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European Journal of General Practice

Sarah M Doherty, Louise M Jackman, John F Kirwan, Deirdre Dunne, Kieran G O'Connor, John M Rouse
BACKGROUND: The incidence of melanoma is rising worldwide. Current Irish guidelines from the National Cancer Control Programme state suspicious pigmented lesions should not be removed in primary care. There are conflicting guidelines and research advising who should remove possible melanomas. OBJECTIVES: To determine whether initial diagnostic excision biopsy of cutaneous malignant melanoma in primary versus secondary care leads to poorer survival. METHODS: Analysis of data comprising 7116 cases of cutaneous malignant melanoma from the National Cancer Registry Ireland between January 2002 and December 2011...
November 16, 2016: European Journal of General Practice
Jennifer Engler, Anne Dahlhaus, Corina Güthlin
BACKGROUND: Cancer screening participation rates in Germany differ depending on patients' gender. International studies have found that patient-physician gender concordance fosters recommendation and conducting of cancer screening, and especially cancer screening for women. OBJECTIVES: We aimed to ascertain whether gender concordance influences general practitioners' (GPs') rating of the usefulness of cancer screening, as well as their recommendations and readiness to conduct cancer screening in general practice in Germany...
November 14, 2016: European Journal of General Practice
Oriol Yuguero, Josep Ramon Marsal, Montserrat Esquerda, Luis Vivanco, Jorge Soler-González
BACKGROUND: Burnout is a growing problem among healthcare professionals and may be mitigated and even prevented by measures designed to promote empathy and resilience. OBJECTIVES: We studied the association between burnout and empathy in primary care practitioners in Lleida, Spain and investigated possible differences according to age, sex, profession, and place of practice (urban versus rural). METHODS: All general practitioners (GPs) and family nurses in the health district of Lleida (population 366 000) were asked by email to anonymously complete the Maslach Burnout Inventory (MBI) and the Jefferson Scale of Physician Empathy (JSPE) between May and July 2014...
October 10, 2016: European Journal of General Practice
Zalika Klemenc-Ketis, Igor Svab, Marija Petek-Ster, Mateja Bulc, Josephine Buchanan, Henry Finnegan, Jaime Correia de Sousa, John Yaphe
The international Bled course for teacher training has played a central role in faculty development in family medicine for the past 25 years. The course was originally designed to promote faculty development for family medicine teachers in the new academic discipline of family medicine in Slovenia in 1990 and to introduce new topics into the family medicine curriculum. In this background paper, we perform a SCOT analysis (strengths, challenges, opportunities, and threats) of the current course, evaluating participant feedback and reviewing past topics and their impact on local and international teaching programmes...
October 5, 2016: European Journal of General Practice
Karin von Winckelmann, Walter Renier, Matthew Thompson, Frank Buntinx
BACKGROUND: Little is known about the occurrence of acute dyspnoea in primary care and its underlying causes. OBJECTIVES: What are the occurrence and most frequent causes of acute dyspnoea in primary care, predictors of referral, hospitalization, death and possible underlying causes? METHODS: Twenty-five general practitioners (GPs) in Flanders (Belgium) recorded patient contacts for four periods of two weeks during one year. They recorded patients presenting with acute dyspnoea, location of contact (surgery versus home visit), new dyspnoea versus exacerbation, tentative diagnosis, referral to a specialist and hospital, and one month later final diagnosis, its justification, referral, hospitalization and death...
September 22, 2016: European Journal of General Practice
Ahmet Yilmaz, Muharrem Ak, Abdullah Cim, Yilmaz Palanci, Faruk Kilinc
BACKGROUND: DM (diabetes mellitus) patients with poorly regulated blood glucose levels are at risk of increased morbidity and mortality. There are different factors that cause resistance to the initiation of insulin therapy such as beliefs and perceptions concerning diabetes and its treatment and the nature and consequences of insulin therapy. OBJECTIVES: We aimed to explore the reasons for this reluctance and how these obstacles could be overcome so that DM patients who require insulin could initiate therapy...
September 22, 2016: European Journal of General Practice
Miguel Román-Rodríguez, Job F M van Boven, Freya Vargas, Cecilia C Contreras, Gema Lamelas, Salvador Gestoso, Miguel Góngora, Maite Corredor, Magdalena Esteva
BACKGROUND: There is a worldwide over-prescription of inhaled corticosteroids (ICS) in patients with chronic obstructive pulmonary disease (COPD), off-label prescribing, and unnecessary prescription of high doses. OBJECTIVES: Our aim was to assess the prescription rate of ICS and to identify sociodemographic and clinical factors associated with ICS prescription among patients with COPD, treated in Balearic primary healthcare. METHODS: This cross-sectional study included all patients with a clinical COPD diagnosis, who attended a primary care centre of the Balearic Islands (Spain) during 2012...
September 6, 2016: European Journal of General Practice
Peter Pype, Myriam Deveugele
BACKGROUND: Interprofessional education and collaborative practice are gradually gaining importance in the context of growing healthcare complexity. The readiness for interprofessional learning scale (RIPLS) is a well-known scale that can identify attitudinal barriers and variance across professions, which may affect educational interventions. OBJECTIVES: This study aims to translate the English RIPLS into Dutch and to test its reliability and validity. METHODS: The scale was translated and back-translated by two pairs of people independently and tested for feasibility and comprehensibility...
September 5, 2016: European Journal of General Practice
Benoit V Tudrej, Anne-Laure Heintz, Pierre Ingrand, Ludovic Gicquel, Philippe Binder
BACKGROUND: Adolescents often have emotional and behavioural problems that general practitioners are likely to miss. While nearly 80% of them consult their GP every year, it is usually for physical, not psychological reasons. Trust in their GPs in necessary for screening. OBJECTIVES: To identify the key quality desired by adolescents for them to feel free to confide in GPs. To determine whether this quality differed according to gender, level of at-risk behaviours or interlocutor: friend, parent or GP...
September 3, 2016: European Journal of General Practice
(no author information available yet)
No abstract text is available yet for this article.
September 2016: European Journal of General Practice
Adam Windak
No abstract text is available yet for this article.
September 2016: European Journal of General Practice
Angel M R Schols, Femke Stevens, Camiel G I P Zeijen, Geert-Jan Dinant, Christel van Vugt, Jochen W L Cals
BACKGROUND: In general practice, excluding serious conditions is one of the cornerstones of the consultation. Diagnostic tests are widely used to assist the decision-making process in these cases. Little is known about general practitioners' (GPs) access to diagnostic tests at GP out-of-hours services. OBJECTIVES: To determine GPs' access to diagnostic tests-imaging, function tests, laboratory tests, and point-of-care tests (POCT)-during GP out-of-hours care and to assess whether access to diagnostic facilities differs between services located adjacent to or separate from an accident and emergency (A&E) department...
September 2016: European Journal of General Practice
Manuel Campiñez Navarro, Luis Ángel Pérula de Torres, Josep M Bosch Fontcuberta, Nieves Barragán Brun, Juan Carlos Arbonies Ortiz, Jesús Manuel Novo Rodríguez, Julia Bóveda Fontán, Remedios Martín Alvarez, Jose Antonio Prados Castillejo, Gabriela Renée Rivas Doutreleau, Carmen Domingo Peña, Jaime Jesús Castro Moreno, Esperanza María Romero Rodríguez
BACKGROUND: Motivational interviewing (MI) is a collaborative, goal-oriented method to help patients change behaviour. Tools that are often used to measure MI are the motivational interviewing skills code' (MISC), the 'motivational interviewing treatment integrity' (MITI) and the 'behaviour change counselling index' (BECCI). The first two instruments have not been designed to be used in primary healthcare (PHC) settings. The BECCI actually is time-consuming. The motivational interviewing assessment scale (MIAS, 'EVEM' in Spanish) was developed to measure MI in PHC encounters as an alternative to the previous instruments...
September 2016: European Journal of General Practice
Lieke J A Hassink-Franke, Mijnke M M Janssen, Guy Oehlen, Patricia A M van Deurzen, Jan K Buitelaar, Michel Wensing, Peter L B J Lucassen
BACKGROUND: Most general practitioners (GPs) do not feel comfortable with diagnosing and treating children with attention deficit hyperactivity disorder (ADHD). This is problematic since ADHD is a prevalent disorder and an active role of GPs is desired. In the Netherlands a collaborative ADHD programme was established, comprising of shortened diagnostic assessment in specialized mental healthcare followed by psycho-education in mental healthcare and pharmacological treatment by pre-trained GPs...
September 2016: European Journal of General Practice
Cornelis A de Kock, Peter L B J Lucassen, Laura Spinnewijn, J André Knottnerus, Peter C Buijs, Romy Steenbeek, Antoine L M Lagro-Janssen
BACKGROUND: In the Netherlands, there is a lack of knowledge about general practitioners' (GPs) perception of their role regarding patients' occupation and work related problems (WRP). As work and health are closely related, and patients expect help from their GPs in this area, a better understanding is needed of GPs' motivation to address WRP. OBJECTIVES: To explore GPs' opinions on their role in the area of work and health. METHODS: This is a qualitative study using three focus groups with Dutch GPs from the catchment area of a hospital in the Southeast of the Netherlands...
September 2016: European Journal of General Practice
Ellen Keizer, Irene Maassen, Marleen Smits, Michel Wensing, Paul Giesen
BACKGROUND: Out-of-hours primary care services have a high general practitioner (GP) workload with increasing costs, while half of all contacts are non-urgent. OBJECTIVES: To identify views of GPs to influence the use of the out-of-hours GP cooperatives. METHODS: Cross-sectional survey study among a random sample of 800 GPs in the Netherlands. RESULTS: Of the 428 respondents (53.5% response rate), 86.5% confirmed an increase in their workload and 91...
September 2016: European Journal of General Practice
Jean Yves Le Reste, Patrice Nabbe, Djurdjica Lazic, Radost Assenova, Heidrun Lingner, Slawomir Czachowski, Stella Argyriadou, Agnieszka Sowinska, Charilaos Lygidakis, Christa Doerr, Ana Claveria, Bernard Le Floch, Jeremy Derriennic, Harm Van Marwijk, Paul Van Royen
BACKGROUND: Multimorbidity is a challenging concept for general practice. An EGPRN working group has published a comprehensive definition of the concept of multimorbidity. As multimorbidity could be a way to explore complexity in general practice, it was of importance to explore whether European general practitioners (GPs) recognize this concept and whether they would change it. OBJECTIVES: To investigate whether European GPs recognize the EGPRN concept of multimorbidity and whether they would change it...
September 2016: European Journal of General Practice
Maja Račić, Svjetlana Eremija, Srđan Mašić, Bojan N Joksimović, Kosana Stanetić
BACKGROUND: Despite considerable efforts to promote and support clinical practice guidelines (CPGs) use, adherence has often been suboptimal universally. OBJECTIVES: The aim of this study was to assess to which extent family physicians (FPs) in Republic of Srpska (RS), Bosnia and Herzegovina (BiH) accept or reject the concept and practice of CPGs and evidence-based medicine (EBM). METHODS: A cross-sectional survey was conducted among FPs from the RS, BiH in the period between January and March 2014...
September 2016: European Journal of General Practice
Troels Mengel-Jørgensen, Martin Bach Jensen
BACKGROUND: Before implementing point-of-care ultrasound in general practice in Denmark, we sought inspiration from other countries/regions. OBJECTIVES: To collect information about the use and organizational aspects of point-of-care ultrasound in general practice in different European countries/regions. METHODS: Fifteen key persons with knowledge about the use of ultrasound in general practice in Austria, Catalonia, Denmark, Finland, Germany, Greenland, Iceland, the Netherlands, Norway, Scotland, Sweden, and Switzerland were included...
August 3, 2016: European Journal of General Practice
Margaretha C Minnaard, Janna van der Zand, Alma C van de Pol, Niek J de Wit, Alwin Schierenberg, Rogier M Hopstaken, Sanne van Delft, Theo J M Verheij, Berna D L Broekhuizen
INTRODUCTION: Failure to recruit all eligible study patients can lead to biased results. Little is known on selective patient recruitment in studies on implementation of diagnostic devices. OBJECTIVES: The aim of this observational study was to measure recruitment of patients in an implementation study in primary care on use of point-of-care (POC) C-reactive protein (CRP) and to evaluate recruitment bias and its impact on the study endpoint. METHODS: In a cross-sectional observational study on POC CRP implementation and related antibiotics prescribing, we compared included patients with all eligible patients to assess the representativeness of the included subjects...
August 2, 2016: European Journal of General Practice
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