Family Practice

Holly Ann Russell, Mechelle Sanders, Lynn Moll, Melanie Murphy, Angela M Lanigan, Jennifer K Carroll
BACKGROUND: Models of care are needed to address physical activity, nutrition promotion and weight loss in primary care settings, especially with underserved populations who are disproportionately affected by chronic illness. Group medical visits (GMVs) are one approach that can help overcome some of the barriers to behaviour change in underserved populations, including the amount of time required to care for these patients due to socio-economic stressors and psychosocial complexities (1)...
March 29, 2020: Family Practice
Juan Ballesta-Ors, Josep L Clua-Espuny, Delicia I Gentille-Lorente, Iñigo Lechuga-Duran, José Fernández-Saez, Eulalia Muria-Subirats, María Blasco-Mulet, Blanca Lorman-Carbo, Josep M Alegret
BACKGROUND: Atrial fibrillation (AF) is often asymptomatic, and screening is not routinely undertaken. OBJECTIVE: Evaluate the feasibility and effectiveness of a population-based case finding program and to identify the enablers of and/or barriers to its implementation. METHODS: We conducted a cross-sectional study of a health care case finding program for AF from 1 January 2016, to 31 December 2017, that included 48 336 people ≥60 years of age in the region of Terresde l'Ebre (Catalonia, Spain)...
March 27, 2020: Family Practice
Chandra J Cohen-Stavi, Calanit Key, Shmuel Giveon, Tchiya Molcho, Ran D Balicer, Efrat Shadmi
BACKGROUND: Disease-specific guidelines are not aligned with multimorbidity care complexity. Meeting all guideline-recommended care for multimorbid patients has been estimated but not demonstrated across multiple guidelines. OBJECTIVE: Measure guideline-concordant care for patients with multimorbidity; assess in what types of care and by whom (clinician or patient) deviation from guidelines occurs and evaluate whether patient characteristics are associated with concordance...
March 27, 2020: Family Practice
Alisha Vara, Greg Young, Alison Douglass, Frederick Sundram, Marcus Henning, Gary Cheung
BACKGROUND: Assessing decision-making capacity to health care is within the scope of practice for all doctors, yet the experience of GPs in this area is unknown. OBJECTIVE: To explore the experiences, perspectives, approaches and challenges for GPs in New Zealand when conducting decision-making capacity assessments. METHODS: Qualitative study design comprising individual in-depth semi-structured interviews conducted with a convenience sample of GPs...
March 24, 2020: Family Practice
Isabelle Pitrou, Djamal Berbiche, Helen-Maria Vasiliadis
BACKGROUND: Few studies have examined the association between mental health and satisfaction with primary care services in community-dwelling older adults. OBJECTIVE: To examine the association between mental health in older adults and low satisfaction with primary care services within four dimensions of care. METHODS: This secondary data analysis included 1624 older adults participating in the 'Étude sur la Santé des Aînés Services' (ESA-Services study) and recruited in primary care practices between 2011 and 2013 in the province of Quebec...
March 23, 2020: Family Practice
Yvette Jaffe, Emily Ching, Abigail Chan, Urvi Karamchandani
No abstract text is available yet for this article.
March 21, 2020: Family Practice
Naiqi Ke, Yuanzhu Ma, Zhuojun Luo, Shuyi Xu, Li Kuang
BACKGROUND: The Chinese government is ambitious regarding strengthening the primary care system for women and children. Primary care contributes to better health outcomes among neonates, infants, children and pregnant women, especially for vulnerable groups. However, few published studies have examined this issue in China. OBJECTIVE: This study examined whether greater supply and utilization of primary care was associated with improved health outcomes among targeted populations in the total and interprovincial migrant populations in the rural counties of Guangdong Province, China...
March 19, 2020: Family Practice
Leah Zallman, Carolyn F Fisher, Sofia Ladner, Kira Mengistu, Alison B Rapaport, David Bor, Zhiheng He, Joel Sawady, Robert Stavert, Rachel Nardin, Adarsha Bajracharya, Richard Pels, Assaad Sayah
BACKGROUND: Inter-clinician electronic consultation (eConsult) programmes are becoming more widespread in the USA as health care systems seek innovative ways of improving specialty access. Existing studies examine models with programmatic incentives or requirements for primary care providers (PCPs) to participate. OBJECTIVE: We aimed to examine PCP perspectives on eConsults in a system with no programmatic incentive or requirement for PCPs to use eConsults. METHODS: We conducted seven focus groups with 41 PCPs at a safety-net community teaching health care system in Eastern Massachusetts, USA...
February 28, 2020: Family Practice
Shuk Kwan Tang, Mimi Mun Yee Tse, Sau Fong Leung, Theofanis Fotis
BACKGROUND: Pain affects a person's physical and psychological well-being, work performance and productivity. Working population bear their pain and continue to work which may contribute to the worsening of their pain condition. However, their pain situation was not well-examined. OBJECTIVE: The aim of the study was to explore the prevalence of acute and chronic pain in the working population in Hong Kong, understand their pain management strategies and determine their preferences with regard to the use of electronic pain management materials...
February 28, 2020: Family Practice
Jessalyn K Holodinsky, Peter C Austin, Tyler S Williamson
No abstract text is available yet for this article.
February 27, 2020: Family Practice
Hirotomo Yamanashi, Kenichi Nobusue, Fumiaki Nonaka, Yukiko Honda, Yuji Shimizu, Shogo Akabame, Takashi Sugimoto, Yasuhiro Nagata, Takahiro Maeda
BACKGROUND: Multimorbidity is the presence of two or more chronic diseases and is associated with increased adverse outcomes, including hospitalization, mortality and frequency of use of medical institutions. OBJECTIVE: This study aimed to describe multimorbidity patterns, determine whether multimorbidity was associated with high medical expenditure, and determine whether mental diseases had an interaction effect on this association. METHODS: We conducted a claims data-based observational study...
February 22, 2020: Family Practice
William E Mansbach, Ryan A Mace, Melissa A Tanner, Steven P Simmons
BACKGROUND: Barriers to the early detection of mild cognitive impairment (MCI) and dementia can delay diagnosis and treatment. myMemCheck® was developed as a rapid free cognitive self-assessment tool that can be completed at home to identify older adults that would benefit from a more comprehensive cognitive evaluation. OBJECTIVE: Two prospective cross-sectional studies were conducted to examine the psychometric properties and clinical utility of myMemCheck®. METHODS: In Study 1, participants were independent living residents referred to an outpatient memory clinic (N = 59); older adults in the community and post-acute nursing home residents (N = 357) comprised Study 2...
February 20, 2020: Family Practice
Molly Jacobs, Jordan Harris, Kay Craven, Lauren Sastre
BACKGROUND: Clinical provision of intensive behavioral therapy for obesity (IBTO) has been a reimbursable treatment for obesity since 2012. However, gaps remain in the literature regarding its impact on patient outcomes. OBJECTIVES: The primary objective of this study was to examine the integration of registered dietitian nutritionist provided IBTO into a primary care setting and evaluate clinic outcomes for Medicare Part B beneficiaries. A secondary objective was to examine intensity of IBTO (quantity of IBTO visits) versus clinical outcomes and influence of socioeconomic factors...
February 20, 2020: Family Practice
Hao Zhang, Wenhua Wang, Jeannie Haggerty, Tibor Schuster
BACKGROUND: Patient satisfaction is an essential indicator in medical practise and research. To monitor the health and well-being of adult populations and the ageing process, the World Health Organization (WHO) has initiated the Study on Global AGEing and Adult Health (SAGE), compiling longitudinal information in six countries including China as one major data source. OBJECTIVE: The objective of this study was to identify potential predictors for patient satisfaction based on the 2007-10 WHO SAGE China survey...
February 17, 2020: Family Practice
Elizabeth A Sturgiss, Gavin J D Smith
No abstract text is available yet for this article.
February 15, 2020: Family Practice
Eric K Shaw
No abstract text is available yet for this article.
February 12, 2020: Family Practice
Rose Wai-Yee Fok, Lian Leng Low, Hui Min Joanne Quah, Farhad Vasanwala, Sher Guan Low, Ling Ling Soh, Farid Mohamad, Kiley Wei-Jen Loh, Yoke Lim Soong, Yu Ke, Alexandre Chan, Ngiap-Chuan Tan
BACKGROUND: Breast cancer is prevalent and has high cure rates. The resultant increase in numbers of breast cancer survivors (BCS) may overwhelm the current oncology workforce in years to come. We postulate that primary care physicians (PCPs) could play an expanded role in comanaging survivors, provided they are given the appropriate tools and training to do so. OBJECTIVE: To explore the perspectives of PCPs towards managing BCS in a community-based shared-care programme with oncologists...
February 7, 2020: Family Practice
Bernadeta M Bridgwood, Andrew Wilson, David Clarke, Helen Eborall
BACKGROUND: Transient ischaemic attack (TIA) is a transient episode of neurological dysfunction. Rapid access TIA clinics have been set up as integrated 'one-stop' clinics that aim to investigate, diagnose, educate and implement treatment to reduce the risk of further TIA/stroke. OBJECTIVE: This study aimed to examine how TIA consultations were conducted by observing the consultations and then interviewing patients. METHODS: This ethnographic study observed fifteen patient-clinician consultations where a diagnosis of TIA was made within three different TIA outpatient clinics in the East Midlands...
February 4, 2020: Family Practice
Loes T Wouters, Dorien L Zwart, Daphne C Erkelens, Noël S Cheung, Esther de Groot, Roger A Damoiseaux, Arno W Hoes, Frans H Rutten
BACKGROUND: During telephone triage, it is difficult to assign adequate urgency to patients with chest discomfort. Considering the time of calling could be helpful. OBJECTIVE: To assess the risk of acute coronary syndrome (ACS) in certain time periods and whether sex influences this risk. METHODS: Cross-sectional study of 1655 recordings of telephone conversations of patients who called the out-of-hours services primary care (OHS-PC) for chest discomfort...
January 30, 2020: Family Practice
Damien Gonthier, Pauline Basselin, Jean-Marc Boivin, Joelle Kivits, Céline Pulcini
BACKGROUND: Vaccination postponement is an important contributing factor to low vaccination coverage. The causes of vaccine postponement are numerous, but the presence of viral infection, whether febrile or not, is the most frequent cause. OBJECTIVE: The objective was to explore the factors motivating the practice of vaccination postponement in a child with an infection by general practitioners (GPs) and paediatricians. METHODS: An exploratory qualitative study using semi-directive individual interviews was carried out among GPs and paediatricians in a French region between November 2015 and January 2018...
January 29, 2020: Family Practice
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