibao-Dina, David Darmon, Tiphanie Bouchez, Julien Gelly
BACKGROUND: General practice became an academic discipline quite recently in many western countries. In France, junior lecturer work is specified in a three-part mandate: medical work in general practice, teaching in the university, and research. Since 2007, 130 junior lecturers have been appointed in general practice. The aim of the creation of junior lecturer status was to align general practice with other specialties and to develop research and education in primary care. OBJECTIVES: To describe the healthcare, teaching and research undertaken by junior lecturers in general practice, practising in October 2014...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29359605/facilitators-and-barriers-in-the-diagnostic-process-of-vulvovaginal-complaints-vulvodynia-in-general-practice-a-qualitative-study
#10
Peter Leusink, Doreth Teunissen, Peter L Lucassen, Ellen T Laan, Antoine L Lagro-Janssen
BACKGROUND: The gap between the relatively high prevalence of provoked vulvodynia (PVD) in the general population and the low incidence in primary care can partly be explained by physicians' lack of knowledge about the assessment and management of PVD. OBJECTIVES: To recognize barriers and facilitators of GPs in the diagnostic process of women presenting with recurrent vulvovaginal complaints. METHODS: A qualitative focus group study in 17 Dutch GPs, five men and 12 women...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29353511/identified-mental-disorders-in-older-adults-in-primary-care-a-cross-sectional-database-study
#11
Geoff McCombe, Frank Fogarty, Davina Swan, Ailish Hannigan, Gerard M Fealy, Lorraine Kyne, David Meagher, Walter Cullen
INTRODUCTION: Identifying and managing mental disorders among older adults is an important challenge for primary care in Europe. Electronic medical records (EMRs) offer considerable potential in this regard, although there is a paucity of data on their use for this purpose. OBJECTIVES: To examine the prevalence/treatment of identified mental disorders among older adults (over 55 years) by using data derived from EMRs in general practice. METHODS: We utilized data from a cross-sectional study of mental disorders in primary care, which identified patients with mental disorders based on diagnostic coding and prescribed medicines...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29168400/cardiovascular-disease-patients-have-increased-risk-for-comorbidity-a-cross-sectional-study-in-the-netherlands
#12
Candan Kendir, Marjan van den Akker, Rein Vos, Job Metsemakers
BACKGROUND: Comorbidity is a cause of increased mortality, decreased quality of life and increased use of healthcare services. It is important particularly for physicians and other healthcare providers in primary care settings to evaluate these patients properly. Cardiovascular diseases (CVD) are the most common cause of death from non-communicable diseases worldwide and are characterized by a high level of comorbidities. OBJECTIVES: To address the distribution of CVDs and comorbidities across sociodemographic groups and associations between CVDs and comorbidities...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29164946/chronic-heart-failure-management-in-primary-healthcare-in-poland-results-of-a-nationwide-cross-sectional-study
#13
Barbara Wizner, Małgorzata Fedyk-Łukasik, Grzegorz Opolski, Tomasz Zdrojewski, Adam Windak, Marcin Czech, Jacek S Dubiel, Michał Marchel, Krzysztof Rewiuk, Tomasz Rywik, Jerzy Korewicki, Tomasz Grodzicki
BACKGROUND: Organizational and educational activities in primary care in Poland have been introduced to improve the chronic heart failure (CHF) management. OBJECTIVES: To assess the use of diagnostic procedures, pharmacotherapy and referrals of CHF in primary care in Poland. METHODS: The cross-sectional survey was conducted in 2013, involving 390 primary care centres randomly selected from a national database. Trained nurses contacted primary care physicians who retrospectively filled out the study questionnaires on the previous year's CHF management in the last five patients who had recently visited their office...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29271677/erratum
#14
(no author information available yet)
No abstract text is available yet for this article.
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29185831/series-practical-guidance-to-qualitative-research-part-1-introduction
#15
Albine Moser, Irene Korstjens
In the course of our supervisory work over the years, we have noticed that qualitative research tends to evoke a lot of questions and worries, so-called Frequently Asked Questions. This journal series of four articles intends to provide novice researchers with practical guidance for conducting high-quality qualitative research in primary care. By 'novice' we mean Master's students and junior researchers, as well as experienced quantitative researchers who are engaging in qualitative research for the first time...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29185826/series-practical-guidance-to-qualitative-research-part-2-context-research-questions-and-designs
#16
Irene Korstjens, Albine Moser
In the course of our supervisory work over the years, we have noticed that qualitative research tends to evoke a lot of questions and worries, so-called frequently asked questions (FAQs). This series of four articles intends to provide novice researchers with practical guidance for conducting high-quality qualitative research in primary care. By 'novice' we mean Master's students and junior researchers, as well as experienced quantitative researchers who are engaging in qualitative research for the first time...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29157045/from-religious-to-existential-issues-the-implications-for-gps
#17
Erik Olsman, Dick L Willems
No abstract text is available yet for this article.
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29148849/towards-an-overarching-model-for-electronic-medical-record-systems-including-problem-oriented-goal-oriented-and-other-approaches
#18
Huibert Tange, Zsolt Nagykaldi, Jan De Maeseneer
There is no consensus among health professionals on how to structure medical records to serve clinical decision-making. Three approaches co-exist (source-oriented, problem-oriented, goal-oriented), each suiting a different subset of patients. In primary care, the problem-oriented approach is dominant, but for patients with multiple conditions (multimorbidity) the goal-oriented approach seems more appropriate. There is a need to combine different approaches in one medical-record system. In this article, we explain some misconceptions about 'problems' and 'goals' that hinder the way to consensus...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29043877/the-seven-deadly-sins-writers-of-academic-papers-should-avoid
#19
Igor Švab
No abstract text is available yet for this article.
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29034749/screening-of-older-patients-for-atrial-fibrillation-in-general-practice-current-evidence-and-its-implications-for-future-practice
#20
Matthew R Fay, David A Fitzmaurice, Ben Freedman
BACKGROUND: Individuals with atrial fibrillation (AF) face a fivefold increased risk of ischaemic stroke compared with those without the condition. Recent studies suggest that individuals with asymptomatic AF also face an increased risk of ischaemic stroke, but their condition is often not recognized and diagnosed until an ischaemic stroke event has occurred. Identification of individuals with undiagnosed AF at increased risk for stroke is critical in promoting optimal intervention with anticoagulants...
December 2017: European Journal of General Practice
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