Francesco Lapi, Ettore Marconi, Alessandro Rossi, Claudio Cricelli
BACKGROUND: Viral infections are the main original cause of recurrent respiratory tract infections (RRTIs), but their complications and recurrences are due to bacteria as well. While some operational definitions and epidemiology of RRTIs are reported in paediatrics, no similar definitions have been proposed for adults. AIM: To assess the epidemiology and characteristics of RRTIs in the adult population. DESIGN AND SETTING: Cohort study in the primary care setting...
April 15, 2024: Family Practice
Natasja D Vijfschagt, Michiel R de Boer, Marjolein Y Berger, Huibert Burger, Gea A Holtman
BACKGROUND: Recognition of acute diverticulitis is important to determine an adequate management strategy. Differentiating it from other gastrointestinal disorders is challenging as symptoms overlap. Clinical tests might assist the clinician with this diagnostic challenge. Previous reviews have focussed on prognostic questions and imaging examinations in secondary care. OBJECTIVE: To evaluate the diagnostic accuracy of clinical tests feasible in primary care for acute diverticulitis in suspected patients...
February 28, 2024: Family Practice
Rosalia Olaya Zuñiga, Irene Parra-García, Luis Alejandro Gómez-Barrera
BACKGROUND: According to some health programmes, implementing primary health care through community health workers (CHWs) facilitates the connection between community and health services in Latin America. However, these are isolated processes that face different obstacles and would benefit from an overview of the corresponding health policies and programmes. OBJECTIVE: To provide an overview of CHW participation in 6 Latin American countries. METHODS: This exploratory qualitative study was based on 3 sources of information: a literature review, a review of public health policy documents, and interviews with experts who have led CHW programmes in 6 Latin American countries...
February 1, 2024: Family Practice
Leon Jonker, Stacey Jayne Fisher
BACKGROUND: The National Institute for Health and Care Research (NIHR) was set up to enhance clinical and health research activity in a variety of National Health Service (NHS) healthcare settings, including primary care. OBJECTIVE: To appraise how overall General Practitioner (GP) practice performance, location, and staffing levels may interact with NIHR Portfolio activity in primary care in England. METHODS: Cross-sectional summary of GP practice research activity and practice descriptors; complete data from 6,171 GP practices was collated from NIHR (using data for 2013-2023 for Portfolio studies), Public Health England, Care Quality Commission, and NHS Digital sources, respectively...
February 1, 2024: Family Practice
Margarida Gil Conde, Vera L Rodrigues, Raquel C Ramos, Ana Rente, Paula Broeiro-Gonçalves, Cristina Ribeiro, Paulo J Nicola
BACKGROUND: There is a need for a deeper understanding of the barriers to research in family medicine (FM) and to consider the perceptions and perspectives of professionals. Our study aims to provide a strategic view for research capacity building in FM. We included the perspective of family physician researchers (FPR) on the existing barriers to investigation in this context. OBJECTIVES: To understand and characterize the barriers to research in FM (personal and structural), from the perspective of Portuguese family physicians who are researchers...
February 1, 2024: Family Practice
Sarah McErlean, John Broughan, Geoff McCombe, Ronan Fawsitt, Mark Ledwidge, Walter Cullen, Joe Gallagher
BACKGROUND: Worldwide, atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in adults and poses a significant burden to patients, physicians, and healthcare systems. We developed a quality of care score based on the Atrial Fibrillation Better Care pathway recommended by the European Society of Cardiology and the European Heart Rhythm Association guidelines. This is a 14-point score that we have termed the MAGIC score(Management of Atrial Fibrillation in Integrated Care and General Practice)...
January 30, 2024: Family Practice
Rebecca S Etz, Craig A Solid, Martha M Gonzalez, Sarah R Reves, Erin Britton, Larry A Green, Asaf Bitton, Christine Bechtel, Kurt C Stange
INTRODUCTION: The lingering burden of the COVID-19 pandemic on primary care clinicians and practices poses a public health emergency for the United States. This study uses clinician-reported data to examine changes in primary care demand and capacity. METHODS: From March 2020 to March 2022, 36 electronic surveys were fielded among primary care clinicians responding to survey invitations as posted on listservs and identified through social media and crowd sourcing...
January 29, 2024: Family Practice
Yoann Gaboreau, Paul Frappé, Céline Vermorel, Alison Foote, Jean-Luc Bosson, Gilles Pernod
BACKGROUND: To assess bleeding risk of patients treated by oral anticoagulants, several scores have been constructed to assist physicians in the evaluation of the benefit risk. Most of these scores lack a strong enough level of evidence for use in family practice. OBJECTIVE: To assess the predictive prognostic accuracy of 13 scores designed to assess the risk of major or clinically relevant non-major (CRNM) bleeding events in a French ambulatory cohort receiving Vitamin-K antagonists (VKA) or direct oral anticoagulants (DOACs) in a family practice setting...
January 28, 2024: Family Practice
Yiyang Liow, Monica Lazarus, Victor Loh, Shefaly Shorey, Cornelia Chee, Doris Young, Jose M Valderas
BACKGROUND: Postnatal mental health problems (PMHPs) are prevalent and negatively affect mothers, children, and society. International and local guidelines recommend that Singapore primary care physicians (PCP) screen, assess, and manage mothers with PMHPs. However, little is known about their experiences and views. METHODS: We conducted semi-structured interviews with 14 PCPs in Singapore. Interview questions elicited perspectives on the identification and management of mothers with PMHPs...
January 27, 2024: Family Practice
Michelle Gooey, Heather Morris, Michaela Baulderstone, Kristina Flego, Phoebe Holdenson Kimura, Rebecca Kathage, Kylie Rix, Ashraf Saddik, Wei-May Su, Peter Bragge, Heidi Bergmeier, Amanda O'Connor, Elizabeth Sturgiss, Helen Skouteris
BACKGROUND: Childhood obesity is associated with physical and psychological complications thus the prevention of excess weight gain in childhood is an important health goal. Relevant to the prevention of childhood obesity, Australian general practice-specific, preventive care guidelines recommend General Practitioners (GPs) conduct growth monitoring and promote a number of healthy behaviours. However, challenges to providing preventive care in general practice may impact implementation...
January 18, 2024: Family Practice
Ruibo Wang, Han Tang, Panpan Cui, Ruofei Du, Panpan Wang, Qiaozhi Sun, Hang Fu, Hongmei Lu, Xuekun Li, Tiange Zhang, Changying Chen
BACKGROUND: Lymphoma has become 1 of the 10 most common cancers with increased prevalence in young- and middle-aged adults in China. This poses a tremendous burden on patients and their families and brings great challenges to maintaining the balance of family functioning in young- and middle-aged patients. OBJECTIVE: This cross-sectional study aimed to analyse the influence of resourcefulness on the family functioning of Chinese young- and middle-aged lymphoma patients...
January 13, 2024: Family Practice
Anouk Baghus, Esther Giroldi, Jasper van Geel, Arthur Leferink, Marjolein H J van de Pol, Ariëtte Sanders, Patrick W Dielissen, Isabella Bisschop, Arwen H Pieterse, Jean W M Muris, Angelique A Timmerman, Trudy van der Weijden
BACKGROUND: Shared decision making (SDM) is considered fundamental to person-centred care. However, applying SDM may be a challenge for residents in general practice, since it is a complex competence that requires the integration of knowledge and skills from several competency domains. OBJECTIVE: To support learning of SDM during medical residency, we aimed to gain insight in Dutch residents' observed and perceived SDM performance in general practice. METHODS: We evaluated residents' SDM performance from an observer, resident, and patient perspective...
January 11, 2024: Family Practice
Chris F Johnson, Fiona Ingram, Fiona Thomson, Pavan Srireddy, Bhautesh D Jani, Nicola Greenlaw
BACKGROUND: People with severe mental health illness die prematurely, often due to preventable cardiometabolic disease, which can be exacerbated by antipsychotic medicines that are effective for treating mental illness. Literature demonstrates that physical health monitoring, as recommended in guidelines, for people receiving antipsychotics is substandard. Therefore, we aimed to scope the potential of a general practice clinical pharmacist (GPCP)-led multidisciplinary intervention optimising adherence to cardiometabolic monitoring guidelines and delivering polypharmacy reviews...
January 5, 2024: Family Practice
Niccolo Doe
No abstract text is available yet for this article.
January 5, 2024: Family Practice
Parthibane Sivanantham, Jaya Prakash Sahoo, Subitha Lakshminarayanan, Zachariah Bobby, Vignesh Loganathan, Sitanshu Sekhar Kar
BACKGROUND: Microalbuminuria is an early indicator for renal and cardiovascular diseases, especially among patients with diabetes mellitus (DM) and hypertension (HTN). We determined the prevalence and the factors associated with microalbuminuria among patients with type 2 DM and/or HTN in the urban areas of the Puducherry district in India. METHODS: We included 225 patients aged 40-69 years with DM and/or HTN from a non-communicable diseases (NCDs) survey conducted during 2019-2020 in the urban areas of Puducherry district...
January 5, 2024: Family Practice
Sujane Kandasamy, Saima Amjad, Russell de Souza, Naila Furqan, Tejal Patel, Meredith Vanstone, Sonia S Anand
BACKGROUND: South Asian people living in Canada face higher rates of gestational diabetes mellitus (GDM) compared to national trends. The objective of this study was to design and pilot test a knowledge translation (KT) tool to support GDM prevention counselling in primary care. METHODS: This study is a mixed-methods pilot evaluation of the "SMART START" KT tool involving 2 family physicians in separate practices and 20 pregnant South Asians in Ontario, Canada. We conducted the quantitative and qualitative components in parallel, developing a joint display to illustrate the converging and diverging elements...
January 3, 2024: Family Practice
Derek Hersch, Kristen Klemenhagen, Patricia Adam
Continuity of care (COC) is a foundational element of primary care and is associated with improved patient satisfaction and health outcomes and decreased total cost of care. The patient-physician relationship is highly valued by both parties and is often the reason providers choose to specialize in primary care. In some settings, such as outpatient residency clinics, however, patients may only see their primary care provider (PCP) 50% or less of the time. Considering the many benefits of COC for patients and providers, there is a clear need for us in primary care to understand how to compare different COC measures across studies and how to choose the best COC measure when conducting quality improvement efforts...
December 31, 2023: Family Practice
David T Liss, Andrew J Cooper, Manisha Cherupally, Tiffany Brown, Marilyn G Pearson
BACKGROUND: Little is known about how variation in the scheduled length of primary care visits can impact patients' patterns of health care utilization. OBJECTIVE: To evaluate how the scheduled length of in-person visits with primary care physicians (PCPs) was associated with PCP and patient characteristics, outpatient utilization, and preventive care receipt. METHODS: This retrospective cohort study examined data from a large American academic health system...
December 20, 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: Remunerated telehealth consultations were introduced in Australia in 2020 in response to the COVID-19 pandemic. Videoconferencing has advantages over telephone-consulting, including improved diagnostic and decision-making accuracy. However, videoconferencing uptake in Australia has been low. This study aimed to establish prevalence and associations of video versus telephone consultations in Australian general practice (GP) registrars' practice. METHODS: A cross-sectional analysis of data from 2020 to 2021 (three 6-monthly data-collection rounds) from the Registrars Clinical Encounters in Training (ReCEnT) study...
December 20, 2023: Family Practice
Jennifer A Hall, Kira Wilkinson, Claire Haddon, Geraldine Barrett
BACKGROUND: For health services to help people plan for or prevent pregnancy, health professionals need an acceptable way to identify individuals' preferences. OBJECTIVE: To assess women's views on the acceptability of specific questions about pregnancy preferences when asked by health professionals in a variety of primary care contexts. METHODS: One-to-one in-depth interviews with 13 women aged 18-48 from across the UK, involving role-play scenarios and ranking exercises...
December 20, 2023: Family Practice
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