Alex Pavli, Victoria Loblay, Lucie Rychetnik, Tim Usherwood
BACKGROUND: Climate change is impacting the health of individuals worldwide. At the same time, the healthcare sector contributes to carbon emissions. In Australia, healthcare contributes 7% of the country's carbon footprint. Research into the environmental impact and mitigation of carbon emissions in primary care is an emerging area. OBJECTIVE: To explore staff perspectives on facilitators and barriers to environmental sustainability in 3 Australian general practices seeking to reduce their environmental impact...
March 22, 2023: Family Practice
Jennifer Jewiss, Lisa W Natkin, Kelly Clark/Keefe, Abigail Crocker, Julie A Welkowitz
BACKGROUND: Integrating behavioural health care into primary care practices may increase patients' access to behavioural health services and improve health outcomes. However, few studies have explored factors that influence integration processes. OBJECTIVE: We sought to better understand contextual factors that support or impede behavioural health integration in primary care practices. METHODS: We conducted 71 semi-structured interviews with providers, staff, and leaders from eight primary care practices in the United States with integrated behavioural health services, which were participating in a randomized control, pragmatic trial: Integrating Behavioural Health and Primary Care...
March 21, 2023: Family Practice
Prasanna Mithra, Bhaskaran Unnikrishnan, Rekha T, Nithin Kumar, Ramesh Holla, Priya Rathi
BACKGROUND: The infant and young child feeding practices (IYCF) decide child growth and well-being. Paternal perspectives and involvement in IYCF are of paramount importance and are grossly under-studied. AIMS: To study the experiences and opinions of fathers of infants and young children towards feeding practices. SETTINGS AND DESIGN: Two focus group discussions (FGD) were carried out in the community settings in Dakshina Kannada District, Karnataka State...
March 18, 2023: Family Practice
Jing Yang, Qiao Zhong, Zangyi Liao, Changjian Pan, Qiuyan Fan
BACKGROUND: Health inequality poses a challenge to improving the quality of life of older adults as well as the service system. The literature rarely explores the moderating role of medical services accessibility in the association between socioeconomic deprivation and health inequality. OBJECTIVE: This study examines the socioeconomic deprivation and medical services accessibility associated with health inequality among older Chinese adults, which will contribute to the medical policy reform...
March 17, 2023: Family Practice
Aoife-Marie Foran, Aisling T O'Donnell, Orla T Muldoon
No abstract text is available yet for this article.
March 15, 2023: Family Practice
Rona Carroll, Sonya J Morgan, Alex Ker, Susan M Garrett, Sally B Rose, Tracey Gardiner, Eileen M McKinlay
BACKGROUND: Rainbow young people (RYP; people of diverse genders, sexualities, and variations in sex characteristics) face barriers accessing primary care, often report negative experiences and the need to educate clinicians on rainbow-specific issues. This study explores general practice staff views and experiences of providing care to RYP. METHODS: Three focus groups were held with staff from 5 general practices in an urban area of Aotearoa New Zealand (25 participants in total)...
March 14, 2023: Family Practice
Vania Modesto-Lowe, Kara Boninsegna, Mei Fredeen
No abstract text is available yet for this article.
March 7, 2023: Family Practice
Katie Fisher, Amanda Tapley, Anna Ralston, Andrew Davey, Alison Fielding, Mieke van Driel, Elizabeth Holliday, Jean Ball, Jason Dizon, Neil Spike, Lisa Clarke, Parker Magin
BACKGROUND: Prompted by the COVID-19 pandemic, remuneration was introduced for Australian general practice telehealth consultations. General practitioner (GP) trainees' telehealth use is of clinical, educational, and policy importance. The aim of this study was to assess the prevalence and associations of telehealth versus face-to-face consultations amongst Australian GP registrars (vocational GP trainees). METHODS: Cross-sectional analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) study, from 2020 to 2021 (three 6-month terms), including registrars in 3 of Australia's 9 Regional Training Organisations...
March 7, 2023: Family Practice
Matthew J To, Cilia Mejia-Lancheros, James Lachaud, Stephen W Hwang
BACKGROUND: Continuity of primary care (CPC) is associated with reduced mortality and improved health status. This study assessed the level of CPC and changes in CPC over 6 years among adults with experience of homelessness and mental illness who received a Housing First intervention. METHODS: Participants were adults (≥18 years old) with a serious mental disorder and experiencing chronic homelessness enrolled between October 2009 and June 2011 in the Toronto site of the Canadian At Home/Chez Soi study and followed until March 2017...
March 3, 2023: Family Practice
Xuehuan Feng, Aiwen Deng, Jianhao Chen, Ribo Xiong
BACKGROUND: Integrated care has been proven to be effective among stroke survivors. However, in China, these services mainly focus on connecting the healthcare system (acute, primary medical, and skilled) at the individual level. Closer health and social care integration is a new concept. OBJECTIVE: This study aimed to compare health-related outcomes 6 months after the implementation of the 2 integrated care models. METHODS: It was a 6-month follow-up of an open, prospectively study comparing the outcomes of a model of integrated health and social care (IHSC) versus a usual integrated healthcare (IHC) model...
March 3, 2023: Family Practice
Øyvind A Bjertnæs, Rebecka M Norman, Torunn B Eide, Olaf Holmboe, Hilde H Iversen, Kjetil Telle, Jose M Valderas
BACKGROUND: Patient experience feedback is key in patient centred health systems, but empirical evidence of general practitioner (GP) interest in it is sparse. We aimed to: (i) quantitatively estimate the level of GP interest for feedback reports on patient experience; (ii) explore determinants of such interest; and (iii) examine potential association between a priori interest and patient experience. METHODS: The patient experience survey included maximum 300 randomly selected patients for each of 50 randomly selected GPs (response rate 41...
February 28, 2023: Family Practice
Thomas May, Crystal L Smith, Whitley Kelley, Kelly East, Lori Orlando, Meagan Cochran, Sierra Colletto, Irene Moss, Mariko Nakano-Okuno, Bruce Korf, Nita Limdi
CONTENT: This study examines the potential utility of genetic testing as a supplement to family health history to screen for increased risk of inherited disease. Medical conditions are often misreported or misunderstood, especially those related to different forms of cardiac disease (arrhythmias vs. structural heart disease vs. coronary artery disease), female organ cancers (uterine vs. ovarian vs. cervical), and type of cancer (differentiating primary cancer from metastases to other organs)...
February 28, 2023: Family Practice
Robert L Atenstaedt
No abstract text is available yet for this article.
February 28, 2023: Family Practice
Ian Morgan, Chris Dowrick, Sara Macdonald, Scott Wilkes, Stuart Watson
BACKGROUND: Recent evidence suggests that the first consultation with a general practitioner (GP) for symptoms of depression may be more than just a vehicle for assessment and management planning (as current guidelines imply). OBJECTIVES: To identify what patients find helpful, or otherwise, in their first consultation for low mood with a GP. METHODS: A cross-sectional questionnaire and interview study of patients with low mood who had recently consulted their GP, in the North of England...
February 24, 2023: Family Practice
Michael Naughton, Rupert A Payne
No abstract text is available yet for this article.
February 23, 2023: Family Practice
Emer O'Brien, Seamus Duffy, Velma Harkins, Susan M Smith, Noirin O'Herlihy, Aisling Walsh, Barbara Clyne, Emma Wallace
BACKGROUND: General practitioners (GPs) need robust, up-to-date evidence to deliver high-quality patient care. There is limited literature regarding the role of international GP professional organizations in developing and publishing clinical guidelines to support GPs clinical decision making. OBJECTIVE: To identify evidence-based guidance and clinical guidelines produced by GP professional organizations and summarize their content, structure, and methods of development and dissemination...
February 22, 2023: Family Practice
Jesper Blinkenberg, Øystein Hetlevik, Hogne Sandvik, Valborg Baste, Steinar Hunskaar
BACKGROUND: In a gatekeeping system, the individual doctor's referral practice is an important factor for hospital activity and patient safety. OBJECTIVE: The aim of the study was to investigate the variation in out-of-hours (OOH) doctors' referral practice, and to explore these variations' impact on admissions for selected diagnoses reflecting severity, and 30-day mortality. METHODS: National data from the doctors' claims database were linked with hospital data in the Norwegian Patient Registry...
February 18, 2023: Family Practice
Sonja C Wicklum, Kate Nuique, Martina A Kelly, Colleen C Nesbitt, Jessica J Zhang, Clark P Svrcek
BACKGROUND: There is a pressing need for healthcare to respond to the climate crisis. Family physicians, given their central role in community healthcare provision, are strategically placed to lead, support, and promote sustainable healthcare, yet guidance on how to do this is fragmented. OBJECTIVE: To identify and evaluate toolkits and aids on sustainable healthcare to act as a curated resource for family physicians and their care teams interested in delivering evidence-based sustainable healthcare in their clinical practices...
February 2, 2023: Family Practice
Courtney D Wellman, Adam M Franks, Morgan Stickler, William Rollyson, Alperen Korkmaz, Matthew Q Christiansen, Stephen M Petrany
BACKGROUND: To decrease hospital readmission rates, clinical practices create a transition of care (TOC) process to assess patients and coordinate care postdischarge. As current evidence suggests lack of universal benefit, this study's objectives are to determine what patient and process factors associate with hospital readmissions, as well as construct a model to decrease 30-day readmissions. METHODS: Three months of retrospective discharged patient data (n = 123) were analysed for readmission influences including: patient-specific comorbidities, admission-specific diagnoses, and TOC components...
February 2, 2023: Family Practice
Yasushi Tsujimoto, Masanori Kobayashi, Tomohisa Oku, Takahisa Ogawa, Shinichi Yamadera, Masako Tsukamoto, Noriya Matsuda, Morikazu Nishihira, Yu Terauchi, Takahiro Tanaka, Yoshitaka Kawabata, Yuki Miyamoto, Yoshiki Morikami
BACKGROUND: Hospital-at-home (HaH) care has been proposed as an alternative to inpatient care for patients with coronavirus disease (COVID-19). Previous reports were hospital-led and involved patients triaged at the hospitals. To reduce the burden on hospitals, we constructed a novel HaH care model organized by a team of local primary care clinics. METHODS: We conducted a multicentre retrospective cohort study of the COVID-19 patients who received our HaH care from 1 January to 31 March 2022...
February 1, 2023: Family Practice
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