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Family Practice

Antxon Apiñaniz, Raquel Cobos-Campos, Arantza Sáez de Lafuente-Moríñigo, Naiara Parraza, Felipe Aizpuru, Iraida Pérez, Enara Goicoechea, Nerea Trápaga, Laura García
BACKGROUND: Health advice is useful for establishing behavioural changes, but such changes tend not to last. It would therefore be good to identify mechanisms for reinforcing advice and one option is the use of information and communication technologies. Given the limited evidence on the effectiveness of such technologies, we decided to conduct a clinical trial to assess the efficacy of a mobile application (app) for supporting the provision health advice for weight loss. METHODS: A randomized clinical trial with 110 obese and overweight patients from the Basque public health care network (Araba)...
May 16, 2019: Family Practice
Peter Leusink, Renee Steinmann, Merel Makker, Peter L Lucassen, Doreth Teunissen, Antoine L Lagro-Janssen, Ellen T Laan
BACKGROUND: Provoked Vulvodynia (PVD) is the most common cause of vulvar pain. General practitioners (GPs) are insufficiently familiar with it, causing a delay in many women receiving correct diagnosis and treatment. Besides patients factors, this delay can partly be explained by the reluctance of GPs to explore the sexual context of PVD and by their negative emotional reactions such as helplessness and frustration when consulted by patients with medically unexplained symptoms like PVD...
May 10, 2019: Family Practice
Katharina Schmalstieg-Bahr, Christiane A Müller, Eva Hummers
BACKGROUND: In Germany, almost 50% of prescriptions for benzodiazepines and drugs as Zolpidem and Zopiclone are as out-of-pocket (OOP) prescriptions-requiring patients to buy the drug at their own expense-although almost 90% of the population has statutory health insurance covering medication costs. OBJECTIVE: To understand why general practitioners (GPs) choose this prescribing method since needed medications are insurance covered, and unnecessary drugs should not be prescribed at all...
May 8, 2019: Family Practice
Marie-Louise L Baun, Henry Jensen, Alina Z Falborg, Hanne N Heje, Lone K Petersen, Peter Vedsted
BACKGROUND: Ovarian cancer (OC) survival rates are lower in Denmark than in countries with similar health care. Prolonged time to diagnosis could be a contributing factor. The Danish cancer patient pathway (CPP) for OC was introduced in 2009. It provides GPs with fast access to diagnostic work-up. OBJECTIVE: To investigate cancer suspicion and pathway use among GPs and to explore the association between these factors and the diagnostic intervals (DIs). METHODS: We conducted a national population-based cohort study using questionnaires and national registers...
May 2, 2019: Family Practice
Ann Rubach, Kirubakaran Balasubramaniam, Sandra Elnegaard, Stine E Larsen, Dorte E Jarbøl
BACKGROUND: The majority of men who report urological symptoms of extreme concern or influence on daily activities do not contact their general practitioner (GP). No previous study on barriers to health care seeking with lower urinary tract symptoms in men has been carried out in a population-based setting. OBJECTIVES: (i) To examine associations between different types of lower urinary tract symptoms and barriers to contact a GP in men with urological symptoms reported to be of concern or influencing daily activity (termed 'bothersome'); (ii) to examine associations between age and barriers to health care seeking in men with bothersome lower urinary tract symptoms...
April 30, 2019: Family Practice
Luis García-Olmos, Maurice Batlle, Rio Aguilar, Carlos Porro, Montse Carmona, Angel Alberquilla, Luis M Sánchez-Gómez, Elena Monge, Ana B López-Rodríguez, Luis Benito, Nicolas Baños, Amaya Simón, Miguel A Martínez-Álvarez, Eva M Luque, Cristina García-Benito
BACKGROUND: Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. AIM: To assess the degree of disability and quality of life in HF patients attended at family medicine centres. DESIGN AND SETTING: Cross-sectional study of a cohort of HF patients attended at family medicine centres. METHODS: Disability was assessed with the WHODAS 2 questionnaire, which provides a global and six domain scores that is understanding and communication, getting around, self-care, getting along with people, life activities and participation in society...
April 26, 2019: Family Practice
Ciara Curran, Sinéad Lydon, Maureen E Kelly, Andrew W Murphy, Paul O'Connor
BACKGROUND: General practitioners report difficulty in knowing how to improve patient safety. OBJECTIVES: To analyse general practitioners' perspectives of contributing factors to patient safety incidents by collecting accounts of incidents, identifying the contributory factors to these incidents, assessing the impact and likelihood of occurrence of these incidents and examining whether certain categories of contributory factors were associated with the occurrence of high-risk incidents...
March 30, 2019: Family Practice
Na Liu, Ping Li, Jie Wang, Dandan Chen, Weijia Sun, Wei Zhang
BACKGROUND: Home visits seem promising for improving the health of women and infants during pregnancy and postpartum. This review aimed to quantitatively analyse the effects of home visits delivered during pregnancy and postpartum on premature birth (PTB), low birth weight (LBW) and rapid repeat birth (RRB). METHODS: Literature was retrieved from PubMed, EMBASE, Web of Science and the Cochrane Library from January 1960 to October 2018 and the references lists of related studies and reviews were also screened...
March 29, 2019: Family Practice
Navdeep Kaur, Isabelle Vedel, Reem El Sherif, Pierre Pluye
BACKGROUND: Mixed methods (MM) are common in community-based primary health care (CBPHC) research studies. Several strategies have been proposed to integrate qualitative and quantitative components in MM, but they are seldom well conceptualized and described. The purpose of the present review was to identify and describe practical MM strategies and combinations of strategies used to integrate qualitative and quantitative methods in CBPHC research. METHODS: A methodological review with qualitative synthesis (grouping) was performed...
March 19, 2019: Family Practice
Niharika Khanna
No abstract text is available yet for this article.
March 11, 2019: Family Practice
Weng Yee Chin, Carlos King Ho Wong, Cherry Cheuk Wai Ng, Edmond Pui Hang Choi, Cindy Lo Kuen Lam
BACKGROUND: The Burden of Treatment Questionnaire (TBQ) assesses the impact of a patient's treatment workload on their quality of life. OBJECTIVES: The aim was to translate and validate the TBQ on Chinese primary care patients with multi-morbidity. METHODS: The English TBQ was translated and back-translated using professional translators. Cognitive debriefing interviews were performed on 15 patients. The resulting instrument was tested on 200 primary care patients with multi-morbidity (>1 chronic disease) to examine its psychometric performance including exploratory factor analysis, confirmatory factor analysis, internal consistency and reliability...
March 1, 2019: Family Practice
Di Bailey, Linda Kemp, Nicola Wright, Gabriella Mutale
BACKGROUND: The incidence of self-harm in young people in primary care is increasing dramatically, and many young people who self-harm visit their GP surgery as a first point of contact for help. OBJECTIVE: To explore with young people, GPs and practice nurses (PNs): (i) why young people present with self-harm to primary care and (ii) whether young people, GPs and PNs can take steps to have more helpful consultations about self-harm in GP surgeries that include self-help materials developed by young people being used to support such consultations to take place...
February 23, 2019: Family Practice
Janneke van Leeuwen, Eleni-Rosalina Andrinopoulou, Marleen Hamoen, Winifred D Paulis, Jolande van Teeffelen, Kees Kornelisse, Kelly van der Wijst-Ligthart, Bart W Koes, Marienke van Middelkoop
BACKGROUND: Multidisciplinary intervention programs for overweight and obese children mainly focus on reducing bodyweight and body mass index (BMI), but they may also positively impact blood pressure (BP), and cardiorespiratory fitness (CRF), which is a stronger predictor for all-cause mortality than BMI. OBJECTIVE: To evaluate whether Kids4Fit, a multidisciplinary weight reduction program, has a positive effect on CRF and BP in overweight and obese children in socially deprived areas...
March 20, 2019: Family Practice
Ildikó Gágyor, Arndt Heßling, Susanne Heim, Andreas Frewer, Friedemann Nauck, Wolfgang Himmel
BACKGROUND: General practitioners (GPs), nurses and informal caregivers are often jointly involved in healthcare situations in which ethical issues play an important role. OBJECTIVES: To describe ethical problems from the perspective of these three groups and to investigate whether there is a common experience of ethical issues in primary care. METHODS: We conducted six focus groups with general practitioners, nurses and informal caregivers in Germany...
March 20, 2019: Family Practice
Juan Fernando Suárez-Varela Úbeda, Sara Rodríguez-Vázquez, José Antonio Ordóñez Barranco, Gilberto Vega Caldera, Pedro Pablo Pérez Alvárez, Francisco Buitrago
BACKGROUND: The efficacy of smoking cessation interventions can be quite diverse in day-to-day clinical practice. OBJECTIVE: To analyse the effectiveness in smoking cessation of multicomponent interventions carried out in groups or individually in primary care practices. METHODS: A quasi-experimental, multicentre study of 12-month follow-up of patients treated in multicomponent smoking cessation interventions was carried out in Urban health care centres in Sevilla, Spain...
February 17, 2019: Family Practice
Claire Godard-Sebillotte, Sathya Karunananthan, Isabelle Vedel
No abstract text is available yet for this article.
February 13, 2019: Family Practice
Jenny R Smolen, Jason J Wang, Sheila P Anane
Background: Electronic health record (EHR) data on blood pressure (BP) control among patients with hypertension show that practices' rates vary greatly. This suggests providers use different approaches in managing hypertension, and so we aimed to explore challenges small primary care practice providers face and strategies they use to manage patients' BP. We explored differences between providers with high and low BP control rates to help inform future quality improvement work. Methods: In 2015, we recruited practices in New York City with five or fewer providers...
February 8, 2019: Family Practice
Knut Erik Emberland, Knut-Arne Wensaas, Sverre Litleskare, Guri Rortveit
Background: Most of the patients with gastroenteritis seeking health care services are managed in primary care; yet, little is known about these consultations. Syndromic-based surveillance of gastrointestinal infections is used in several countries, including Norway. Aim: To investigate the extent of, and explore characteristics associated with, consultations for gastroenteritis in primary care and to compare consultations in daytime general practice and out-of-hours (OOH) services in Norway...
January 26, 2019: Family Practice
David Youens, Mark Harris, Suzanne Robinson, David B Preen, Rachael E Moorin
Background: Studies examine longitudinal continuity of GP contact though few consider 'regularity of GP contact', i.e., the dispersion of contacts over time. Increased regularity may indicate planned ongoing care. Current measures of regularity may be correlated with the number of contacts and may not isolate the phenomenon of interest. Objectives: To compare two published and one newly developed regularity index in terms of their ability to measure regularity of GP contacts independently of the number of contacts and the impact on their association with hospitalization...
January 26, 2019: Family Practice
Leif I Solberg, Rebecca C Rossom
No abstract text is available yet for this article.
January 25, 2019: Family Practice
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