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European Journal of General Practice

Mónica López-García, María Candelaria Ayuso-Raya, Jesús López-Torres-Hidalgo, Julio Montoya-Fernández, Francisco Campa-Valera, Francisco Escobar-Rabadán
BACKGROUND: A course in family medicine (FM) could dispel the possibility of negative stereotyping about this speciality, and instil in students a greater interest. However, when is it preferable: at the beginning or at the end of undergraduate training? OBJECTIVES: To determine changes in knowledge and attitudes towards FM by medical students completing a course in primary care at the beginning or the end of the undergraduate training and whether those changes anticipate the choice of speciality...
April 2, 2019: European Journal of General Practice
Judith M Poldervaart, Marije A van Melle, Leida J Reijnders, Niek J de Wit, Dorien L Zwart
BACKGROUND: Care transitions between general practice and hospital are hazardous regarding patient safety. For developing an improvement strategy adjusted to local settings, understanding of type and potential causes of transitional safety incidents (TSIs) is needed. OBJECTIVES: To provide a broad overview of the nature of TSIs reported by patients and healthcare professionals. METHODS: We collected data (2011-2015) from three hospitals and 56 affiliated general practitioners (GPs) in two Dutch regions (one urban, one rural)...
March 29, 2019: European Journal of General Practice
Matthieu Schuers, Anthony Chapron, Hugo Guihard, Tiphanie Bouchez, David Darmon
BACKGROUND: Despite growing access to effective therapies, asthma control still needs improvement. Many non-drug factors, such as allergens, air pollutants and stress also affect asthma control and patient quality of life, but an overview of the effectiveness of non-drug interventions on asthma control was lacking. OBJECTIVES: To identify non-drug interventions likely to improve asthma control. METHODS: A systematic review of the available literature in Medline and the Cochrane Library was conducted in March 2017, without any time limit...
March 8, 2019: European Journal of General Practice
Inbar Levkovich, Ateret Gewirtz-Meydan, Khaled Karkabi, Liat Ayalon
BACKGROUND: Gender differences in relation to sexual functioning among older adults have received very little research attention, although the ageing process is likely to be characterized by difficulties in sexual functioning among both women and men. OBJECTIVES: The purpose of this qualitative research is to examine and understand the perceptions of family physicians, and the differences in their attitudes regarding male and female patients. METHOD: Qualitative interviews with family physicians were conducted between August 2017 and December 2017...
March 8, 2019: European Journal of General Practice
Shlomo Vinker, Mehmet Ungan
No abstract text is available yet for this article.
February 5, 2019: European Journal of General Practice
Henri Partouche, Serge Gilberg, Vincent Renard, Olivier Saint-Lary
In this opinion paper, the authors argue that the extension of mandatory immunization of infants up to two years of age from three diseases (diphtheria, tetanus, poliomyelitis) to 11 diseases, introduced in France in January 2018, is not a sustainable response to the challenge of controlling vaccine-preventable diseases. In France in 2017, infant immunization coverage (IC) rates were sufficiently high or increasing (hepatitis B), except for measles, mumps and rubella (MMR) and meningococcus C disease. Even if vaccination obligation makes it possible to achieve the MMR IC objectives among infants, communication programmes and supported advice from GPs are essential for the catch-up of susceptible adults to obtain herd immunity...
January 23, 2019: European Journal of General Practice
Caroline Huas, Davorina Petek, Esperanza Diaz, Miquel A Muñoz-Perez, Peter Torzsa, Claire Collins
BACKGROUND: The effectiveness of any national healthcare system is highly correlated with the strength of primary care within that system. A strong research basis is essential for a firm and vibrant primary care system. General practitioners (GPs) are at the centre of most primary care systems. OBJECTIVES: To inform on actions required to increase research capacity in general practice, particularly in low capacity countries, we collected information from the members of the European General Practice Research Network (EGPRN) and the European World Organization of Family Doctors (Wonca)...
January 4, 2019: European Journal of General Practice
Nevena Todorovic, Aleksandra Jovic-Vranes, Bosiljka Djikanovic, Natasa Pilipovic-Broceta, Nadja Vasiljevic, Vesna Lucic-Samardzija, Aleksandar Peric
BACKGROUND: Health literacy is an important determinant of health. This concept is under-researched in the Republic of Srpska, Bosnia and Herzegovina. OBJECTIVES: To assess health literacy and its association with sociodemographic variables, self-perception of health and the presence of chronic conditions in primary healthcare setting. METHODS: In May 2016, a cross-sectional study was executed in two primary healthcare centres. Out of approximately 1500 patients who visited both health centres during four consecutive days, about 800 were eligible...
January 2019: European Journal of General Practice
Jelle Stoffers
No abstract text is available yet for this article.
January 2019: European Journal of General Practice
Dionne Kringos, Sabina Nuti, Christian Anastasy, Margaret Barry, Liubove Murauskiene, Luigi Siciliani, Jan De Maeseneer
BACKGROUND: In 2017, the European Commission (EC) identified as a policy priority the performance assessment of primary care systems, which relates to a country's primary care structure, services delivery and outcomes. The EC requested its Expert Panel on Effective Ways of Investing in Health (Expert Panel) to provide an opinion on ways for improving performance assessment of primary care. OBJECTIVES: To provide an overview of domains and dimensions to be taken into consideration in assessing primary care and specific indicators to be collected and analysed to improve understanding of primary care performance...
December 12, 2018: European Journal of General Practice
Cornelis A de Kock, Peter L B J Lucassen, Hans Bor, J André Knottnerus, Peter C Buijs, Romy Steenbeek, Antoine L M Lagro-Janssen
BACKGROUND: Paying attention to their patients' work and recognizing work-related problems is challenging for many general practitioners (GPs). OBJECTIVES: To assess the effect of training designed to improve the care for patients with work-related problems in general practice. METHODS: A cluster randomized controlled trial among 32 Dutch GPs. GPs in the intervention group received five-hour training. GPs in the control group were not trained...
December 2018: European Journal of General Practice
Adam Windak
No abstract text is available yet for this article.
December 2018: European Journal of General Practice
Jens Detollenaere, Julie Boucherie, Sara Willems
BACKGROUND: Numerous studies have shown that during out-of-hours vulnerable patients (regarding low-education and unemployment) are more likely to seek medical help in the emergency department (ED). However, little is known about why patients seek help in the ED during daytime hours and if these reasons differ among self-referring socioeconomic groups. OBJECTIVES: To identify the reasons why patients opt for the ED during daytime hours when primary care services are available and identify possible social differences between socioeconomic groups...
December 2018: European Journal of General Practice
Tom van Gils, Talha G Senler, Henriëtte E van der Horst, Chris J J Mulder, Gerd Bouma, Henk de Vries
BACKGROUND: General practitioners (GPs) play a crucial role in diagnosing coeliac disease (CD). However, data on GP management of (suspected) CD patients is sparse. OBJECTIVES: To provide insights into the daily practice of diagnosis, treatment, and follow-up of CD by GPs. METHODS: A qualitative study using topic list-based semi-structured in-depth interviews with Dutch GPs with more than five years' experience carried out between January and March 2017...
December 2018: European Journal of General Practice
Sibel Sakarya, Pemra C Ünalan, Naz Tursun, Anıl Özen, Seda Kul, Ümit Gültekin
BACKGROUND: Childhood obesity (CO) is a high priority issue due to its serious health consequences and its rapid increase. OBJECTIVES: To examine the views of primary care physicians (family physicians, FPs) in Turkey regarding their role in the management of CO and the barriers they perceive. METHODS: Mixed methods approach. Data was collected in two major counties of Istanbul between February and May 2014. All Family Health Centres (FHCs) in the region were visited, and 180/284 FPs (63...
December 2018: European Journal of General Practice
Hannah O'Brien, David Mc Conaghy, Declan Brennan, Sarah Meaney
BACKGROUND: The incidence of anaphylaxis appears to be increasing worldwide with cases in the community outnumbering those in the hospital setting. General practice (GP) surgeries and pharmacies, based in the community, are often the first point of contact for many patients suffering from anaphylaxis. OBJECTIVES: To determine if studied GP surgeries and pharmacies have an anaphylaxis protocol on site and have access to an anaphylaxis kit; to explore GP's and pharmacists' personal experiences with management of anaphylaxis...
December 2018: European Journal of General Practice
(no author information available yet)
No abstract text is available yet for this article.
December 2018: European Journal of General Practice
Christophe Berkhout, Suzanna Zgorska-Meynard-Moussa, Amy Willefert-Bouche, Jonathan Favre, Lieve Peremans, Paul Van Royen
BACKGROUND: Health promotion is part of GPs' commitments. Some waiting rooms have therefore been implemented with audiovisual aids (posters, pamphlets or screens) for health promotion purposes. Few studies have assessed the effect of audiovisual aids in primary care. OBJECTIVES: To identify, describe and appraise studies that have investigated the effects of audiovisual aids on health promotion in primary healthcare waiting rooms. To determine which factors influence this impact through literature review...
December 2018: European Journal of General Practice
Caoimhe Madden, Sinéad Lydon, Ciara Curran, Andrew W Murphy, Paul O'Connor
BACKGROUND: There is limited research, and guidance, on how to address safety in general practice proactively. OBJECTIVES: This review aimed to synthesize the literature describing the use of patient record review (PRR) to measure and improve patient safety in primary care. The PRR methodologies utilized and the resulting outcomes were examined. METHODS: Searches were conducted using Medline, Embase, CINAHL and PsycINFO in February 2017. Reference lists of included studies and existing review papers were also screened...
December 2018: European Journal of General Practice
János Sándor, Attila Nagy, Tibor Jenei, Anett Földvári, Edit Szabó, Orsolya Csenteri, Ferenc Vincze, Valéria Sipos, Nóra Kovács, Anita Pálinkás, Magor Papp, Gergely Fürjes, Róza Ádány
BACKGROUND: Regular primary healthcare (PHC) performance monitoring to produce a set of performance indicators for provider effectiveness is a fundamental method for improving guideline adherence but there are potential negative impacts of the inadequate application of this approach. Since performance indicators can reflect patient characteristics and working environments, as well as PHC team contributions, inadequate monitoring practices can reduce their effectiveness in the prevention of cardiometabolic disorders...
December 2018: European Journal of General Practice
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