journal
https://read.qxmd.com/read/34969373/barriers-and-attitudes-towards-cervical-cancer-screening-in-primary-healthcare-in-poland-doctors-perspective
#1
JOURNAL ARTICLE
Katarzyna Nessler, Francis Ball, Sze Kay Florence Chan, Michal Chwalek, Anna Krztoń-Królewiecka, Adam Windak
BACKGROUND: Healthcare systems have adopted different strategies to reduce the burden of cervical cancer. In Poland, a population-based screening program was implemented in 2006, leading to a downward trend in cervical cancer burden. However, screening rates are still low in relation to other EU member states. In Poland, Pap smears are mainly performed by gynecologists rather than Primary Health Care (PHC) physicians. Little is known about the experiences and attitudes of the latter regarding cervical cancer screening in a PHC setting...
December 30, 2021: BMC Family Practice
https://read.qxmd.com/read/34969372/swiss-gps-preferences-for-antidepressant-treatment-in-mild-depression-vignette-based-quantitative-analysis
#2
JOURNAL ARTICLE
Michael P Hengartner, Stefan Neuner-Jehle, Oliver Senn
BACKGROUND: GPs frequently prescribe antidepressants in mild depression. The aim of this study was to examine, how often Swiss GPs recommend antidepressants in various clinical presentations of mild depression and which factors contribute to antidepressant treatment recommendations. METHODS: We conducted an online survey among Swiss GPs with within-subject effect analysis. Alternating case vignettes described a typical female case of mild depression according to International Classification of Diseases, 10th edition criteria, with and without anxiety symptoms and sleep problems...
December 30, 2021: BMC Family Practice
https://read.qxmd.com/read/34969369/physiotherapists-experiences-of-osteoarthritis-guidelines-in-primary-health-care-an-interview-study
#3
JOURNAL ARTICLE
Karin Sturesdotter Åkesson, Anne Sundén, Eva Ekvall Hansson, Kjerstin Stigmar
BACKGROUND: Osteoarthritis is a common joint disease, globally. Guidelines recommend information, exercise and, if needed, weight reduction as core treatment. There is a gap between evidence-based recommended care for osteoarthritis and clinical practice. To increase compliance to guidelines, implementation was conducted. The aim of the study was to explore physiotherapists' experiences of osteoarthritis guidelines and their experiences of implementation of the guidelines in primary health care in a region in southern Sweden...
December 30, 2021: BMC Family Practice
https://read.qxmd.com/read/34969365/earning-opportunities-and-informal-payment-as-influencing-factors-in-medical-students-speciality-choice
#4
JOURNAL ARTICLE
András Mohos, Thomas Frese, László Kolozsvári, József Rinfel, Albert Varga, Csenge Hargittay, Dalma Csatlós, Péter Torzsa
BACKGROUND: The Hungarian primary care system faces a severe shortage of family physicians. Medical students' perceptions of family medicine need to be known and medical students need to be given appropriate and comprehensible information about this speciality. The expected future salary is an important factor in career choice. Most of the family doctors are self-employed and the practices have a corrected capitation-type financing. Although the majority of health care services are covered by social health insurance and are provided for the insured patients free of charge, informal payment is an existing phenomenon with different motivations and consequences...
December 30, 2021: BMC Family Practice
https://read.qxmd.com/read/34961484/patients-perception-of-safety-climate-in-irish-general-practice-a-cross-sectional-study
#5
JOURNAL ARTICLE
Caoimhe Madden, Sinéad Lydon, Andrew W Murphy, Paul O'Connor
BACKGROUND: Although patients have the potential to provide important information on patient safety, considerably fewer patient-report measures of safety climate (SC) have been applied in the primary care setting as compared to secondary care. Our aim was to examine the application of a patient-report measure of safety climate in an Irish population to understand patient perceptions of safety in general practice and identify potential areas for improvement. Specifically, our research questions were: 1...
December 27, 2021: BMC Family Practice
https://read.qxmd.com/read/34952582/evaluation-of-a-social-determinants-of-health-screening-questionnaire-and-workflow-pilot-within-an-adult-ambulatory-clinic
#6
JOURNAL ARTICLE
Rachel L Berkowitz, Linh Bui, Zijun Shen, Alice Pressman, Maria Moreno, Stephanie Brown, Anne Nilon, Chris Miller-Rosales, Kristen M J Azar
BACKGROUND: There is increased recognition in clinical settings of the importance of documenting, understanding, and addressing patients' social determinants of health (SDOH) to improve health and address health inequities. This study evaluated a pilot of a standardized SDOH screening questionnaire and workflow in an ambulatory clinic within a large integrated health network in Northern California. METHODS: The pilot screened for SDOH needs using an 11-question Epic-compatible paper questionnaire assessing eight SDOH and health behavior domains: financial resource, transportation, stress, depression, intimate partner violence, social connections, physical activity, and alcohol consumption...
December 24, 2021: BMC Family Practice
https://read.qxmd.com/read/34937557/patients-and-clinicians-perceptions-of-oral-anticoagulants-in-atrial-fibrillation-a-systematic-narrative-review-and-meta-analysis
#7
JOURNAL ARTICLE
Yeyenta Mina Osasu, Richard Cooper, Caroline Mitchell
BACKGROUND: Atrial fibrillation (AF) increases the risk of developing a stroke by 20%. AF related strokes are associated with greater morbidity. Historically, warfarin was the anticoagulant of choice for stroke prevention in patients with AF but lately patients are being switched or started on direct oral anticoagulants (DOACs). DOACs are promoted as safer alternatives to warfarin and it is expected that they will be associated with fewer challenges both for patients and healthcare professionals...
December 22, 2021: BMC Family Practice
https://read.qxmd.com/read/34937551/the-success-of-behavioral-economics-in-improving-patient-retention-within-an-intensive-primary-care-practice
#8
JOURNAL ARTICLE
Phillip Groden, Alexandra Capellini, Erica Levine, Ania Wajnberg, Maria Duenas, Sire Sow, Bernard Ortega, Nia Medder, Sandeep Kishore
BACKGROUND: A minority of the U.S. population comprises a majority of health care expenses. Health system interventions for high-cost populations aim to improve patient outcomes while reducing costly over-utilization. Missed and inconsistent appointments are associated with poor patient outcomes and increased health care utilization. PEAK Health- Mount Sinai's intensive primary care clinic for high-cost patients- employed a novel behavioral economics-based intervention to reduce the rate of missed appointments at the practice...
December 22, 2021: BMC Family Practice
https://read.qxmd.com/read/34937550/doctor-patient-relationship-improved-during-covid-19-pandemic-but-weakness-remains
#9
JOURNAL ARTICLE
Yanan Zhou, Yuejiao Ma, Winson Fu Zun Yang, Qiuxia Wu, Qianjin Wang, Dongfang Wang, Honghong Ren, Yinli Luo, Dong Yang, Tieqiao Liu, Xiaoming Wu
OBJECTIVE: To assess the quality of the doctor-patient relationship (DPR) in China and possible influencing factors during the COVID-19 period from the patient's perspective. METHODS: An online survey was carried out nationwide from March 12, 2020 to March 30, 2020 in China via a convenience sampling strategy. Patients who met the inclusion criteria were invited to complete a questionnaire regarding the quality of DPR, including sociodemographic information, the Patient-Doctor Relationship Questionnaire (PDRQ-9), and influencing factors for DPR during the pandemic...
December 22, 2021: BMC Family Practice
https://read.qxmd.com/read/34937549/prerequisites-for-providing-effective-support-to-family-caregivers-within-the-primary-care-setting-results-of-a-study-series-in-germany
#10
JOURNAL ARTICLE
Julian Wangler, Michael Jansky
BACKGROUND: General Practitioners are considered to be well placed to monitor home-care settings and to respond specifically to family caregivers. To do this, they must be sensitive to the needs and expectations of caregivers. In order to determine the current status of GP care in terms of the support given to family caregivers, a series of studies were conducted to gather the perspectives of both caregivers and GPs. The results are used to derive starting points as to which measures would be sensible and useful to strengthen support offered to family caregivers in the primary care setting...
December 22, 2021: BMC Family Practice
https://read.qxmd.com/read/34930146/unprofessional-behaviour-of-gp-residents-and-its-remediation-a-qualitative-study-among-supervisors-and-faculty
#11
JOURNAL ARTICLE
Pieter C Barnhoorn, Vera Nierkens, Marianne C Mak-van der Vossen, Mattijs E Numans, Walther N K A van Mook, Anneke W M Kramer
BACKGROUND: Lapses in professionalism have profound negative effects on patients, health professionals, and society. The connection between unprofessional behaviour during training and later practice requires timely identification and remediation. However, appropriate language to describe unprofessional behaviour and its remediation during residency is lacking. Therefore, this exploratory study aims to investigate which behaviours of GP residents are considered unprofessional according to supervisors and faculty, and how remediation is applied...
December 20, 2021: BMC Family Practice
https://read.qxmd.com/read/34930136/patient-perspectives-on-health-care-provider-practices-leading-to-an-axial-spondyloarthritis-diagnosis-an-exploratory-qualitative-research-study
#12
JOURNAL ARTICLE
Kate L Lapane, Catherine Dubé, Katarina Ferrucci, Sara Khan, Kristine A Kuhn, Esther Yi, Jonathan Kay, Shao-Hsien Liu
BACKGROUND: The average time to a diagnosis for people with axial spondyloarthritis (axSpA) is 7-10 years. Delayed diagnosis may result in increased structural damage, worse physical function, and worse quality of life relative to patients with a timely axSpA diagnosis. Understanding patient experiences may provide insights for how to reduce diagnostic delays. OBJECTIVE: To provide foundational knowledge about patient experiences with healthcare providers leading to an axSpA diagnosis...
December 20, 2021: BMC Family Practice
https://read.qxmd.com/read/34930126/acceptability-of-physician-associate-interns-in-primary-care-results-from-a-service-evaluation
#13
JOURNAL ARTICLE
Elizabeth Cottrell, Victoria Silverwood, Alex Strivens-Joyce, Lucy Minshull, John J Edwards, Sarah Lawton, Matt Aiello, Sharon Turner
BACKGROUND: Physician associates (PA) form part of the policy-driven response to increased primary care demand and a general practitioner (GP) recruitment and retention crisis. However, they are novel to the primary care workforce and have limitations, for example, they cannot prescribe. The novel 1 year Staffordshire PA Internship (SPAI) scheme, introduced in 2017, was established to support the integration of PAs into primary care. PA interns concurrently worked in primary and secondary care posts, with protected weekly primary care focussed education sessions...
December 20, 2021: BMC Family Practice
https://read.qxmd.com/read/34911451/clinician-perspectives-on-having-point-of-care-tests-made-available-to-them-during-out-of-hours-home-visiting
#14
JOURNAL ARTICLE
S Dixon, M Glogowska, S Garland, H Hunt, D Lasserson, G Hayward
BACKGROUND: Little is known about clinicians' perspectives on the use of point of care (POC) tests in assessment of acute illness during primary care out of hours (OOH) care. During a service improvement project, POC tests (including creatinine, electrolytes, haemoglobin and lactate) were made available to clinicians undertaking OOH home visits, with the clinicians allowed absolute discretion about when and whether they used them. METHOD: To explore clinicians' perspectives on having POC tests available during OOH home visits, we undertook a qualitative study with clinicians working in Oxfordshire OOH home visiting teams...
December 16, 2021: BMC Family Practice
https://read.qxmd.com/read/34911442/a-prospective-observational-real-world-feasibility-study-assessing-the-role-of-app-based-remote-patient-monitoring-in-reducing-primary-care-clinician-workload-during-the-covid-pandemic
#15
JOURNAL ARTICLE
Sachin Shailendra Shah, Afsana Safa, Kuldhir Johal, Dillon Obika, Sophie Valentine
BACKGROUND: The novel coronavirus disease in 2019 (COVID-19) has placed unprecedented strain on healthcare providers, in particular, primary care services. General practitioners (GP) have to effectively manage patients remotely preserving social distancing. We aim to assess an app-based remote patient monitoring solution in reducing the workload of a clinician and reflect this as time-saved in an economic context. Primary care COVID patients in West London deemed medium risk were recruited into the virtual ward...
December 16, 2021: BMC Family Practice
https://read.qxmd.com/read/34911441/willingness-beliefs-and-barriers-regarding-the-covid-19-vaccine-in-saudi-arabia-a-multiregional-cross-sectional-study
#16
JOURNAL ARTICLE
Noura Altulahi, Shouq AlNujaim, Azzam Alabdulqader, Abdullah Alkharashi, Assaf AlMalki, Faisal AlSiari, Yara Bashawri, Sarah Alsubaie, Dayel AlShahrani, Yara AlGoraini
BACKGROUND: The coronavirus disease 2019 (COVID-19) has spread worldwide, and the vaccine remains the ultimate cornerstone to overcoming its long-term impact. Vaccine hesitancy might obstruct the effort to achieve herd immunity and eradicate the virus. We assessed Saudi Arabian individuals' willingness, beliefs, and barriers regarding the COVID-19 vaccine and their adherence to preventive measures during and after the pandemic. METHODS: A self-administered electronic validated questionnaire was distributed among the five major regions in Saudi Arabia between November and December 2020...
December 16, 2021: BMC Family Practice
https://read.qxmd.com/read/34903171/a-qualitative-exploration-of-nursing-undergraduates-perceptions-towards-scaffolding-in-the-flipped-classroom-of-the-fundamental-nursing-practice-course-a-qualitative-study
#17
JOURNAL ARTICLE
Linghui Chen, Ting Lin, Siyue Tang
BACKGROUND: Although the benefits of using a flipped classroom in nursing education have been reported, there are few published studies attempting to understand students' subjective experiences with scaffolding in a flipped classroom and the challenges they face as a result of this type of educational change. The purpose of this study was to describe students' perspectives of scaffolding in the Flipped Classroom of the Fundamental Nursing Practice Course (FNPC-FC). METHODS: Thirty-four undergraduates were recruited and separated into four groups in the study...
December 13, 2021: BMC Family Practice
https://read.qxmd.com/read/34895165/printed-educational-materials-directed-at-ontario-family-physicians-do-not-improve-adherence-to-guideline-recommendations-for-diabetes-management-a-pragmatic-factorial-cluster-randomized-controlled-trial-isrctn72772651
#18
JOURNAL ARTICLE
Alison H Howie, Neil Klar, Danielle M Nash, Jennifer N Reid, Merrick Zwarenstein
BACKGROUND: Printed educational materials (PEMs) have long been used to inform clinicians on evidence-based practices. However, the evidence for their effects on patient care and outcomes is unclear. In Ontario, despite widely available clinical practice guidelines recommending antihypertensives and cholesterol-lowering agents for patients with diabetes, prescriptions remain low. We aimed to determine whether PEMs can influence physicians to intensify prescribing of these medications...
December 11, 2021: BMC Family Practice
https://read.qxmd.com/read/34895164/copd-do-the-right-thing
#19
REVIEW
Hanna Sandelowsky, Ulla Møller Weinreich, Bernt B Aarli, Josefin Sundh, Kristian Høines, Georgios Stratelis, Anders Løkke, Christer Janson, Christian Jensen, Kjell Larsson
A gap exists between guidelines and real-world clinical practice for the management and treatment of chronic obstructive pulmonary disease (COPD). Although this has narrowed in the last decade, there is room for improvement in detection rates, treatment choices and disease monitoring. In practical terms, primary care practitioners need to become aware of the huge impact of COPD on patients, have non-judgemental views of smoking and of COPD as a chronic disease, use a holistic consultation approach and actively motivate patients to adhere to treatment...
December 11, 2021: BMC Family Practice
https://read.qxmd.com/read/34861828/effect-of-a-price-display-intervention-on-laboratory-test-ordering-behavior-of-general-practitioners
#20
JOURNAL ARTICLE
Dennis M J Muris, Max Molenaers, Trang Nguyen, Paul W M P Bergmans, Bernadette A C van Acker, Mariëlle M E Krekels, Jochen W L Cals
BACKGROUND: Redundant use of diagnostic tests in primary care has shown to be a contributor to rising Dutch healthcare costs. A price display in the test ordering system of the electronic health records (EHRs) could potentially be a low-cost and easy to implement intervention to a decrease in test ordering rate in the primary care setting by creating more cost-awareness among general practitioners (GPs). The aim of this study was to assess the effect of a price display for diagnostic laboratory tests in the EHR on laboratory test ordering behavior of GPs in the Westelijke Mijnstreek region in the Netherlands...
December 3, 2021: BMC Family Practice
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