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BMC Family Practice

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https://www.readbyqxmd.com/read/27899090/relations-between-task-delegation-and-job-satisfaction-in-general-practice-a-systematic-literature-review
#1
Helle Riisgaard, Jørgen Nexøe, Jette V Le, Jens Søndergaard, Loni Ledderer
BACKGROUND: It has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally increasing, but the literature focusing on its influence on general practitioners' and their staff's job satisfaction appears to be sparse even though job satisfaction is acknowledged as an important factor associated with both patient satisfaction and medical quality of care...
November 30, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27899071/having-a-usual-source-of-care-and-its-associated-factors-in-korean-adults-a-cross-sectional-study-of-the-2012-korea-health-panel-survey
#2
Ah Reum An, Kyoungwoo Kim, Jae-Ho Lee, Nak-Jin Sung, Sang-Il Lee, Min Kyung Hyun
BACKGROUND: Usual source of care (USC) is one of the hallmarks of primary care. We aimed to examine the status of having a USC and its patient-related sociodemographic factors among Korean adults. METHODS: Data were obtained from the 2012 Korea Health Panel survey. Panel participants were selected for the study who were aged 18 years or older and who replied to questionnaire items on having a USC (n = 11,935). RESULTS: Of the participants, 21...
November 29, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27894265/long-term-condition-morbidity-in-english-general-practice-a-cross-sectional-study-using-three-composite-morbidity-measures
#3
Charlotte Weston, Alexander Gilkes, Stevo Durbaba, Peter Schofield, Patrick White, Mark Ashworth
BACKGROUND: The burden of morbidity represented by patients with long term conditions (LTCs) varies substantially between general practices. This study aimed to determine the characteristics of general practices with high morbidity burden. METHOD: Retrospective cross-sectional study; general practices in England, 2014/15. Three composite morbidity measures (MMs) were constructed to quantify LTC morbidity at practice level: a count of LTCs derived from the 20 LTCs included in the UK Quality and Outcomes Framework (QOF) disease registers, expressed as 'number of QOF LTCs per 100 registered patients'; the % of patients with one or more QOF LTCs; the % of patients with one or more of 15 broadly defined LTCs included in the GP Patient Survey (GPPS)...
November 29, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27887577/impact-of-financial-incentives-on-alcohol-intervention-delivery-in-primary-care-a-mixed-methods-study
#4
Amy O'Donnell, Catherine Haighton, David Chappel, Colin Shevills, Eileen Kaner
BACKGROUND: Local and national financial incentives were introduced in England between 2008 and 2015 to encourage screening and brief alcohol intervention delivery in primary care. We used routine Read Code data and interviews with General Practitioners (GPs) to assess their impact. METHODS: A sequential explanatory mixed-methods study was conducted in 16 general practices representing 106,700 patients and 99 GPs across two areas in Northern England. Data were extracted on screening and brief alcohol intervention delivery for 2010-11 and rates were calculated by practice incentive status...
November 25, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27875994/do-primary-care-professionals-agree-about-progress-with-implementation-of-primary-care-teams-results-from-a-cross-sectional-study
#5
E Tierney, M O'Sullivan, L Hickey, A Hannigan, C May, W Cullen, N Kennedy, L Kineen, A MacFarlane
BACKGROUND: Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the perspectives of all actors. However, there is a lack of research about health professionals' views of this process. This study compares Primary Healthcare Professionals' perceptions of the effectiveness of the Primary Care Strategy and Primary Care Team (PCT) implementation in Ireland...
November 22, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27871239/lesbian-womens-access-to-healthcare-experiences-with-and-expectations-towards-gps-in-german-primary-care
#6
Oliver Hirsch, Karina Löltgen, Annette Becker
BACKGROUND: Lesbian women have higher rates of physical and psychiatric disorders associated with experiences of discrimination, homophobia and difficulties with coming out. Therefore, easy access to specialized healthcare in an open atmosphere is needed. We aimed to describe women's access to and experiences with healthcare in Germany, and to assess the responsibility of the general practitioner (GP) compared to other specialities providing primary health care. METHODS: A questionnaire study was conducted via internet and paper-based sampling...
November 21, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27855639/the-need-to-scale-up-hiv-indicator-condition-guided-testing-for-early-case-finding-a-case-control-study-in-primary-care
#7
Ivo K Joore, Denise E Twisk, Ann M Vanrolleghem, Maria de Ridder, Suzanne E Geerlings, Jan E A M van Bergen, Ingrid V van den Broek
BACKGROUND: European guidelines recommend offering an HIV test to individuals who display HIV indicator conditions (ICs). We aimed to investigate the incidence of ICs in primary care reported in medical records prior to HIV diagnosis. METHODS: We did a cross-sectional search in an electronic general practice database using a matched case-control design to identify which predefined ICs registered by Dutch GPs were most associated with an HIV-positive status prior to the time of diagnosis...
November 17, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27852240/identification-of-priorities-for-improvement-of-medication-safety-in-primary-care-a-prioritize-study
#8
Lorainne Tudor Car, Nikolaos Papachristou, Joseph Gallagher, Rajvinder Samra, Kerri Wazny, Mona El-Khatib, Adrian Bull, Azeem Majeed, Paul Aylin, Rifat Atun, Igor Rudan, Josip Car, Helen Bell, Charles Vincent, Bryony Dean Franklin
BACKGROUND: Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and solutions to, medication error in primary care. METHODS: We used a novel priority-setting method for identifying and ranking patient safety problems and solutions called PRIORITIZE. We invited 500 North West London primary care clinicians to complete an open-ended questionnaire to identify three main problems and solutions relating to medication error in primary care...
November 16, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27852221/non-coronary-chest-pain-does-not-affect-long-term-mortality-a-prospective-observational-study-using-a-matched-population-control
#9
Staffan Nilsson, Petter Järemo
BACKGROUND: Chest pain assumed to be of non-coronary origin (NCCP) may be linked to enhanced mortality due to coronary heart disease (CHD). The aim of this study was to follow NCCP patients, as defined in primary care, with respect to mortality and long-term morbidity of CHD. We further examined if NCCP associates with risk factors for CHD. METHODS: Patients consulting general practitioners (GPs) in 1998-2000 in three primary care centers in the southeast Sweden for chest pain regarded as NCCP were compared with controls matched for age, gender and residential area...
November 16, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27846805/developing-cultural-competence-in-general-practitioners-an-integrative-review-of-the-literature
#10
Kelly Watt, Penny Abbott, Jenny Reath
BACKGROUND: Cultural competence is a broad concept with multiple theoretical underpinnings and conflicting opinions on how it should be materialized. While it is recognized that cultural competence should be an integral part of General Practice, literature in the context of General Practice is limited. The aim of this article is to provide a comprehensive summary of the current literature with respect to the following: the elements of cultural competency that need to be fostered and developed in GPs and GP registrars; how is cultural competence being developed in General Practice currently; and who facilitates the development of cultural competence in General Practice...
November 15, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27842495/effectiveness-of-the-empower-par-intervention-in-improving-clinical-outcomes-of-type-2-diabetes-mellitus-in-primary-care-a-pragmatic-cluster-randomised-controlled-trial
#11
Anis Safura Ramli, Sharmini Selvarajah, Maryam Hannah Daud, Jamaiyah Haniff, Suraya Abdul-Razak, Tg Mohd Ikhwan Tg-Abu-Bakar-Sidik, Mohamad Adam Bujang, Boon How Chew, Thuhairah Rahman, Seng Fah Tong, Asrul Akmal Shafie, Verna K M Lee, Kien Keat Ng, Farnaza Ariffin, Hasidah Abdul-Hamid, Md Yasin Mazapuspavina, Nafiza Mat-Nasir, Chun W Chan, Abdul Rahman Yong-Rafidah, Mastura Ismail, Sharmila Lakshmanan, Wilson H H Low
BACKGROUND: The chronic care model was proven effective in improving clinical outcomes of diabetes in developed countries. However, evidence in developing countries is scarce. The objective of this study was to evaluate the effectiveness of EMPOWER-PAR intervention (based on the chronic care model) in improving clinical outcomes for type 2 diabetes mellitus using readily available resources in the Malaysian public primary care setting. METHODS: This was a pragmatic, cluster-randomised, parallel, matched pair, controlled trial using participatory action research approach, conducted in 10 public primary care clinics in Malaysia...
November 14, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27832752/more-primary-care-patients-regret-health-decisions-if-they-experienced-decisional-conflict-in-the-consultation-a-secondary-analysis-of-a-multicenter-descriptive-study
#12
Maria-Margarita Becerra-Perez, Matthew Menear, Stephane Turcotte, Michel Labrecque, France Légaré
BACKGROUND: We sought to estimate the extent of decision regret among primary care patients and identify risk factors associated with regret. METHODS: Secondary analysis of an observational descriptive study conducted in two Canadian provinces. Unique patient-physician dyads were recruited from 17 primary care clinics and data on patient, physician and consultation characteristics were collected before, during and immediately after consultations, as well as two weeks post-consultation, when patients completed the Decision Regret Scale (DRS)...
November 10, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27825297/a-screening-protocol-for-child-abuse-at-out-of-hours-primary-care-locations-a-descriptive-study
#13
Maartje C M Schouten, Henk F van Stel, Theo J M Verheij, Edward E S Nieuwenhuis, Elise M van de Putte
BACKGROUND: Child abuse is often unrecognized at out-of-hours primary care (OOH-PC) services. The aim of our study was to evaluate the clinical outcome of the screening instrument SPUTOVAMO-R2 for child abuse (checklist), followed by a structured approach (reporting code), at OOH-PC services. The reporting code with five steps should ensure consistent action in case of a suspicion. METHODS: All children attending one of the five participating OOH-PC services in the region of Utrecht, the Netherlands, in a year time, were included...
November 8, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27821069/ill-and-substance-abusing-parents-how-can-the-general-practitioner-help-their-children-a-qualitative-study
#14
Frøydis Gullbrå, Tone Smith-Sivertsen, Guri Rortveit, Norman Anderssen, Marit Hafting
BACKGROUND: Severe illness among parents may interfere with their parenting. Children having ill or substance-abusing parents are at risk of own health problems and psychosocial difficulties. The health care system should identify families in need of help and provide the help needed. For ill parents, it can be difficult to seek help and advices for their parenting. The aim of this study was to identify important factors for the general practitioner (GP) to bear in mind during encounters with ill and substance-abusing parents, to enable the GP to provide appropriate support for the children...
November 8, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27816057/feasibility-of-alcohol-screening-among-patients-receiving-opioid-treatment-in-primary-care
#15
Anne Marie Henihan, Geoff McCombe, Jan Klimas, Davina Swan, Dorothy Leahy, Rolande Anderson, Gerard Bury, Colum P Dunne, Eamon Keenan, John S Lambert, David Meagher, Clodagh O'Gorman, Tom P O'Toole, Jean Saunders, Gillian W Shorter, Bobby P Smyth, Eileen Kaner, Walter Cullen
BACKGROUND: Identifying and treating problem alcohol use among people who also use illicit drugs is a challenge. Primary care is well placed to address this challenge but there are several barriers which may prevent this occurring. The objective of this study was to determine if a complex intervention designed to support screening and brief intervention for problem alcohol use among people receiving opioid agonist treatment is feasible and acceptable to healthcare providers and their patients in a primary care setting...
November 5, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27814691/factors-influencing-deprescribing-for-residents-in-advanced-care-facilities-insights-from-general-practitioners-in-australia-and-sweden
#16
Beata Borgström Bolmsjö, Anna Palagyi, Lisa Keay, Jan Potter, Richard I Lindley
BACKGROUND: General Practitioners (GPs) are responsible for primary prescribing decisions in most settings. Elderly patients living in Advanced Care Facilities (ACFs) often have significant co-morbidities to consider when selecting an appropriate drug therapy. Careful assessment is required when considering appropriate medication use in frail older patients as they have multiple diseases and thus multiple medication. Many physicians seem reluctant to discontinue other physicians' prescriptions, resulting in further polypharmacy...
November 5, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27809809/quality-of-primary-health-care-in-poland-from-the-perspective-of-the-physicians-providing-it
#17
Anna Krztoń-Królewiecka, Marek Oleszczyk, Willemijn LA Schäfer, Wienke Gw Boerma, Adam Windak
BACKGROUND: Primary care (PC) allows patients to address most of their health needs and is essential for high quality healthcare systems. The aim of the study was to analyze the insight of nine core dimensions of Polish PC system: "Economic conditions", "Workforce", "Accessibility", "Comprehensiveness", "Continuity", "Coordination", "Quality of care", "Efficiency" and "Equity" and to identify the characteristics of the providing physicians that influence their perception of the quality of care...
November 4, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27809865/exploring-the-barriers-and-facilitators-to-use-of-point-of-care-tests-in-family-medicine-clinics-in-the-united-states
#18
Victoria Hardy, Matthew Thompson, William Alto, Gina A Keppel, Jaime Hornecker, Adriana Linares, Beth Robitaille, Laura-Mae Baldwin
BACKGROUND: Point-of-care tests (POCTs) are increasingly used in family medicine clinics in the United States. While the diagnostics industry predicts significant growth in the number and scope of POCTs deployed, little is known about clinic-level attitudes towards implementation of these tests. We aimed to explore attitudes of primary care providers, laboratory and clinic administrative/support staff to identify barriers and facilitators to use of POCTs in family medicine. METHODS: Seven focus groups and four semi-structured interviews were conducted with a total of 52 clinic staff from three family medicine clinics in two US states...
November 3, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27809772/the-burden-of-cardiovascular-morbidity-in-a-european-mediterranean-population-with-multimorbidity-a-cross-sectional-study
#19
Concepción Violán, Néker Bejarano-Rivera, Quintí Foguet-Boreu, Albert Roso Llorach, Mariona Pons-Vigués, Miguel Martin Mateo, Enriqueta Pujol-Ribera
BACKGROUND: Cardiovascular diseases are highly represented in multimorbidity patterns. Nevertheless, few studies have analysed the burden of these diseases in the population with multimorbidity. The objective of this study was to identify and describe the cardiovascular diseases among the patients with multimorbidity. METHODS: We designed a cross-sectional study in patients ≥19 years old assigned to 251 primary health care centres in Catalonia, Spain. The main outcome was cardiovascular morbidity burden, defined as the presence of one or more of 24 chronic cardiovascular diseases in multimorbid patients (≥2 chronic conditions)...
November 3, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27809770/knowledge-attitudes-and-practices-towards-antibiotic-use-in-upper-respiratory-tract-infections-among-patients-seeking-primary-health-care-in-singapore
#20
Darius Shaw Teng Pan, Joyce Huixin Huang, Magdalene Hui Min Lee, Yue Yu, Mark I-Cheng Chen, Ee Hui Goh, Lili Jiang, Joash Wen Chen Chong, Yee Sin Leo, Tau Hong Lee, Chia Siong Wong, Victor Weng Keong Loh, Adrian Zhongxian Poh, Tat Yean Tham, Wei Mon Wong, Fong Seng Lim
BACKGROUND: Patients' expectations can influence antibiotic prescription by primary healthcare physicians. We assessed knowledge, attitude and practices towards antibiotic use for upper respiratory tract infections (URTIs), and whether knowledge is associated with increased expectations for antibiotics among patients visiting primary healthcare services in Singapore. METHODS: Data was collected through a cross-sectional interviewer-assisted survey of patients aged ≥21 years waiting to see primary healthcare practitioners for one or more symptoms suggestive of URTI (cough, sore throat, runny nose or blocked nose) for 7 days or less, covering the demographics, presenting symptoms, knowledge, attitudes, beliefs and practices of URTI and associated antibiotic use...
November 3, 2016: BMC Family Practice
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