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European Journal of General Practice

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https://www.readbyqxmd.com/read/28714782/delayed-antibiotic-prescription-for-upper-respiratory-tract-infections-in-children-under-primary-care-physicians-views
#1
Camilla Flintholm Raft, Lars Bjerrum, Magnus Arpi, Jens Otto Jarløv, Jette Nygaard Jensen
BACKGROUND: Overprescribing antibiotics for common or inaccurately diagnosed childhood infections is a frequent problem in primary healthcare in most countries. Delayed antibiotic prescriptions have been shown to reduce the use of antibiotics in primary healthcare. OBJECTIVE: The aim was to examine primary care physicians' views on delayed antibiotic prescriptions to preschool children with symptoms of upper respiratory tract infections (URTIs). METHODS: A questionnaire was sent to 1180 physicians working in general practice in the Capital Region of Denmark, between January and March 2015...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28714758/even-if-they-are-not-aware-of-it-general-practitioners-improve-well-being-in-their-adolescent-patients
#2
Benoit V Tudrej, Anne-Laure Heintz, Michaela B Rehman, Daniel Marcelli, Pierre Ingrand, Philippe Binder
BACKGROUND: Most adolescents consult their general practitioner (GP) for common reasons, somatic or administrative but many of them have hidden feelings of distress. OBJECTIVES: To assess the immediate impact of 'ordinary' consultations on feelings of distress among adolescents and to compare adolescents experiencing difficulties (D) to those with no difficulties (N). To analyse how accurately GPs assess the impact of their consultation on adolescents' feelings...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28665148/primary-healthcare-for-refugees-the-ponton-experience
#3
A K Zurmati, An De Sutter, Peter Decat
No abstract text is available yet for this article.
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28604128/cognitive-screening-tools-for-primary-care-settings-examining-the-test-your-memory-and-general-practitioner-assessment-of-cognition-tools-in-a-rural-aging-population-in-greece
#4
Eliza Iatraki, Panagiotis G Simos, Antonios Bertsias, George Duijker, Ioannis Zaganas, Chariklia Tziraki, Alexandros N Vgontzas, Christos Lionis
BACKGROUND: Under conditions of high demand for primary care services in a setting of low financial resources, there is need for brief, easily administered cognitive screening tools for use in the primary care setting, especially in rural areas. However, interpretation of these cognitive tests' results requires knowledge on their susceptibility to cultural, educational and demographic patient characteristics. OBJECTIVES: To assess the clinical validity of the 'Test Your Memory' (TYM) and 'General Practitioner assessment of Cognition' (GPCog) which was specifically designed for primary care practice, in a rural primary care setting in Greece, utilizing the 'Mini Mental State Examination' (MMSE) as a reference standard...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28595498/associations-of-smoking-with-cardiometabolic-profile-and-renal-function-in-a-romanian-population-based-sample-from-the-predatorr-cross-sectional-study
#5
Simona Georgiana Popa, Maria Moţa, Florin Dumitru Mihălţan, Adina Popa, Ioana Munteanu, Eugen Moţa, Cristian Serafinceanu, Cristian Guja, Nicolae Hâncu, Doina Catrinoiu, Radu Lichiardopol, Cornelia Bala, Bogdan Mihai, Gabriela Radulian, Gabriela Roman, Romulus Timar
BACKGROUND: The impact of smoking on morbidity is well known, but in Romania, limited data are available regarding the smoking prevalence and relationship with cardiometabolic profile and kidney function. OBJECTIVES: To assess the association of smoking with cardiometabolic traits and kidney function, in a Romanian population-based sample from the PREDATORR study. METHODS: PREDATORR was an epidemiological cross-sectional study. Between 2012 and 2014, participants were randomly selected from the lists of general practitioners and enrolled if they were aged 20 to 79 years, born and living in the past 10 years in Romania...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28554220/experiences-of-hospital-based-multidisciplinary-team-meetings-in-oncology-an-interview-study-among-participating-general-practitioners
#6
Peter Pype, Fien Mertens, Jeanluc Belche, Christiane Duchesnes, Laurence Kohn, Marij Sercu, Myriam Deveugele
BACKGROUND: Cancer care has become complex, requiring healthcare professionals to collaborate to provide high-quality care. Multidisciplinary oncological team (MDT) meetings in the hospital have been implemented to coordinate individual cancer patients' care. General practitioners (GPs) are invited to join, but their participation is minimal. OBJECTIVES: Aim of this study is to explore participating GPs' perceptions of their current role and to understand their preferences towards effective role execution during MDT meetings...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28497712/european-general-practice-research-network-egprn-abstracts-from-the-egprn-meeting-in-leipzig-germany-12-16-october-2016-theme-general-practice-family-medicine-in-a-changing-world
#7
(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/28446045/telemonitoring-in-home-complex-chronic-patients-from-primary-care-in-routine-clinical-practice-impact-on-healthcare-resources-use
#8
Iñaki Martín-Lesende, Estibalitz Orruño, Maider Mateos, Elizabete Recalde, José Asua, Eva Reviriego, Juan Carlos Bayón
BACKGROUND: Recent evidence indicates that home telemonitoring of chronic patients reduces the use of healthcare resources. However, further studies exploring this issue are needed in primary care. OBJECTIVES: To assess the impact of a primary care-based home telemonitoring intervention for highly unstable chronic patients on the use of healthcare resources. METHODS: A one-year follow-up before and after exploratory study, without control group, was conducted...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28394192/factors-associated-with-professional-satisfaction-in-primary-care-results-from-euprimecare-project
#9
Carlos Alberto Sanchez-Piedra, Lina Jaruseviciene, Francisco Javier Prado-Galbarro, Ida Liseckiene, Fernando Sánchez-Alonso, Sonia García-Pérez, Antonio Sarria Santamera
BACKGROUND: Given the importance of primary care to healthcare systems and population health, it seems crucial to identify factors that contribute to the quality of primary care. Professional satisfaction has been linked with quality of primary care. Physician dissatisfaction is considered a risk factor for burnout and leaving medicine. OBJECTIVES: This study explored factors associated with professional satisfaction in seven European countries. METHODS: A survey was conducted among primary care physicians...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28394180/antibiotic-treatment-failure-when-consulting-patients-with-respiratory-tract-infections-in-general-practice-a-qualitative-study-to-explore-danish-general-practitioners-perspectives
#10
Margrethe Bordado Sköld, Rune Aabenhus, Ann Dorrit Guassora, Marjukka Mäkelä
BACKGROUND: Prescribing antibiotics for acute respiratory tract infections (RTIs) is common in primary healthcare although most of these infections are of viral origin and antibiotics may not be helpful. Some of these prescriptions will not be associated with a quick recovery, and might be regarded as cases of antibiotic treatment failure (ATF). OBJECTIVES: We studied antibiotic treatment failure in patients with acute RTIs from a general practitioner (GP) perspective, aiming to explore (i) GPs' views of ATF in primary care; (ii) how ATF influences the doctor-patient relationship; and (iii) GPs' understanding of patients' views of ATF...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28388310/exploring-barriers-to-primary-care-for-migrants-in-greece-in-times-of-austerity-perspectives-of-service-providers
#11
Maria Papadakaki, Christos Lionis, Aristoula Saridaki, Christopher Dowrick, Tomas de Brún, Mary O'Reilly-de Brún, Catherine A O'Donnell, Nicola Burns, Evelyn van Weel-Baumgarten, Maria van den Muijsenbergh, Wolfgang Spiegel, Anne MacFarlane
BACKGROUND: Migration in Europe is increasing at an unprecedented rate. There is an urgent need to develop 'migrant-sensitive healthcare systems'. However, there are many barriers to healthcare for migrants. Despite Greece's recent, significant experiences of inward migration during a period of economic austerity, little is known about Greek primary care service providers' experiences of delivering care to migrants. OBJECTIVES: To identify service providers' views on the barriers to migrant healthcare...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28376668/validation-of-heart-failure-diagnosis-registered-in-primary-care-records-in-two-primary-care-centres-in-barcelona-spain-and-factors-related-a-cross-sectional-study
#12
Jose María Verdú-Rotellar, Eva Frigola-Capell, Rosa Alvarez-Pérez, Daniela da Silva, Cristina Enjuanes, Mar Domingo, Amparo Mena, Miguel-Angel Muñoz
BACKGROUND: Heart failure (HF) diagnosis as reported in primary care medical records is not always properly confirmed and could result in over-registration. OBJECTIVES: To determine the proportion of registered HF that can be confirmed with information from primary care medical records and to analyse related factors. METHODS: A cross-sectional study. The medical records of 595 HF patients attended in two primary healthcare centres in Barcelona (Spain) were revised and validated by a team of experts who classified diagnosis into confirmed, unconfirmed, and misdiagnosis...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28347193/placebo-prescription-and-empathy-of-the-physician-a-cross-sectional-study
#13
João Braga-Simões, Patrício Soares Costa, John Yaphe
BACKGROUND: Empathy in the patient-physician relationship is a major component in an effective placebo treatment, as in every medical treatment. Understanding the role of empathy of the physician in the placebo effect may help dissect some of the context variables responsible for the effectiveness of the placebo. OBJECTIVES: To determine the frequency of placebo prescription, doctors' beliefs, motivation, and attitudes to placebos in general practice in northern Portugal and to test the association between placebo prescription and physician empathy...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28326866/lifestyle-and-emotional-well-being-in-men-and-women-with-type-2-diabetes-e-vitadm-4-zodiac-48
#14
Steven H Hendriks, Evelien G W van Soldt, Michael van Vugt, Klaas H Groenier, Yvonne Roelofsen, Angela H E M Maas, Henk J G Bilo, Nanne Kleefstra, Kornelis J J van Hateren
BACKGROUND: Whether lifestyle is associated with well-being in patients with type 2 diabetes (T2D) is largely unknown. Uncovering and clarifying associations between these constructs may lead to new strategies for improving both. OBJECTIVES: The aim was to investigate the relationship between lifestyle and well-being, focussing on gender differences. METHODS: This cross-sectional study included 1085 patients with T2D that participated in the e-Vita part of the Zwolle outpatient diabetes project integrating available care (ZODIAC) study...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28326860/latvian-family-physicians-experience-diagnosing-depression-in-somatically-presenting-depression-patients-a-qualitative-study
#15
Maija S Leff, Jeļena Vrubļevska, Agita Lūse, Elmārs Rancāns
BACKGROUND: Depression continues to be under-diagnosed in primary care settings. One factor that influences physicians' likelihood of diagnosing depression is patients' presentation style. Patients who initially present with somatic symptoms are diagnosed at a lower rate and with greater delay than patients who present with psychosocial complaints. OBJECTIVES: To identify the barriers preventing depression diagnosis in somatically presenting patients in an Eastern European primary care setting...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28299948/how-to-conduct-research-on-overdiagnosis-a-keynote-paper-from-the-egprn-may-2016-tel-aviv
#16
John Brodersen
Overdiagnosis is a growing problem worldwide. Overdiagnosis is the diagnosis of deviations, abnormalities, risk factors, and pathologies that in themselves would never cause symptoms (this applies only to risk factors and pathology), would never lead to morbidity, and would never be the cause of death. Overdiagnosis is often misinterpreted as overutilization or overtreatment. Overutilization, overtreatment, and overdiagnosis are interrelated but three distinct topics. Overutilization (establishment of standard practice that does not provide net benefit) does not have to lead to overdiagnosis or overtreatment, but the risk exists...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28271949/cogita-network-has-constructed-a-glossary-of-diagnostic-reasoning-terms
#17
Marie Barais, Johannes Hauswaldt, Geert-Jan Dinant, Margje van de Wiel, C F Erik Stolper, Paul Van Royen
The role of gut feelings in diagnostic reasoning is recognized by most GPs throughout Europe, and probably throughout the world. Studies on this topic have emerged from different countries but there is the risk that authors will use different terms for similar concepts. The European Expert Group on Cognitive and Interactive Processes in Diagnosis and Management in General Practice, COGITA for short, was founded in 2008 to conduct cross-border research in the area of non-analytical diagnostic reasoning. Academic GPs, PhD students, psychologists, linguists and students meet once a year to share their experiences, exchange results and initiate new studies on the topic...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28271923/do-gps-know-more-than-other-doctors
#18
Norbert Donner-Banzhoff
No abstract text is available yet for this article.
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28271920/impact-of-educational-interventions-on-primary-prevention-of-cardiovascular-disease-a-systematic-review-with-a-focus-on-physical-activity
#19
Ana Ramôa Castro, Nórton L Oliveira, Fernando Ribeiro, José Oliveira
BACKGROUND: Evidence from epidemiological and experimental studies illustrates the beneficial impact of healthy lifestyle behaviours on cardiovascular risk. OBJECTIVES: To assess the effectiveness of primary care health education interventions designed to promote healthy lifestyles on physical activity levels and cardiovascular risk. METHODS: A computer-aided search on PubMed and Scopus was performed to identify relevant studies published from January 2000 to October 2016...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28271916/prevalence-of-inappropriate-medication-use-in-residential-long-term-care-facilities-for-the-elderly-a-systematic-review
#20
Hannelore Storms, Kristel Marquet, Bert Aertgeerts, Neree Claes
BACKGROUND: Multi-morbidity and polypharmacy of the elderly population enhances the probability of elderly in residential long-term care facilities experiencing inappropriate medication use. OBJECTIVES: The aim is to systematically review literature to assess the prevalence of inappropriate medication use in residential long-term care facilities for the elderly. METHODS: Databases (MEDLINE, EMBASE) were searched for literature from 2004 to 2016 to identify studies examining inappropriate medication use in residential long-term care facilities for the elderly...
December 2017: European Journal of General Practice
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