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Family practitioner

Jamin J Day, Matthew R Sanders
In response to recent increases in the dissemination of Web-based parenting supports, an important consideration is whether the core benefits of self-directed participation in online parenting interventions are counterbalanced by issues such as high dropout and noncompletion rates commonly reported within the Internet intervention literature. This study outlines a randomized controlled trial of Triple P Online, a Web-based variant of the Triple P-Positive Parenting Program, delivered with varied levels of support scaffolding...
November 2018: Behavior Therapy
Thomas R Freeman, Leslie Boisvert, Eric Wong, Stephen Wetmore, Heather Maddocks
OBJECTIVE: To determine the range of services and procedures offered by family physicians who define themselves as comprehensive practitioners and compare responses across 3 generations of alumni of a single family practice program. DESIGN: Cross-sectional survey. SETTING: Western University in London, Ont. PARTICIPANTS: All graduates of the family medicine program between 1985 and 2012. MAIN OUTCOME MEASURES: Self-reported provision of the following types of care: in-office care, in-hospital care, intrapartum obstetrics, housecalls, palliative care, after-hours care, nursing home care, minor surgery, emergency department care, sport medicine, and walk-in care...
October 2018: Canadian Family Physician Médecin de Famille Canadien
Allan K Grill, Scott Brimble
OBJECTIVE: To help primary care providers, both family physicians and nurse practitioners, identify, detect, and manage patients with and at risk of chronic kidney disease (CKD), as well as outline criteria for appropriate referral to nephrology. SOURCES OF INFORMATION: Published guidelines on the topic of CKD and its comorbidities were reviewed. A MEDLINE search was conducted using the MeSH terms chronic renal insufficiency, family practice, and primary health care ...
October 2018: Canadian Family Physician Médecin de Famille Canadien
D A Singleton, F Sánchez-Vizcaíno, E Arsevska, S Dawson, P H Jones, P J M Noble, G L Pinchbeck, N J Williams, A D Radford
Pharmaceutical agents (PAs) are commonly prescribed in companion animal practice in the United Kingdom. However, little is known about PA prescription on a population-level, particularly with respect to PAs authorised for human use alone prescribed via the veterinary cascade; this raises important questions regarding the efficacy and safety of PAs prescribed to companion animals. This study explored new approaches for describing PA prescription, diversity and co-prescription in dogs, cats and rabbits utilising electronic health records (EHRs) from a sentinel network of 457 companion animal-treating veterinary sites throughout the UK over a 2-year period (2014-2016)...
November 1, 2018: Preventive Veterinary Medicine
Pierre Vande Perre, Daniel Toledano, Carole Corsini, Elsa Escriba, Marine Laporte, Helena Bertet, Kevin Yauy, Alain Toledano, Virginie Galibert, Karen Baudry, Lucie Clotet, Elodie Million, Marie-Christine Picot, David Geneviève, Pascal Pujol
BACKGROUND: General practitioners (GPs) have an increasing role in referring patients with putative mutation in BRCA1/2 genes for genetics consultation and for long-term follow-up of mutation carriers. METHODS: We compared the expectations of the GPs' role according to BRCA1/2 mutation carriers and to GPs themselves. RESULTS: Overall, 38% (58/152) of eligible GPs and 70% (176/252) of eligible patients were surveyed. Although 81% of GPs collected the family history, only 24% considered that they know criteria indicating genetics consultation and 39% sufficient knowledge of BRCA1/2 guidelines to answer patients' questions...
October 11, 2018: Molecular Genetics & Genomic Medicine
Pankaj Garg, John Eastwood, Siaw-Teng Liaw, Bin Jalaludin, Rebekah Grace
INTRODUCTION: Well-Child Care (WCC) is the provision of preventive health care services for children and their families. Prior research has highlighted that several barriers exist for the provision of WCC services. OBJECTIVES: To study "real life" visits of parents and children with health professionals in order to enhance the theoretical understanding of factors affecting WCC. METHODS: Participant observations of a cross-sectional sample of 71 visits at three general practices were analysed using a mixed-methods approach...
2018: PloS One
Sarah B Thach, Bryan Hodge, Misty Cox, Anna Beth Parlier-Ahmad, Shelley L Galvin
BACKGROUND AND OBJECTIVES: Rural health disparities are growing, and medical schools and residency programs need new approaches to encourage learners to enter and stay in rural practice. Top correlates of rural practice are rural upbringing and rurally located training, yet preparation for rural practice plays a role. The authors sought to explore how selected programs develop learners' competencies associated with rural placement and retention: rural life, community engagement, and community leadership...
October 2018: Family Medicine
Cathleen Muche-Borowski, Dorit Abiry, Hans-Otto Wagner, Anne Barzel, Dagmar Lühmann, Günther Egidi, Thomas Kühlein, Martin Scherer
BACKGROUND: Initiatives such as "Choosing Wisely" in the USA and "Smarter Medicine" in Switzerland have published lists of widely overused health care services. The German initiative "Choosing Wisely Together (Gemeinsam Klug Entscheiden)" follows this example. The goal of our study was to prioritize important recommendations against the overuse and underuse of health care services. The final list of recommendations will be published in the German guideline "Protection against the overuse and underuse of health care"...
October 11, 2018: BMC Health Services Research
Yuan Fang, Harry H X Wang, Miaoyin Liang, Ming Sze Yeung, Colette Leung, Chun Hei Chan, Wilson Cheung, Jason L W Huang, Junjie Huang, Regina W S Sit, Samuel Y S Wong, Martin C S Wong
BACKGROUND: The Hong Kong Government released a Reference Framework (RF-HT) for Hypertension Care for Adults in Primary Care Settings since 2010. No studies have evaluated its adoption by primary care physicians (PCPs) since its release. AIM: We aimed to evaluate the level of PCPs' adoption of the RF-HT and the potential barriers of its use in family practice. DESIGN AND SETTING: A cross-sectional study was conducted by a self-administered validated survey among all PCPs in Hong Kong through various means...
2018: PloS One
Julianne Y Richard, Hang-Shim Lee
There are approximately 12 million single parent-headed families in the United States (U.S.), 80% of which are headed by single mothers (United States Census Bureau, 2017). Research suggests that single mothers experience more vocational difficulties than married or partnered mothers (Weitoft, Haglund, & Rosén, 2000), especially working single mothers. This study explored the work experiences of racial minority working single mothers at lower-middle income level using a consensual qualitative research method (Hill et al...
October 8, 2018: Journal of Counseling Psychology
Miguel A Fernandez, Laura Arnel, Jenny Gould, Alwin McGibbon, Richard Grant, Philip Bell, Stuart White, Mark Baxter, Xavier Griffin, Tim Chesser, David Keene, Rebecca S Kearney, Catherine White, Matthew L Costa
OBJECTIVE: To determine research priorities in fragility fractures of the lower limb and pelvis which represent the shared priorities of patients, their friends and families, carers and healthcare professionals. DESIGN/SETTING: A national (UK) research priority setting partnership. PARTICIPANTS: Patients over 60 years of age who have experienced a fragility fracture of the lower limb or pelvis; carers involved in their care (both in and out of hospital); family and friends of patients; healthcare professionals involved in the treatment of these patients including but not limited to surgeons, anaesthetists, paramedics, nurses, general practitioners, physicians, physiotherapists and occupational therapists...
October 3, 2018: BMJ Open
Christie Breen, Lisa Altman, Joanne Ging, Marie Deverell, Susan Woolfenden, Yvonne Zurynski
BACKGROUND: Over a third of Australian children have long-term health conditions, often involving multiple organ systems and resulting in complex health care needs. Our healthcare system struggles to meet their needs because of sectoral fragmentation and episodic models of care. Children with medical complexity (CMC) currently rely on tertiary paediatric hospitals for most of their healthcare, but this is not sustainable. We evaluated the impacts of Care Coordination on tertiary hospital service use and family outcomes...
October 3, 2018: BMC Health Services Research
Luigi Roberto Biasio, Chiara Lorini, Giovanni Abbattista, Elena Bozzola, Paola De Castro, Maurella Della Seta, Alberto Villani, Guglielmo Bonaccorsi
Health Literacy (HL) is an important health determinant: low HL skills result in less healthy choices, riskier behavior, poorer health, less self-management and more hospitalization. An observational study was conducted in a selected population, attending the waiting rooms of family general practitioners, with the aim of assessing HL capabilities through the administration of two HL screeners (IMETER and SILS-IT), and comparing the two measures. An anonymous questionnaire was administered, consisting of the Italian versions of the two tests on a single sheet...
July 2018: Annali Dell'Istituto Superiore di Sanità
Yolanda Suarez-Balcazar, Amy Early, Ashley Maldonado, Claudia P Garcia, Dalmina Arias, Amalia Zeidman, Alexander Agudelo-Orozco
BACKGROUND/AIMS: Community-based participatory research (CBPR) is an optimal approach that brings together community stakeholders, researchers and practitioners in an effort to understand and address social issues and health disparities experienced by vulnerable populations. Latino immigrant families in the United States with youth and young families with disabilities have experienced a number of barriers in gaining positive health outcomes. These families face challenges in maintaining a healthy lifestyle, placing them at high risk for obesity, diabetes, and other chronic health conditions...
October 3, 2018: Scandinavian Journal of Occupational Therapy
M C Valls Martínez, E Abad Segura
BACKGROUND: Determine which key indicators of the Spanish National Health Service (NHS) influence patient satisfaction with the Spanish NHS and physicians (family doctors and specialists). METHOD: The mean for each indicator for each autonomous community, published by the Ministry of Health, Social Services and Equality, corresponding to the years 2005 to 2014, was related to patient satisfaction by means of multiple linear regression. RESULTS: Patient satisfaction with the NHS was ascertained at 57...
October 2, 2018: Anales del Sistema Sanitario de Navarra
Xueyan Yang, Kathleen Artman-Meeker, Carly A Roberts
Grandparents can play critical roles in the lives of children with intellectual and developmental disabilities and their families. However, current research and understanding around grandparent roles and experiences is limited. The purpose of this qualitative study was to examine the roles and experiences of grandparents supporting children with disabilities. In this article, the voices of grandparents with diverse experiences are presented. Key themes that emerged were the role of the grandparent, boundaries in roles and space, navigating family dynamics, and the general experiences of grandparenting...
October 2018: Intellectual and Developmental Disabilities
Rosemary H Lim, Taniya Sharmeen
OBJECTIVES: Medicines play a key role in the lives of people with dementia, primarily to manage symptoms. Managing medicines is complex for people with dementia and their family carers and can result in multiple problems leading to harm. We conducted a systematic review to identify and model medication issues experienced and coping strategies used by people with dementia and/or family carers. METHODS: Eleven general databases and four systematic review databases were searched...
September 30, 2018: International Journal of Geriatric Psychiatry
Tom Brett, Nadeem Qureshi, Samuel Gidding, Gerald F Watts
Fifty per cent of first-degree relatives of index cases with familial hypercholesterolemia (FH) inherit the disorder. Despite cascade screening being the most cost-effective method for detecting new cases, only a minority of individuals with FH are currently identified. Primary care is a key target area to increase identification of new index cases and initiate cascade screening, thereby finding close relatives of all probands. Increasing public and health professional awareness about FH is essential. In the United Kingdom and in Australia, most of the population are reviewed by a General Practitioner (GP) at least once over a three-year period, offering opportunities to check for FH as part of routine clinical consultations...
October 2018: Atherosclerosis
Andreea Dumitrescu, Svetlana Mosteoru, Dragos Vinereanu, Gheorghe A Dan, Laura Gaita, Dan Gaita
BACKGROUND AND AIMS: Familial hypercholesterolemia (FH) is one of the most frequent monogenic cholesterol disorders. Its prevalence varies in adults between 1/500-1/217 individuals in the heterozygous form. The objective of this study was to uncover the FH prevalence in Romania to perform an adequate prevention for high risk individuals. METHODS: We have conducted an epidemiological study between January 2015 and January 2018 by recruiting patients from the CardioPrevent Foundation based on their FH score (taking into account their low density lipoprotein cholesterol (LDLc) levels, clinical characteristics such as premature coronary artery disease (CAD), and their family history of premature cardiovascular disease)...
October 2018: Atherosclerosis
João M S Carvalho, Paulo Delgado, Vânia S Pinto, Rami Benbenishty
An important goal of out of home care is to prepare the family and child for reunification. Practitioners are often required to make the decision whether to reunify a foster child with their biological family. This study examines this complex reunification decision in Portugal. Using the Judgments and Decisions Processes in Context model, the authors presented to Portuguese child protection workers and higher education students (n = 400) a case vignette of a child in foster care in which reunification is considered...
September 27, 2018: Child Abuse & Neglect
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