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australian family physician

Laura Anne Brooks, Elizabeth Manias, Patricia Nicholson
BACKGROUND: Patients admitted to Australian intensive care units are often critically unwell, and present the challenge of increasing mortality due to an ageing population. Several of these patients have terminal conditions, requiring withdrawal of active treatment and commencement of end-of-life (EOL) care. OBJECTIVES: The aim of the study was to explore the perspectives and experiences of physicians and nurses providing EOL care in the ICU. In particular, perceived barriers, enablers and challenges to providing EOL care were examined...
September 20, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Shona Nicole Dutton, Sarah May Dennis, Nicholas Zwar, Mark Fort Harris
BACKGROUND: There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative acceptability and ease of use. A better understanding of how clinicians perceive instruments could help overcome barriers, and inform future interventions. This study explored the acceptability of five PA-assessment instruments amongst a sample of Australian primary-care clinicians, including family-physicians (FP) and practice-nurses (PN)...
2016: BMC Family Practice
Tania Winzenberg
No abstract text is available yet for this article.
September 2016: Australian Family Physician
Holly Seale, Rajneesh Kaur, Abela Mahimbo, C Raina MacIntyre, Nicholas Zwar, Mitchell Smith, Heather Worth, Anita E Heywood
BACKGROUND: Migrant travellers who return to their country of origin to visit family and friends (VFR) are less likely to seek travel-related medical care and are less likely to adhere to recommended medications and travel precautions. Through this study, we aimed to get an understanding of the views of stakeholders from community migrant centres and primary care providers on barriers for migrants, particularly from non-English speaking backgrounds, in accessing travel health advice and the strategies that could be used to engage them...
2016: BMC Infectious Diseases
Parker J Magin, Simon Morgan, Amanda Tapley, Kim M Henderson, Elizabeth G Holliday, Jean Ball, Joshua S Davis, Anthea Dallas, Andrew R Davey, Neil A Spike, Lawrie McArthur, Rebecca Stewart, Katie J Mulquiney, Mieke L van Driel
BACKGROUND: Inappropriate antibiotic prescription and subsequent antibacterial resistance are major threats to health worldwide. OBJECTIVES: We aimed to establish whether early-career 'apprenticeship-model' experience in family practice influences antibiotic prescribing for respiratory tract infections and to also establish other associations of antibiotic prescribing changes during this early-career experience. METHODS: A longitudinal analysis (2010-2014) of a cohort study of Australian GP registrars' (vocational trainees') consultations...
August 2016: Family Practice
Lachlan C McMichael, Sofia C Zambrano, Gregory B Crawford
BACKGROUND: Dying physicians may present unique challenges to palliative care teams. Studies of dying physicians are scarce, but those that exist suggest a potential absence of a coordinating clinician, prolongation of curative treatments, resistance to palliative care input and barriers to discussing psychosocial needs. AIM: The aim was to describe and examine the care provided to physician-patients referred to an Australian palliative care service, and to identify issues faced by the physician-patient and by the treating team...
October 2016: Palliative Medicine
Jannine K Bailey, Kumara Mendis, Tegan Dutton, Wendy Stevens, Timothy McCrossin
INTRODUCTION: One parameter of the operational framework of the Australian Rural Clinical Training & Support Program (RCTS) is rural health research, yet there are no published reports of the research outcomes generated by these hallmarks of Australian rural medical education. To assess the contribution of RCTS to rural health research, their MEDLINE-indexed research publications over the last decade was analysed, using a bibliometric method. METHODS: MEDLINE-indexed RCTS publications from 2004 to 2013 were retrieved using validated PubMed queries...
October 2015: Rural and Remote Health
Kathrin H Stoll, Yvonne L Hauck, Wendy A Hall
BACKGROUND: Australian caesarean birth rates have exceeded 30% in most states and are approaching 45%, on average, in private hospitals. Australian midwifery practice occurs almost exclusively in hospitals; less than 3% of women deliver at home or in birthing centres. It is unclear whether the trend towards hospital-based, high interventionist birth reflects preferences of the next generation of maternity care consumers. AIM AND METHODS: We conducted a descriptive cross-sectional online survey of 760 Western Australian (WA) university students in 2014, to examine their preferences for place of birth, type of maternity care, mode of birth and attitudes towards birth...
February 2016: Women and Birth: Journal of the Australian College of Midwives
Helena Britt, Graeme Miller
BACKGROUND: The Bettering the Evaluation and Care of Health (BEACH) program, a continuous national study of general practice clinical activity, is now in its 18th year. In March 2015 the database included details of almost 1.7 million encounters from 16,639 participants, representing about 10,300 individual general practitioners (GPs). OBJECTIVES: This paper summarises the BEACH methods, the uses to which the data supplied by participating GPs are put and the many publications resulting from the program, with an indication of how these can be accessed by readers...
June 2015: Australian Family Physician
Réme Mountifield, Jane M Andrews, Antonina Mikocka-Walus, Peter Bampton
AIM: To examine the frequency of regular complementary and alternative therapy (CAM) use in three Australian cohorts of contrasting care setting and geography, and identify independent attitudinal and psychological predictors of CAM use across all cohorts. METHODS: A cross sectional questionnaire was administered to inflammatory bowel disease (IBD) patients in 3 separate cohorts which differed by geographical region and care setting. Demographics and frequency of regular CAM use were assessed, along with attitudes towards IBD medication and psychological parameters such as anxiety, depression, personality traits and quality of life (QOL), and compared across cohorts...
March 28, 2015: World Journal of Gastroenterology: WJG
Bernice A Mills, Annie Janvier, Brenda M Argus, Peter G Davis, Dag Helge Frøisland
AIM: We aimed to investigate how Australian neonatologists made decisions when incompetent patients of different ages needed resuscitation. METHODS: A survey including vignettes of eight incompetent patients requiring resuscitation was sent to 140 neonatologists. Patients ranged from a very preterm infant to 80 years old. While some had existing impairments, all faced risk of death or neurological sequelae. Respondents indicated whether they would resuscitate, whether they believed resuscitation was in the patients' best interests, whether they would want intervention for a family member and whether they would comply with families' wishes to withhold resuscitation...
September 2015: Journal of Paediatrics and Child Health
Parker Magin, Simon Morgan, Kim Henderson, Amanda Tapley, Patrick McElduff, James Pearlman, Susan Goode, Neil Spike, Caroline Laurence, John Scott, Allison Thomson, Mieke van Driel
BACKGROUND: A broad case-mix in family physicians' (general practitioners', GPs') vocational trainee experience is deemed essential in producing competent independent practitioners. It is suggested that the patient-mix should include common and significant conditions and be similar to that of established GPs. But the content of contemporary GP trainees' clinical experience in training is not well-documented. In particular, how well trainees' experience reflects changing general practice demographics (with an increasing prevalence of chronic disease) is unknown...
2014: BMC Medical Education
Susan M Wearne, Tim Dornan, Pim W Teunissen, Timothy Skinner
PURPOSE: Changes to health care systems and working hours have fragmented residents' clinical experiences with potentially negative effects on their development as professionals. Investigation of off-site supervision, which has been implemented in isolated rural practice, could reveal important but less overt components of residency education. METHOD: Insights from sociocultural learning theory and work-based learning provided a theoretical framework. In 2011-2012, 16 family physicians in Australia and Canada were asked in-depth how they remotely supervised residents' work and learning, and for their reflections on this experience...
April 2015: Academic Medicine: Journal of the Association of American Medical Colleges
John Massie, Liane Ioannou, Martin Delatycki
AIMS: To describe prenatal and preconception population carrier screening for cystic fibrosis (CF) in Australia and consider progress towards establishing a universal program. METHOD: Medline and Embase databases (1989-2013) were searched for all publications with Australian data. Existing programs for CF carrier screening in Australia were reviewed and professional peak body websites accessed to determine recommendations. RESULTS: Twenty-two studies met the inclusion criteria...
December 2014: Australian & New Zealand Journal of Obstetrics & Gynaecology
Gabrielle T Reid, Fiona M Walter, Jon D Emery
Whilst the family history is perceived as a routine part of the medical family history it is not used in a systematic way to tailor disease prevention in primary care. Family history questionnaires (FHQs) may have an important role in primary care as a screening tool to support tailored disease prevention. The potential harms and benefits of family history screening in primary care require investigation before routine adoption. This study aimed: first to explore the experience and impact of family history collection via a novel family history questionnaire and subsequent familial risk assessment, and secondly, to assess the acceptability and feasibility of using the questionnaire in Australian primary care...
April 2015: Journal of Genetic Counseling
Steven A Trankle
BACKGROUND: In Australia approximately 70% of all deaths are institutionalised but over 15% of deaths occur in intensive care settings where the ability to provide a "good death" is particularly inhibited. Yet, there is a growing trend for death and dying to be managed in the ICU and physicians are increasingly challenged to meet the new expectations of their specialty. This study examined the unexplored interface between specialised Australian palliative and intensive care and the factors influencing a physician's ability to manage deaths well...
2014: BMC Palliative Care
Steve Kisely, Alain Lesage
Canada is 1.5 times the size of Australia. Australia's population of 20 million is located principally on the east coast. Like Canada, the Australia has a federal system of Government with 5 States and two territories. Each State and territory has its own legislation on mental health. The federal (Commonwealth) Government is responsible for health care planning. In addition, the federal Government subsidizes an insurance program (Medicare) that covers visits to specialists and family physicians, while provincial governments are involved in the provision of hospital care and community mental health services...
2014: Santé Mentale Au Québec
Peter G Middleton, Angela G Matson, Paul D Robinson, D Jane Holmes-Walker, Tamarah Katz, Shihab Hameed
One of the major complications of Cystic Fibrosis (CF) is CF-Related Diabetes (CFRD), which increases in incidence with age, from 1-2% below the age of 10 years to ∼20% of adolescents and 40-50% of adults. Multiple guidelines have been published over the last few years for the diagnosis and management of CFRD, from the American Diabetes Association (ADA) / US Cystic Fibrosis Foundation, International Society for Pediatric and Adolescent Diabetes (ISPAD) and the Thoracic Society of Australia and New Zealand-Australian Diabetes Society...
September 2014: Paediatric Respiratory Reviews
Kathryn A Taylor, Nigel Stocks, Helen S Marshall
OBJECTIVES: To determine factors influencing Family Physician (FP) uptake of non government-funded vaccines, and to explore FP attitudes towards the introduction and use of a new vaccine to protect against serogroup B meningococcal disease to inform its future introduction into the Australian Immunisation Schedule. DESIGN SETTING AND PARTICIPANTS: Quantitative, self-administered state-wide questionnaire mailed to all FPs in South Australia (n=1786). Results from 523 FP respondents in South Australia, collected between June and October 2013...
July 16, 2014: Vaccine
Nicole L Coleman, Ann Bonner
BACKGROUND: Donation after Cardiac Death (DCD) is one possible solution to the world wide organ shortage. Intensive care physicians are central to DCD becoming successful since they are responsible for making the clinical judgements and decisions associated with DCD. Yet international evidence shows health care professionals have not embraced DCD and are often reluctant to consider it as an option for patients. PURPOSE: To explore intensive care physicians' clinical judgements when selecting a suitable DCD candidate...
November 2014: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
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