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European Journal of General Practice

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https://www.readbyqxmd.com/read/30607993/strategies-to-improve-research-capacity-across-european-general-practice-the-views-of-members-of-egprn-and-wonca-europe
#1
Caroline Huas, Davorina Petek, Esperanza Diaz, Miquel A Muñoz-Perez, Peter Torzsa, Claire Collins
BACKGROUND: The effectiveness of any national healthcare system is highly correlated with the strength of primary care within that system. A strong research basis is essential for a firm and vibrant primary care system. General practitioners (GPs) are at the centre of most primary care systems. OBJECTIVES: To inform on actions required to increase research capacity in general practice, particularly in low capacity countries, we collected information from the members of the European General Practice Research Network (EGPRN) and the European World Organization of Family Doctors (Wonca)...
January 4, 2019: European Journal of General Practice
https://www.readbyqxmd.com/read/30539675/re-thinking-performance-assessment-for-primary-care-opinion-of-the-expert-panel-on-effective-ways-of-investing-in-health
#2
Dionne Kringos, Sabina Nuti, Christian Anastasy, Margaret Barry, Liubove Murauskiene, Luigi Siciliani, Jan De Maeseneer
BACKGROUND: In 2017, the European Commission (EC) identified as a policy priority the performance assessment of primary care systems, which relates to a country's primary care structure, services delivery and outcomes. The EC requested its Expert Panel on Effective Ways of Investing in Health (Expert Panel) to provide an opinion on ways for improving performance assessment of primary care. OBJECTIVES: To provide an overview of domains and dimensions to be taken into consideration in assessing primary care and specific indicators to be collected and analysed to improve understanding of primary care performance...
December 12, 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30474455/development-of-a-research-agenda-for-general-practice-based-on-knowledge-gaps-identified-in-dutch-guidelines-and-input-from-48-stakeholders
#3
Jako S Burgers, Jolanda Wittenberg, Debby G Keuken, Frans Dekker, Femke P Hohmann, Dieuwke Leereveld, Suzanne A Ligthart, Jan-Willem A Mulder, Guy Rutten, Johannes C van der Wouden, Jacintha A M van Balen, J André Knottnerus
BACKGROUND: Several funding organizations using different agendas support research in general practice. Topic selection and prioritization are often not coordinated, which may lead to duplication and research waste. OBJECTIVES: To develop systematically a national research agenda for general practice involving general practitioners, researchers, patients and other relevant stakeholders in healthcare. METHODS: We reviewed knowledge gaps from 90 Dutch general practice guidelines and formulated research questions based on these gaps...
November 26, 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30474447/clinical-leadership-and-integrated-primary-care-a-systematic-literature-review
#4
Minke S Nieuwboer, Rob van der Sande, Marjolein A van der Marck, Marcel G M Olde Rikkert, Marieke Perry
BACKGROUND: Leaders are needed to address healthcare changes essential for implementation of integrated primary care. What kind of leadership this needs, which professionals should fulfil this role and how these leaders can be supported remains unclear. OBJECTIVES: To review the literature on the effectiveness of programmes to support leadership, the relationship between clinical leadership and integrated primary care, and important leadership skills for integrated primary care practice...
November 26, 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30394147/cross-cultural-translation-and-validation-of-the-gut-feelings-questionnaire-into-spanish-and-catalan
#5
Bernardino Oliva-Fanlo, Sebastià March, Erik Stolper, Magdalena Esteva
BACKGROUND: The gut feelings questionnaire (GFQ) is the only tool developed to assess the presence of a 'sense of alarm' or a 'sense of reassurance' in the diagnostic process of general practitioners (GPs). It was created in Dutch and English and has validated versions in French, German and Polish. OBJECTIVES: To obtain a cross-cultural translation of the GFQ into Spanish and Catalan and to assess the structural properties of the translated versions. METHODS: A six-step procedure including forward and backward translations, consensus, and cultural and linguistic validation was performed for both languages...
November 5, 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30381970/developments-in-euthanasia-practice-in-the-netherlands-balancing-professional-responsibility-and-the-patient-s-autonomy
#6
Pauline S C Kouwenhoven, Ghislaine J M W van Thiel, Agnes van der Heide, Judith A C Rietjens, Johannes J M van Delden
In 2015, euthanasia accounted for 4.5% of deaths in the Netherlands, of which 93% were performed by a GP. Historically, a conflict of physician's duties-to alleviate unbearable suffering and at the same time preserve the patient's life-is central to the justification of euthanasia practice in the Netherlands. However, there seems to be a shift towards a greater emphasis on the patient's autonomous wish as the primary basis for euthanasia. This shift has consequences for the role and interpretation of the physician's duties in end-of-life care...
November 1, 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30394151/training-gps-to-improve-their-management-of-work-related-problems-results-of-a-cluster-randomized-controlled-trial
#7
Cornelis A de Kock, Peter L B J Lucassen, Hans Bor, J André Knottnerus, Peter C Buijs, Romy Steenbeek, Antoine L M Lagro-Janssen
BACKGROUND: Paying attention to their patients' work and recognizing work-related problems is challenging for many general practitioners (GPs). OBJECTIVES: To assess the effect of training designed to improve the care for patients with work-related problems in general practice. METHODS: A cluster randomized controlled trial among 32 Dutch GPs. GPs in the intervention group received five-hour training. GPs in the control group were not trained...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30375255/promoting-equity-for-a-better-quality-of-care-for-all-europeans
#8
Adam Windak
No abstract text is available yet for this article.
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30375251/reasons-why-self-referring-patients-attend-the-emergency-department-during-daytime-differ-among-socioeconomic-groups-a-survey-from-flanders
#9
Jens Detollenaere, Julie Boucherie, Sara Willems
BACKGROUND: Numerous studies have shown that during out-of-hours vulnerable patients (regarding low-education and unemployment) are more likely to seek medical help in the emergency department (ED). However, little is known about why patients seek help in the ED during daytime hours and if these reasons differ among self-referring socioeconomic groups. OBJECTIVES: To identify the reasons why patients opt for the ED during daytime hours when primary care services are available and identify possible social differences between socioeconomic groups...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30277085/the-daily-practice-of-suspected-coeliac-disease-management-by-general-practitioners-a-qualitative-approach
#10
Tom van Gils, Talha G Senler, Henriëtte E van der Horst, Chris J J Mulder, Gerd Bouma, Henk de Vries
BACKGROUND: General practitioners (GPs) play a crucial role in diagnosing coeliac disease (CD). However, data on GP management of (suspected) CD patients is sparse. OBJECTIVES: To provide insights into the daily practice of diagnosis, treatment, and follow-up of CD by GPs. METHODS: A qualitative study using topic list-based semi-structured in-depth interviews with Dutch GPs with more than five years' experience carried out between January and March 2017...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30257121/family-physicians-views-on-their-role-in-the-management-of-childhood-obesity-a-mixed-methods-study-from-turkey
#11
Sibel Sakarya, Pemra C Ünalan, Naz Tursun, Anıl Özen, Seda Kul, Ümit Gültekin
BACKGROUND: Childhood obesity (CO) is a high priority issue due to its serious health consequences and its rapid increase. OBJECTIVES: To examine the views of primary care physicians (family physicians, FPs) in Turkey regarding their role in the management of CO and the barriers they perceive. METHODS: Mixed methods approach. Data was collected in two major counties of Istanbul between February and May 2014. All Family Health Centres (FHCs) in the region were visited, and 180/284 FPs (63...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30257115/emergency-anaphylaxis-protocols-a-cross-sectional-analysis-of-general-practice-surgeries-and-pharmacies-in-both-the-urban-and-rural-setting-in-ireland
#12
Hannah O'Brien, David Mc Conaghy, Declan Brennan, Sarah Meaney
BACKGROUND: The incidence of anaphylaxis appears to be increasing worldwide with cases in the community outnumbering those in the hospital setting. General practice (GP) surgeries and pharmacies, based in the community, are often the first point of contact for many patients suffering from anaphylaxis. OBJECTIVES: To determine if studied GP surgeries and pharmacies have an anaphylaxis protocol on site and have access to an anaphylaxis kit; to explore GP's and pharmacists' personal experiences with management of anaphylaxis...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30257111/mental-health-in-primary-care
#13
(no author information available yet)
No abstract text is available yet for this article.
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30132369/audiovisual-aids-in-primary-healthcare-settings-waiting-rooms-a-systematic-review
#14
Christophe Berkhout, Suzanna Zgorska-Meynard-Moussa, Amy Willefert-Bouche, Jonathan Favre, Lieve Peremans, Paul Van Royen
BACKGROUND: Health promotion is part of GPs' commitments. Some waiting rooms have therefore been implemented with audiovisual aids (posters, pamphlets or screens) for health promotion purposes. Few studies have assessed the effect of audiovisual aids in primary care. OBJECTIVES: To identify, describe and appraise studies that have investigated the effects of audiovisual aids on health promotion in primary healthcare waiting rooms. To determine which factors influence this impact through literature review...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30112925/potential-value-of-patient-record-review-to-assess-and-improve-patient-safety-in-general-practice-a-systematic-review
#15
Caoimhe Madden, Sinéad Lydon, Ciara Curran, Andrew W Murphy, Paul O'Connor
BACKGROUND: There is limited research, and guidance, on how to address safety in general practice proactively. OBJECTIVES: This review aimed to synthesize the literature describing the use of patient record review (PRR) to measure and improve patient safety in primary care. The PRR methodologies utilized and the resulting outcomes were examined. METHODS: Searches were conducted using Medline, Embase, CINAHL and PsycINFO in February 2017. Reference lists of included studies and existing review papers were also screened...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30070151/influence-of-patient-characteristics-on-preventive-service-delivery-and-general-practitioners-preventive-performance-indicators-a-study-in-patients-with-hypertension-or-diabetes-mellitus-from-hungary
#16
János Sándor, Attila Nagy, Tibor Jenei, Anett Földvári, Edit Szabó, Orsolya Csenteri, Ferenc Vincze, Valéria Sipos, Nóra Kovács, Anita Pálinkás, Magor Papp, Gergely Fürjes, Róza Ádány
BACKGROUND: Regular primary healthcare (PHC) performance monitoring to produce a set of performance indicators for provider effectiveness is a fundamental method for improving guideline adherence but there are potential negative impacts of the inadequate application of this approach. Since performance indicators can reflect patient characteristics and working environments, as well as PHC team contributions, inadequate monitoring practices can reduce their effectiveness in the prevention of cardiometabolic disorders...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/30052086/general-practitioners-needs-for-support-after-the-suicide-of-patient-a-qualitative-study
#17
Danica Rotar Pavlič, Marta Treven, Alem Maksuti, Igor Švab, Onja Grad
BACKGROUND: Most patients that commit suicide consult their GPs before their death. This topic is often surrounded by secrecy and associated with guilt and shame. There is a lack of knowledge about support for GPs after patient suicide. OBJECTIVES: To identify the widest range of Slovenian GPs' problems and needs in connection with patient suicide, and, based on the findings of the study, to prepare ways to assist GPs after patient suicide. METHODS: Semi-structured interviews were held with GPs that had experienced a patient's suicide during their professional career until saturation was reached...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29952234/experiences-of-general-practitioners-participating-in-oncology-meetings-with-specialists-to-support-gp-led-survivorship-care-an-interview-study-from-the-netherlands
#18
Anne van Leeuwen, Jan Wind, Henk van Weert, Vrony de Wolff, Kristel van Asselt
BACKGROUND: Due to ageing, increasing cancer incidence and improved treatment, the number of survivors of cancer increases. To overcome the growing demand for hospital care survivorship by the involvement of the general practitioner (GP) has been suggested. Dutch GPs started a project to offer survivorship care to their patients with the help of monthly oncology meetings with hospital specialists. OBJECTIVES: To evaluate the experiences of GPs with monthly oncology meetings in a GP-practice to support GP-led survivorship care of colon cancer patients...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29848192/principles-of-patient-and-public-involvement-in-primary-care-research-applied-to-mental-health-research-a-keynote-paper-from-the-egprn-autumn-conference-2017-in-dublin
#19
Amanda Howe
Clinical research relies on patients being willing to participate in research projects, and making this possible for patients with mental health problems can be a particular challenge. In the modern era, many countries have seen a movement to give a stronger voice to patients both in choices around their care and in how research is conducted. How to achieve effective patient and public involvement (PPI) and to make the patients real partners in this effort is itself a subject of research evaluation. This opinion piece-based on a keynote lecture given at the European General Practice Research Network 2017 autumn meeting in Dublin-describes both the reasons for expanding PPI, how it can usefully be achieved, and how this may relate to the particular context of mental health...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29792534/intensity-of-previous-teaching-but-not-diagnostic-skills-influences-stigmatization-of-patients-with-substance-use-disorder-by-general-practice-residents-a-vignette-study-among-french-final-year-residents-in-general-practice
#20
Julie Dupouy, Aurore Vergnes, Catherine Laporte, Shérazade Kinouani, Marc Auriacombe, Stéphane Oustric, Marie-Eve Rougé Bugat
BACKGROUND: High levels of stigma towards patients with substance use disorder (SUD) have been found in health professionals and medical students. OBJECTIVES: To assess the capability of residents in general practice to diagnose SUD correctly; to assess their stigmatization of patients with SUD and to assess the correlation between both variables. We hypothesized a negative correlation. METHODS: In 2014, we conducted a cross-sectional survey among French residents in general practice, using a self-administered questionnaire...
December 2018: European Journal of General Practice
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