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European Journal of General Practice

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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
#1
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
https://www.readbyqxmd.com/read/29730960/partial-adoption-of-minimal-core-curriculum-in-undergraduate-teaching-of-family-medicine-a-cross-sectional-study-among-central-and-south-eastern-european-medical-schools
#2
Irena Zakarija-Grković, Venija Cerovečki, Davorka Vrdoljak
BACKGROUND: In 2011, Tandeter et al. published a list of 15 themes, based on a Delphi survey among representatives of the European Academy of Teachers in General Practice and Family Medicine (EURACT), and suggested this be the 'minimal core curriculum' (MCC) for undergraduate education in family medicine. OBJECTIVES: To determine: (1) if medical schools in the former Yugoslavia region are familiar with the MCC; and (2) to what degree it is being taught to medical students...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29726737/delayed-diagnosis-of-a-case-of-zenker-s-diverticulum-what-may-happen-when-a-family-physician-does-not-visit-his-family-physician
#3
Zekeriya Akturk, Ali Bilal Ulas, Atila Eroglu
INTRODUCTION: Zenker's diverticulum is a diverticulum of the mucosa of the pharynx, just above the cricopharyngeal muscle. It occurs commonly in elderly patients (over 70 years) and the typical symptoms include dysphagia, regurgitation, chronic cough, aspiration and weight loss. CASE: We are reporting dysphagia in a 49-years old man who was treated as having Helicobacter Pylori gastritis for three years. Being a family physician himself, the patient applied to specialists in gastroenterology, bypassing primary care...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29577773/the-promise-of-ehealth-for-primary-care-opportunities-for-service-delivery-patient-doctor-communication-self-management-shared-decision-making-and-research
#4
Jelle Stoffers
No abstract text is available yet for this article.
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29569501/being-in-control-of-parkinson-s-disease-a-qualitative-study-of-community-dwelling-patients-coping-with-changes-in-care
#5
Annette O A Plouvier, Tim C Olde Hartman, Anne van Litsenburg, Bastiaan R Bloem, Chris van Weel, Antoine L M Lagro-Janssen
BACKGROUND: Chronically ill patients have to cope with transfers in the level or setting of care. Patients with prevalent disorders such as diabetes mellitus can be supported by their general practitioner (GP) when experiencing such care changes, as the GP already offers them disease-specific care. For community-dwelling patients with low-prevalent diseases such as Parkinson's disease (PD) - for which disease-specific care is provided by medical specialists - tailoring support to handle care changes requires more insight into patients' coping...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29547013/more-counselling-for-end-of-life-decisions-by-gps-with-own-advance-directives-a-postal-survey-among-german-general-practitioners
#6
Rieke Schnakenberg, Lukas Radbruch, Christine Kersting, Friederike Frank, Stefan Wilm, Denise Becka, Klaus Weckbecker, Markus Bleckwenn, Johannes M Just, Michael Pentzek, Birgitta Weltermann
BACKGROUND: Although general practitioners (GPs) are among the preferred contact persons for discussing end-of-life issues including advance directives (ADs), there is little data on how GPs manage such consultations. OBJECTIVES: This postal survey asked German GPs about their counselling for end-of-life decisions. METHODS: In 2015, a two-sided questionnaire was mailed to 959 GPs. GPs were asked for details of their consultations on ADs: frequency, duration, template use, and whether they have own ADs...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29542385/previous-antibiotic-exposure-and-antibiotic-resistance-of-commensal-staphylococcus-aureus-in-spanish-primary-care
#7
Albert Boada, Mariona Pons-Vigués, Jordi Real, Elisabet Grezner, Bonventura Bolíbar, Carl Llor
INTRODUCTION: Commensal flora of healthy people is becoming an important reservoir of resistant bacteria. OBJECTIVES: To evaluate the relationship of previous antibiotic-dispensed and resistance pattern of strains of Staphylococcus aureus in primary care patients. METHODS: A cross-sectional study was carried out in seven primary care centres in Catalonia, Spain, from October 2010 to May 2011, as part of the APRES (The appropriateness of prescribing antibiotics in primary care in Europe concerning antibiotic resistance) study...
December 2018: 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
#8
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
#9
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
#10
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
#11
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
#12
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/29243572/development-dissemination-and-applications-of-a-new-terminological-resource-the-q-code-taxonomy-for-professional-aspects-of-general-practice-family-medicine
#13
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 2018: 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
#14
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 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29202616/series-practical-guidance-to-qualitative-research-part-4-trustworthiness-and-publishing
#15
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 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29199486/series-practical-guidance-to-qualitative-research-part-3-sampling-data-collection-and-analysis
#16
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 2018: 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
#17
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...
December 2018: 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
#18
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...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29168414/knowledge-competencies-and-attitudes-regarding-external-post-mortem-physical-examination-a-survey-among-german-post-graduate-trainees-in-general-practice
#19
Jan Valentini, Katja Goetz, Kathrin Yen, Joachim Szecsenyi, Andrea Dettling, Stefanie Joos, Jost Steinhaeuser, Elisabeth Flum
BACKGROUND: The external post-mortem examination (EPME) is an important medical, legal and socio-economic task with far-reaching relevance; however, due to discrepancies between findings from EPMEs and actual cause of death, improvements in accuracy and quality are needed. OBJECTIVES: To investigate knowledge, competencies and attitudes regarding EPME in general practitioner (GP) post-graduate trainees. METHODS: Before four post-graduate training courses on the EPME for general practitioner trainees, organized in 2014 in the German federal state of Baden-Wuerttemberg, a questionnaire on the EPME was distributed by the lecturer, completed by the GP post-graduate trainees and returned to the lecturer...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29168411/primary-healthcare-policy-implementation-in-the-eastern-mediterranean-region-experiences-of-six-countries
#20
Chris van Weel, Faisal Alnasir, Taghreed Farahat, Jinan Usta, Mona Osman, Mariam Abdulmalik, Nagwa Nashat, Wadeia Mohamed Alsharief, Salwa Sanousi, Hassan Saleh, Mohammed Tarawneh, Felicity Goodyear-Smith, Amanda Howe, Ryuki Kassai
BACKGROUND: Primary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most countries, no data are available. OBJECTIVES: This paper describes and analyses the health systems of Bahrain, Egypt, Lebanon, Qatar, Sudan and the United Arab Emirates, in relation to PHC...
December 2018: European Journal of General Practice
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