journal
https://read.qxmd.com/read/36444897/medical-legal-partnerships-can-mitigate-climate-health-impacts-on-the-underserved
#1
JOURNAL ARTICLE
Frederick W Anderson, Christina R Walters
No abstract text is available yet for this article.
November 29, 2022: Family Practice
https://read.qxmd.com/read/36444891/opportunities-for-primary-health-care-a-qualitative-study-of-perinatal-health-and-wellbeing-during-bushfire-crises
#2
JOURNAL ARTICLE
Deborah Davis, Celia Roberts, Rebecca Williamson, Ella Kurz, Katelyn Barnes, Alison M Behie, Rosalie Aroni, Christopher J Nolan, Christine Phillips
BACKGROUND: During the summer of 2019/2020, Australia experienced a catastrophic wildfire season that affected nearly 80% of Australians either directly or indirectly. The impacts of climate crisis on perinatal health have only recently begun to receive attention. The objective of this study was to understand experiences of perinatal women during the bushfire and smoke events of 2019-2020 regarding health, health care, and public health messaging. METHODS: Semistructured interviews were conducted by phone or web conferencing platforms with 43 participants living in the south-east of Australia who were either pregnant or who had recently had a baby during the 2019/2020 fires...
November 29, 2022: Family Practice
https://read.qxmd.com/read/36440948/comparing-the-number-and-length-of-primary-care-consultations-in-people-with-and-without-intellectual-disabilities-and-health-needs-observational-cohort-study-using-electronic-health-records
#3
JOURNAL ARTICLE
Freya Tyrer, Richard Morriss, Reza Kiani, Satheesh K Gangadharan, Harish Kundaje, Mark J Rutherford
BACKGROUND: In the United Kingdom, 15-min appointments with the general practitioner (GP) are recommended for people with complex health conditions, including intellectual disabilities and health needs, but we do not know whether this happens. AIMS: We compared number and length of primary care consultations (GP, nurse, other allied health, other) for people with and without intellectual disabilities and health needs. METHODS: Linked primary care data from the Clinical Practice Research Datalink (CPRD) in England were used to investigate face-to-face and telephone primary care consultations in 2017-2019...
November 28, 2022: Family Practice
https://read.qxmd.com/read/36440923/subacute-thyroiditis-and-thyroid-inflammatory-nodule-secondary-to-covid-19-a-primary-care-case-report
#4
JOURNAL ARTICLE
Clarissa V de Souza, Patricia C C Motta, Albanett B Nestor, Renee Coifman, Marcelo M P Demarzo
OBJECTIVE: To describe a case of subacute thyroiditis (SAT) secondary to COVID-19 in the primary health care (PHC). CASE DESCRIPTION: A 51-year-old woman was treated in a PHC facility for flu-like symptoms for 5 days and pain in the lower neck. Symptomatic drugs were prescribed, and the patient was tested for COVID-19. On reassessment, the patient presented a painful oedema on the thyroid gland, dysphagia, and improvement in flu-like symptoms. Nonsteroidal anti-inflammatories were prescribed, and thyroid function analysis and inflammatory markers were collected...
November 28, 2022: Family Practice
https://read.qxmd.com/read/36420813/barriers-to-assessing-vulnerability-in-pregnant-women-a-cross-sectional-survey-in-danish-general-practice
#5
JOURNAL ARTICLE
Louise Brygger Venø, Dorte Ejg Jarbøl, Ruth Kirk Ertmann, Jens Søndergaard, Line Bjørnskov Pedersen
BACKGROUND: Undetected vulnerability in pregnancy contributes to inequality in maternal and perinatal health and is associated with negative birth outcomes and adverse child outcomes. Nationwide reports indicate important barriers to assessing vulnerability among Danish general practitioners. OBJECTIVE: To explore general practitioners perceived barriers to vulnerability assessment in pregnant women and whether the barriers are associated with practice organization of antenatal care, general practitioner, and practice characteristics...
November 24, 2022: Family Practice
https://read.qxmd.com/read/36417351/improving-prescribing-a-feasibility-study-of-pharmacogenetic-testing-with-clinical-decision-support-in-primary-healthcare-in-singapore
#6
JOURNAL ARTICLE
Helen Smith, Martin Dawes, Hagit Katzov-Eckert, Sarah Burrell, Sam Xin Hui, Michael D Winther
BACKGROUND: The study of genetic variation as a factor influencing drug safety, efficacy, and effectiveness has brought about significant breakthroughs in understanding the clinical application of gene-drug interactions to better manage drug therapy. OBJECTIVE: This study was designed to assess the feasibility of collecting buccal samples by general practitioners (GPs) at private practices in Singapore within a usual consultation, incorporating use of a pharmacogenetics-based medical decision support system to guide subsequent drug dosing...
November 23, 2022: Family Practice
https://read.qxmd.com/read/36416351/validation-of-a-dietary-advice-protocol-for-adults-with-obesity-in-primary-health-care-according-to-the-brazilian-dietary-guidelines
#7
JOURNAL ARTICLE
Lorrany S Rodrigues, Nathalia Pizato, Kenia M B Carvalho, Eliane S Dutra, Patrícia B Botelho, Laila S Andrade, Verena D Moraes, Vivian S S Gonçalves
BACKGROUND: Obesity is a non-communicable chronic disease which carries a high cost for the Brazilian Unified Health System. Standardized protocols can help primary health care (PHC) professionals manage the disease. OBJECTIVES: To describe the validation process of a protocol concerning dietary guidelines for adults with obesity in PHC by non-nutrition professionals. METHODS: A validation study of a dietary advice protocol consisting of 6 recommendations was conducted according to Brazilian Dietary Guidelines...
November 23, 2022: Family Practice
https://read.qxmd.com/read/36409279/patients-with-obesity-face-greater-barrier-to-health-care-management-than-patients-with-normal-body-mass-index-growing-evidence
#8
JOURNAL ARTICLE
Zainab Masood, Yalnaz Khan, Mahnoor Rehan Hashmi, Adam Ali Asghar
No abstract text is available yet for this article.
November 21, 2022: Family Practice
https://read.qxmd.com/read/36409278/interruptions-during-general-practice-consultations-negative-impact-on-physicians-and-patients-indifference
#9
JOURNAL ARTICLE
Catarina Neves Santos, Bruno Ferreira Pedrosa, Marília Martins, Fábio Gouveia, Fátima Franco, Margarida João Vardasca, Bernardo Pedro, Jorge Domingues Nogueira
BACKGROUND: Interruptions can impact consultation duration, doctors and patients' satisfaction, and quality of care provided. Although most of them seem to have a negative impact, affecting doctor-patient relationship and interfering with clinical reasoning, which increases the risk of error, there is still no evidence on their global impact on consultations. OBJECTIVES: To evaluate the number and duration of interruptions during general practice consultations. To compare physicians and patients' perceptions of their urgency and impact, as well as the overall satisfaction with the consultation...
November 21, 2022: Family Practice
https://read.qxmd.com/read/36334014/transgender-care-is-health-care-barriers-and-proposed-model-to-improve-access-for-transgender-adults
#10
JOURNAL ARTICLE
Louisa Y Xie, Skyler L Kanegi, Laureen A Gbordzoe, Landon A Marchant, Jacob Eleazer
No abstract text is available yet for this article.
November 5, 2022: Family Practice
https://read.qxmd.com/read/36334011/general-practitioners-views-and-experiences-of-communicating-with-older-people-about-cancer-screening-a-qualitative-study
#11
JOURNAL ARTICLE
Jenna Smith, Rachael H Dodd, Katharine A Wallis, Vasi Naganathan, Erin Cvejic, Jesse Jansen, Kirsten J McCaffery
BACKGROUND: Older adults should be supported to make informed decisions about cancer screening. However, it is unknown how general practitioners (GPs) in Australia communicate about cancer screening with older people. AIM: To investigate GPs' views and experiences of communicating about cancer screening (breast, cervical, prostate, and bowel) with older people (≥70 years). DESIGN AND SETTING: Qualitative, semi-structured interviews, Australia...
November 5, 2022: Family Practice
https://read.qxmd.com/read/36321937/embedding-telehealth-for-sustainable-health-services-linking-oceania
#12
JOURNAL ARTICLE
Cobi Calyx, Rona Weerasuriya, Sarah J White
The expansion of telehealth during the COVID-19 pandemic can be further adapted and extended to align with principles of climate justice. We argue that high-emission countries with well-developed medical systems, like Australia, should support communities disproportionately impacted by climate change who request assistance, like in small island states of Oceania. Linking health services in small island states with neighbouring countries' medical systems can support sustainability, if such reconfigurations are appropriately resourced and accessibility is prioritized...
November 2, 2022: Family Practice
https://read.qxmd.com/read/36321909/foot-ankle-and-leg-problems-in-australian-primary-care-consultation-patterns-management-practices-and-costs
#13
JOURNAL ARTICLE
Hylton B Menz, Cylie M Williams, Peter A Lazzarini, Julie Gordon, Christopher Harrison
OBJECTIVE: To explore consultation patterns, management practices, and costs of foot, ankle, and leg problems in Australian primary care. STUDY DESIGN: We analyzed data from the Bettering the Evaluation and Care of Health program, April 2000 to March 2016. Foot, ankle, and leg problems were identified using the International Classification of Primary Care, Version 2 PLUS terminology. Data were summarized using descriptive statistics examining general practitioner (GP) and patient characteristics associated with a foot, ankle, or leg problem being managed...
November 2, 2022: Family Practice
https://read.qxmd.com/read/36318506/perspective-of-smokers-and-healthcare-professionals-toward-real-time-video-counseling-smoking-cessation-program-in-general-out-patient-clinics-in-hong-kong-a-qualitative-study
#14
JOURNAL ARTICLE
Hiu Ting Yung, Man Kin Wong, Shiu Kee Lai, Jun Liang
OBJECTIVE: This study aimed to explore the perceptions and experiences of individuals that currently smoke and healthcare professionals on using real-time video counseling in the Smoking Cessation and Counselling Program in General Out-patient Clinics in Hong Kong. DESIGN: This was a qualitative study using face-to-face semi-structured interviews based on the extended technology acceptance model. All interviews were audiotaped and transcribed verbatim. Two investigators coded the transcripts independently...
November 1, 2022: Family Practice
https://read.qxmd.com/read/36308516/prescription-of-benzodiazepines-and-z-drugs-among-older-patients-in-primary-care-a-french-national-cohort-study
#15
JOURNAL ARTICLE
Jonathan Yana, Laura Moscova, Julien Le Breton, Emmanuelle Boutin, Tiphaine Siess, Pascal Clerc, Sylvie Bastuji-Garin, Emilie Ferrat
BACKGROUND: In France, general practitioners (GPs) prescribe benzodiazepines and Z-drugs (BZD/ZDs) widely, and especially to older adults. Several characteristics of patients and/or GPs linked to BZD/ZD overprescription have been described in the general population but not among older patients in primary care. OBJECTIVES: To estimate the proportion of GP consultations by patients aged 65 and over that resulted in a BZD/ZD prescription, and determine whether any GP-related factors predicted BZD/ZD overprescription in this setting...
October 29, 2022: Family Practice
https://read.qxmd.com/read/36308304/diagnostics-and-management-of-headache-in-general-practice
#16
JOURNAL ARTICLE
Louise Ninett Carlsen, Simon Stefansen, Peder Ahnfeldt-Mollerup, Rigmor Højland Jensen, Espen Saxhaug Kristoffersen, Jakob Møller Hansen, Jesper Lykkegaard
BACKGROUND: Headache disorders are globally prevalent and insufficient treatment contribute to low quality of life, increased disability, and socioeconomic costs. However, headache can to a large extent be treated appropriately by general practitioners. OBJECTIVE: To explore general practitioners' (GPs') management of patients with headache lasting ≥6 months. METHODS: In this retrospective descriptive cross-sectional study based on medical audit, all GPs practicing in Vejle municipality (population 116,992), Denmark, were invited to review their latest 20 patients with headache...
October 29, 2022: Family Practice
https://read.qxmd.com/read/36271839/high-time-to-stop-workplace-violence-against-health-professionals-in-the-context-of-covid-19
#17
JOURNAL ARTICLE
Yu Xiao, Na Du, Ting-Ting Chen, Hao-Fei Cheng
No abstract text is available yet for this article.
October 22, 2022: Family Practice
https://read.qxmd.com/read/36269200/family-physicians-perspectives-on-the-impact-of-covid-19-on-preventative-care-in-primary-care-findings-from-a-qualitative-study
#18
JOURNAL ARTICLE
Crystal Vaughan, Julia Lukewich, Maria Mathews, Emily Gard Marshall, Lindsay Hedden, Sarah Spencer, Dana Ryan, Rita K McCracken, Paul Gill, Stephen Wetmore, Richard Buote, Leslie Meredith, Lauren Moritz, Judith Belle Brown
INTRODUCTION: Health system disruptions, caused by unexpected emergencies such as disease outbreaks, natural disasters, and cybercrimes, impact the delivery of routine preventative care. As comprehensive care providers, family physicians (FPs) devote significant time to prevention. However, without emergency and pandemic plans in place in primary care, FPs face added barriers to prioritizing and sustaining preventative care when health systems are strained, which was evident during the COVID-19 pandemic...
October 21, 2022: Family Practice
https://read.qxmd.com/read/36267023/when-the-patient-is-making-the-wrong-diagnosis-a-biographical-approach-to-patients-consulting-for-presumed-lyme-disease
#19
JOURNAL ARTICLE
Romain Lutaud, Pierre Verger, Patrick Peretti-Watel, Carole Eldin
BACKGROUND: Media coverage of Lyme disease (LD) has led to an increase in consultations for presumed LD in Europe. However, LD is confirmed in only 10%-20% of patients, with a significant number remaining in a diagnostic dead-end. OBJECTIVES: To reach a deeper understanding of how patients themselves contribute to the diagnostic process. To describe the genesis of the LD hypothesis in care pathways. METHODS: In 2019, 30 patients from a prospective cohort consulting in the infectious diseases department at University Hospital in Marseille for presumed LD were recruited for semistructured interviews...
October 21, 2022: Family Practice
https://read.qxmd.com/read/36256852/understanding-and-communicating-epidemiological-measures-of-risk-and-benefit
#20
JOURNAL ARTICLE
Caroline de Moel-Mandel
No abstract text is available yet for this article.
October 18, 2022: Family Practice
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