118 results match your criteria BJGP open[Journal]


Nocturnal enuresis as the initial symptom of life-threatening arrhythmia: a case report.

BJGP Open 2018 Dec 12;2(4):bjgpopen18X101624. Epub 2018 Dec 12.

Doctor, Department of Cardiology, Shinshu University School of Medicine, Matsumoto, Japan.

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101624
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http://dx.doi.org/10.3399/bjgpopen18X101624DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348320PMC
December 2018
8 Reads

Effects of mindfulness training on perceived stress, self-compassion, and self-reflection of primary care physicians: a mixed-methods study.

BJGP Open 2018 Dec 28;2(4):bjgpopen18X101621. Epub 2018 Nov 28.

Associate Professor, Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.

Background: Primary care physicians are subjected to a high workload, which can lead to stress and a high incidence of burnout. A mindfulness training course was developed and implemented for primary care physicians to better cope with stress and improve job functioning.

Aim: To gain insight into the effects of the mindfulness training on perceived stress, self-compassion, and self-reflection of primary care physicians. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101621DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348323PMC
December 2018
14 Reads

Pain management in acute otitis media: a qualitative study exploring GPs' views and expectations parallel to a trial of an educational intervention.

BJGP Open 2018 Dec 31;2(4):bjgpopen18X101620. Epub 2018 Oct 31.

Primary Health Care Sociologist and Postdoctoral Researcher, Department of Primary Care and Interdisciplinary Care, Antwerp University, Wilrijk, Belgium.

Background: Optimal pain management is accepted as the cornerstone of acute otitis media (AOM) management, but analgesics are neither prescribed routinely nor explicitly recommended in day-to-day practice.

Aim: To explore GPs views on and expectations regarding pain management in children with AOM, and how a multifaceted educational intervention aimed at optimising pain management shapes these perceptions.

Design & Setting: Qualitative study conducted alongside a cluster randomised controlled trial (cRCT), the PIMPOM study, in the Netherlands. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101620DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348326PMC
December 2018
3 Reads

The conundrum of acute chest pain in general practice: a nationwide survey in The Netherlands.

BJGP Open 2018 Dec 28;2(4):bjgpopen18X101619. Epub 2018 Nov 28.

GP and Head of the Department of General Practice, Academic Medical Center of Amsterdam, Amsterdam, The Netherlands.

Background: GPs are frequently confronted with patients with acute onset chest pain. Although usually benign, approximately 5% is due to acute coronary syndrome (ACS). Unfortunately, ACS is not always recognised, leading to a missed diagnosis in 2-5% of presentations. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101619DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348327PMC
December 2018
2 Reads

Effectiveness of an integrated diabetes care package at primary healthcare facilities: a cluster randomised trial in Pakistan.

BJGP Open 2018 Dec 12;2(4):bjgpopen18X101618. Epub 2018 Dec 12.

Senior Advisor, Department of Research, International Union Against Tuberculosis and Lung Disease, Winchester, UK.

Background: There were an estimated 7 million people living with diabetes in Pakistan in 2014, and this is predicted to reach 11.4 million by 2030.

Aim: To assess if an integrated care package can achieve better control of diabetes. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348328PMC
December 2018
3 Reads

Feasibility and acceptability of follow-up for prostate cancer in primary care: a pilot study.

BJGP Open 2018 Dec 12;2(4):bjgpopen18X101616. Epub 2018 Dec 12.

Programme Coordinator, Department of General Practice, Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.

Background: The number of patients with prostate cancer is increasing, which puts additional pressure on health care. GP-led follow up may help reduce costs, travel time for patients, and workload for urologists and improve continuity of care.

Aim: To test the feasibility and acceptability of a new clinical pathway for GP-led prostate cancer follow-up. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101616DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348321PMC
December 2018
1 Read

Patients' and GPs' expectations regarding healthcare-seeking behaviour: a Norwegian comparative study.

BJGP Open 2018 Dec 14;2(4):bjgpopen18X101615. Epub 2018 Nov 14.

Professor, Leader of the National Research School in General Practice, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.

Background: GPs are Norwegian patients' first contact point with the healthcare system for most medical problems. However, little is known regarding GPs' expectations towards their patients' healthcare-seeking behaviour, or whether doctors and patients have coinciding expectations of what GPs can do for their patients.

Aim: To investigate patients' and GPs' expectations regarding patients' healthcare-seeking behaviour in primary care, and to make comparisons between the two. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101615DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348319PMC
December 2018
1 Read

Complementary medicine use, views, and experiences: a national survey in England.

BJGP Open 2018 Dec 14;2(4):bjgpopen18X101614. Epub 2018 Nov 14.

Professor of Acupuncture Research, Department of Health Sciences, University of York, York, UK.

Background: In 2005,12% of the English population visited a complementary and alternative medicine (CAM) practitioner.

Aim: To obtain up-to-date general population figures for practitioner-led CAM use in England, and to discover people's views and experiences regarding access.

Design & Setting: A face-to-face questionnaire survey was commissioned. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101614DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348322PMC
December 2018

Delivering integrated hypertension care at private health facilities in urban Pakistan: a process evaluation.

BJGP Open 2018 Dec 28;2(4):bjgpopen18X101613. Epub 2018 Nov 28.

Director, NCD & Mental Health, Directorate General of Health Services, Punjab, Pakistan.

Background: In Pakistan about 18% of all adults are affected by hypertension, and only one in eight of the prevalent cases have their hypertension controlled. As in many other low-middle income countries, a public-private partnership approach is being considered for delivering non-communicable disease care in urban areas.

Aim: This process evaluation was undertaken to understand how an integrated care intervention was experienced by the care providers and patients, and to inform modifications before possible scaling. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348318PMC
December 2018
1 Read

Process evaluation of integrated diabetes management at primary healthcare facilities in Pakistan: a mixed-methods study.

BJGP Open 2018 Dec 14;2(4):bjgpopen18X101612. Epub 2018 Nov 14.

Director, NCD & Mental Health, Directorate General of Health Services, Punjab, Pakistan.

Background: Integrated care for diabetes and associated conditions at primary level health facilities can make care available to a much larger population, especially in rural areas.

Aim: This process evaluation was to understand how the authors' integrated care was implemented and experienced by the care providers and patients, and to inform modifications prior to province-wide scale-up.

Design & Setting: The mixed-method study was conducted as part of a cluster randomised trial on integrated diabetes care at 14 public health facilities. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101612DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348331PMC
December 2018

Pharmacist joint-working with general practices: evaluating the Sheffield Primary Care Pharmacy Programme. A mixed-methods study.

BJGP Open 2018 Dec 17;2(4):bjgpopen18X101611. Epub 2018 Oct 17.

Professor of the Practice of Pharmacy, School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK.

Background: The NHS in the UK supports pharmacists' deployment into general practices. This article reports on the implementation and impact of the Primary Care Pharmacy Programme (PCPP). The programme is a care delivery model that was undertaken at scale across a city in which community pharmacists (CPs) were matched with general practices and performed clinical duties for one half-day per week. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101611DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348324PMC
December 2018
1 Read

Barriers in providing primary care for immigrant patients with dementia: GPs' perspectives.

BJGP Open 2018 Dec 3;2(4):bjgpopen18X101610. Epub 2018 Oct 3.

Registered Nurse and Professor, Department of Internal Medicine, Academic Medical Centre, Section of Geriatric Medicine, Amsterdam, The Netherlands.

Background: Dementia rates are growing rapidly in all regions of the world. In the Netherlands, the incidence of dementia among older immigrants will increase twice as fast compared with the native older population. It, therefore, needs special attention. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348325PMC
December 2018
1 Read

Therapeutic alternatives for supporting GPs to deprescribe opioids: a cross-sectional survey.

BJGP Open 2018 Dec 14;2(4):bjgpopen18X101609. Epub 2018 Nov 14.

Associate Dean, School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.

Background: GPs are central to opioid strategy in chronic non-cancer pain (CNCP). Lack of treatment alternatives and providers are common reasons cited for not deprescribing opioids. There are limited data about availability of multidisciplinary healthcare providers (MHCPs), such as psychologists, physiotherapists, or dietitians, who can provide broader treatments. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101609DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348329PMC
December 2018
1 Read

Fit for Cancer Treatment: a prospective feasibility study of primary care initiated prehabilitation for patients with suspected cancer.

BJGP Open 2018 Dec 17;2(4):bjgpopen18X101608. Epub 2018 Oct 17.

Consultant Surgeon and Head of Specialty School Surgery, Wales Post Graduate Medical and Dental Education Deanery School of Surgery, Cardiff University, Cardiff, UK.

Background: Risk profile assessment and corrective interventions using optimisation of health status and prehabilitation represent an important strategy in the management of patients with a suspected cancer diagnosis.

Aim: To determine the feasibility of pre-treatment optimisation and prehabilitation commenced at index primary care consultation, to improve patients' preparation for treatment by maximising the time available.

Design & Setting: Between January 2015 and May 2016, 195 patients presenting to 12 GP practices were deemed eligible to enter the study, of which 189 (96. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101608DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348330PMC
December 2018
2 Reads

Factors influencing doctors' counselling on patients' lifestyle habits: a cohort study.

BJGP Open 2018 Oct 19;2(3):bjgpopen18X101607. Epub 2018 Sep 19.

Professor, Faculty of Public Health, Inland Norway University of Applied Science, Elverum, Norway.

Background: Lifestyle changes are important for prevention and treatment of many common diseases, and doctors have an important role in the lifestyle counselling of patients. It is important to know more about factors influencing lifestyle counselling.

Aim: To investigate the frequency of counselling about physical activity compared to that about alcohol habits; the impact of doctors' own physical activity and alcohol habits on patient counselling about these lifestyle dimensions; and whether perceived mastery of clinical work or vulnerable personality have a confounding or moderating effect on these associations. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202006PMC
October 2018
1 Read

The tip of the iceberg: finding patients with heart failure with preserved ejection fraction in primary care. An observational study.

BJGP Open 2018 Oct 19;2(3):bjgpopen18X101606. Epub 2018 Sep 19.

Consultant Cardiologist, Department of Medicine, James Paget University Hospital, Gorleston-on-Sea, UK.

Background: Heart failure with preserved ejection fraction (HFpEF) is under-identified in primary care.

Aim: The aim of this study was to determine what information is available in patients' primary care practice records that would identify patients with HFpEF.

Design & Setting: Record review in two practices in east of England. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101606
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http://dx.doi.org/10.3399/bjgpopen18X101606DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189778PMC
October 2018
14 Reads

The candidate perspective of the clinical competency test (CCT) of the MICGP examination: a mixed-methods study.

BJGP Open 2018 Oct 5;2(3):bjgpopen18X101605. Epub 2018 Sep 5.

Clinical Research Fellow, Department of General Practice, University College Cork, Cork, Ireland.

Background: The clinical competency test (CCT) was introduced by the Irish College of General Practitioners (ICGP) in 2015. Similar to the clinical skills assessment (CSA) of the Membership of the Royal College of General Practitioners exam (MRCGP), the CCT is a modified objective structured clinical examination (OSCE).

Aim: The aim of this study was to evaluate the MICGP CCT from the candidates' perspective, to gain an insight into their views of its fairness, relevance, and acceptability. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101605
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http://dx.doi.org/10.3399/bjgpopen18X101605DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189776PMC
October 2018
1 Read

Aggression towards the GP: can we profile the GP-victim? A cross-section survey among GPs.

BJGP Open 2018 Oct 19;2(3):bjgpopen18X101604. Epub 2018 Sep 19.

Professor, Department of Public Health and Primary Care, Academic Centre of General Practice, University of Leuven, Leuven, Belgium.

Background: Aggression against GPs has increased in the past decade. Depending on experience, interpretation, and personality, the interpretation of aggressive patient behaviour will differ among doctors.

Aim: To investigate how often GPs experience aggression in a 1-year time span and what the relationship is between the GP's personality (based on the 'Big Five' personality traits) and the reporting of aggression. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101604
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http://dx.doi.org/10.3399/bjgpopen18X101604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189782PMC
October 2018
13 Reads

How health care may modify the effects of illness determinants on population outcomes: the Leicester SEARCH conceptual framework for primary care.

BJGP Open 2018 Oct 22;2(3):bjgpopen18X101603. Epub 2018 Aug 22.

Professor Emeritus, Department of Health Sciences, College of Life Sciences, University of Leicester, George Davies Centre for Medicine, Leicester, UK.

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http://dx.doi.org/10.3399/bjgpopen18X101603DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189785PMC
October 2018

Non-vitamin k antagonist oral anticoagulants in a European primary care physician survey.

BJGP Open 2018 Oct 22;2(3):bjgpopen18X101602. Epub 2018 Aug 22.

Professor and Head, Primary Care Health Sciences, University of Oxford, Oxford, UK.

Background: Familiarity and competency in the options for stroke prevention in atrial fibrillation (AF) and the role of non-vitamin K antagonist oral anticoagulants (NOACs) may vary among primary care physicians (PCPs) from different European countries.

Aims: To investigate PCP views on prescribing and managing NOACs across Europe and identify perceived unmet needs.

Design & Setting: Web-based survey including PCPs with particular interest in cardiovascular medicine. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101602
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http://dx.doi.org/10.3399/bjgpopen18X101602DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189775PMC
October 2018
3 Reads

Family medicine as an emerging specialty: a Pakistani perspective and the RCGP International Overseas Network.

BJGP Open 2018 Oct 8;2(3):bjgpopen18X101601. Epub 2018 Aug 8.

Associate Professor, Department of Family Medicine, Aga Khan University Hospital, Karachi, Pakistan.

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http://dx.doi.org/10.3399/bjgpopen18X101601DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189781PMC
October 2018

Point-of-care C-reactive protein to assist in primary care management of children with suspected non-serious lower respiratory tract infection: a randomised controlled trial.

BJGP Open 2018 Oct 11;2(3):bjgpopen18X101600. Epub 2018 Jul 11.

GP and Professor of Primary Care, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.

Background: Overprescription of antibiotics for lower respiratory tract infections (LRTIs) in children is common, partly due to diagnostic uncertainty, in which case the addition of point-of-care (POC) C-reactive protein (CRP) testing can be of aid.

Aim: To assess whether use of POC CRP by the GP reduces antibiotic prescriptions in children with suspected non-serious LRTI.

Design & Setting: An open, pragmatic, randomised controlled trial in daytime general practice and out-of-hours services. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101600DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189779PMC
October 2018

Influenza vaccination in pregnancy: vaccine uptake, maternal and healthcare providers' knowledge and attitudes. A quantitative study.

BJGP Open 2018 Oct 8;2(3):bjgpopen18X101599. Epub 2018 Aug 8.

Chief Pharmacist, Pharmacy Department, Rotunda Hospital, Dublin, Ireland.

Background: Influenza during pregnancy is a potentially life threatening illness. There are limited data on influenza vaccination uptake and determinants of uptake in Irish obstetric populations.

Aim: To determine the uptake of influenza vaccination during pregnancy; determinants of vaccination uptake; knowledge, attitudes, and concerns of postnatal women; and knowledge and attitudes of healthcare professionals (HCPs) surrounding vaccination. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101599DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189777PMC
October 2018
2 Reads

Patient uptake and adherence to social prescribing: a qualitative study.

BJGP Open 2018 Oct 8;2(3):bjgpopen18X101598. Epub 2018 Aug 8.

Head of PhD School and Reader in Health Service Organisation and Delivery, Institute for Health Research, University of Bedfordshire, Luton, UK.

Background: Social prescription is an initiative that aims to link patients in primary care with sources of support within the community and voluntary sector to improve their health, wellbeing, and care experience. Such programmes usually include navigators, who work with referred patients and issue onward referrals to sources of non-medical support. Most research on social prescribing (SP) has focused on outcome evaluations, resulting in a knowledge gap of factors affecting uptake and adherence. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101598DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189784PMC
October 2018

Diagnostics in anaemia of chronic disease in general practice: a real-world retrospective cohort study.

BJGP Open 2018 Oct 25;2(3):bjgpopen18X101597. Epub 2018 Jul 25.

Internist-Hematologist, Department of Internal Medicine, Albert Schweitzer Hospital, Dordrecht, The Netherlands.

Background: Limited research has been performed that focused on the diagnosis of the underlying cause of anaemia of chronic disease (ACD) in general practice or on prevalence data of the underlying causes of ACD in general practice, although this is one of the most common types of anaemia.

Aim: To clarify the diagnostic strategies of GPs in patients newly diagnosed with ACD and to determine the most common underlying causes.

Design & Setting: Retrospective cohort study. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101597
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http://dx.doi.org/10.3399/bjgpopen18X101597DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189783PMC
October 2018
1 Read

Diagnosing heart failure with NT-proBNP point-of-care testing: lower costs and better outcomes. A decision analytic study.

BJGP Open 2018 Oct 25;2(3):bjgpopen18X101596. Epub 2018 Jul 25.

Professor Emeritus, Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.

Background: Afflicting 1-2% of the adult population, heart failure (HF) is a condition with considerable morbidity and mortality. While echocardiography may be considered the gold standard diagnostic test, GPs have relied on symptoms and clinical findings in diagnosing the condition.

Aim: The aim of this study was to estimate 1-year health outcome and costs of three diagnostic strategies: 1) history and clinical findings ('clinical diagnosis'); 2) clinical diagnosis supplemented with NTproBNP point-of-care test ('POC test') in the GP's surgery; or (3) in hospital laboratory ('hospital test'). Read More

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http://dx.doi.org/10.3399/bjgpopen18X101596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189780PMC
October 2018

Development of an intervention to expedite cancer diagnosis through primary care: a protocol.

BJGP Open 2018 Oct 5;2(3):bjgpopen18X101595. Epub 2018 Sep 5.

Professor of Primary Care Oncology, Academic Unit of Primary Care, Institute of Health Sciences, University of Leeds, Leeds, UK.

Background: GPs can play an important role in achieving earlier cancer diagnosis to improve patient outcomes, for example through prompt use of the urgent suspected cancer referral pathway. Barriers to early diagnosis include individual practitioner variation in knowledge, attitudes, beliefs, professional expectations, and norms.

Aim: This programme of work (Wales Interventions and Cancer Knowledge about Early Diagnosis [WICKED]) will develop a behaviour change intervention to expedite diagnosis through primary care and contribute to improved cancer outcomes. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101595DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189786PMC
October 2018
2 Reads

Safer Prescribing and Care for the Elderly (SPACE): a pilot study in general practice.

BJGP Open 2018 Oct 11;2(3):bjgpopen18X101594. Epub 2018 Jul 11.

GP and Head of School, Department of General Practice and Primary Health Care, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

Background: High-risk prescribing places patients at increased risk of adverse drug events (ADEs). High-risk prescribing and ADE hospitalisations are increasingly common as people are living longer and taking more medicines for multiple chronic conditions. The Safer Prescribing and Care for the Elderly (SPACE) intervention is designed to foster patient engagement in medicines management and prompt medicines review. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101594
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http://dx.doi.org/10.3399/bjgpopen18X101594DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189787PMC
October 2018
1 Read

Is integrated private-clinic based early child development care effective? A clustered randomised trial in Pakistan.

BJGP Open 2018 Jul 27;2(2):bjgpopen18X101593. Epub 2018 Jun 27.

Clinical Professor of International Public, Nuffield Centre for International Health and Development, University of Leeds, Leeds, UK.

Background: In Pakistan, high prevalence of delays in early child development (ECD) is associated with poverty and lack of mothers' caregiving skills. GP clinics, the main sources of care in poor urban localities, lack quality ECD care delivery. A contextualised intervention was developed and tested to enable GPs to deliver clinic-based, tool-assisted ECD counselling of mothers on a quarterly basis. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101593
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http://dx.doi.org/10.3399/bjgpopen18X101593DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184098PMC
July 2018
1 Read

Does peak expiratory flow measured sitting differ from that measured standing? A cross-over study in primary care in Barbados.

BJGP Open 2018 Jul 27;2(2):bjgpopen18X101592. Epub 2018 Jun 27.

Lecturer in Family Medicine, Faculty of Medical Sciences, University of the West Indies, Cave Hill Campus, St Michael, Barbados.

Background: Several authorities recommend measuring peak expiratory flow (PEF) standing. Limited evidence suggests that PEF obtained sitting is similar in magnitude but there are no studies in African populations.

Aim: To determine in adults aged 18-60 years if PEF measured sitting differs from that measured standing. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184096PMC

'More constricting than inspiring' - GPs find chronic care programmes of limited clinical utility. A qualitative study.

BJGP Open 2018 Jul 30;2(2):bjgpopen18X101591. Epub 2018 May 30.

Professor, Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.

Background: As in other countries, Danish health authorities have introduced disease management programmes (DMPs) to improve care quality. These contain clinical practice guidelines (CPGs) and guidelines for patient stratification based on doctors' assessments of disease severity and self-care. However, these programmes are challenged when patients have complex chronic conditions. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184093PMC

Adoption of positive health behaviour among primary care physicians: a cross-sectional pilot study from Lebanon.

BJGP Open 2018 Jul 16;2(2):bjgpopen18X101590. Epub 2018 May 16.

Instructor of Clinical Family Medicine, Department of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

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http://dx.doi.org/10.3399/bjgpopen18X101590DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184089PMC

Machine-learning based identification of undiagnosed dementia in primary care: a feasibility study.

BJGP Open 2018 Jul 13;2(2):bjgpopen18X101589. Epub 2018 Jun 13.

Research Professor, School of Computing, Electronics and Mathematics, Faculty of Science and Engineering, Plymouth University, Plymouth, UK.

Background: Up to half of patients with dementia may not receive a formal diagnosis, limiting access to appropriate services. It is hypothesised that it may be possible to identify undiagnosed dementia from a profile of symptoms recorded in routine clinical practice.

Aim: The aim of this study is to develop a machine learning-based model that could be used in general practice to detect dementia from routinely collected NHS data. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101589
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http://dx.doi.org/10.3399/bjgpopen18X101589DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184101PMC
July 2018
1 Read

Comparing general practice in Australia and in England: an Australian perspective and the RCGP International and Overseas Network.

BJGP Open 2018 Jul 13;2(2):bjgpopen18X101577. Epub 2018 Jun 13.

Founder Member, International and Overseas Network, Royal College of General Practitioners, London, UK.

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http://dx.doi.org/10.3399/bjgpopen18X101577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184097PMC

Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study.

BJGP Open 2018 Jul 16;2(2):bjgpopen18X101565. Epub 2018 May 16.

Director, Turning Point, Eastern Health Clinical School, Monash University, Melbourne, Australia.

Background: Same-sex attracted women (SSAW) have higher rates of alcohol and mental health problems than heterosexual women, but utilisation of and satisfaction with treatment is limited.

Aim: This study investigated the influences on health service use for alcohol and mental health problems among SSAW.

Design & Setting: The Gelberg-Andersen behavioural model of health service utilisation was used to generate outcome variables. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101565DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184099PMC
July 2018
1 Read

Parents' attitudes and views regarding antibiotics in the management of respiratory tract infections in children: a qualitative study of the influence of an information booklet.

BJGP Open 2018 Jul 2;2(2):bjgpopen18X101553. Epub 2018 May 2.

Postdoctoral Researcher, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.

Background: Respiratory tract infection (RTI) is the most common reason to consult a GP during childhood, and often results in unnecessary prescribing of antibiotics. Using an information booklet during the consultation has been shown to be a promising tool to reduce antibiotic prescribing. The influence of such information on parents' views, knowledge, and expectations has not been investigated yet. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101553DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184094PMC

Primary care for people with an intellectual disability - what is prescribed? An analysis of medication recommendations from the BEACH dataset.

BJGP Open 2018 Jul 30;2(2):bjgpopen18X101541. Epub 2018 May 30.

Chair of Intellectual Disability Mental Health and Head of Department of Developmental Disability Neuropsychiatry, School of Psychiatry, UNSW, Sydney, Australia.

Background: People with intellectual disability (ID) experience a range of health disparities. Little is known about differential primary care prescribing patterns for people with and without ID.

Aim: To compare medications recommended by GPs at encounters where ID is recorded versus other encounters. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184100PMC

Shared decision-making (SHARE-D) for healthy behaviour change: a feasibility study in general practice.

BJGP Open 2018 Jul 18;2(2):bjgpopen18X101517. Epub 2018 Apr 18.

Senior Lecturer, Centre for Public Health, Queen's University Belfast, Belfast, UK.

Background: Effective interventions are needed to support health behaviour change for cardiovascular disease (CVD) prevention. Decision tools encourage behaviour change but their effectiveness when used in shared decision-making with health professionals (HPs) is unknown.

Aim: To test the feasibility of using a novel, paper-based tool for shared decision-making in initiating behaviour change. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184102PMC
July 2018
1 Read

Prescribing antibiotics when the stakes are higher - do GPs prescribe less when patients are pregnant? A retrospective observational study.

BJGP Open 2018 Jul 2;2(2):bjgpopen18X101505. Epub 2018 May 2.

Professor, Department of General Practice, Antibiotic Center for Primary Care, Institute of Health and Society, University of Oslo, Oslo, Norway.

Background: Most oral antibiotics are prescribed by GPs, and they are therefore the most important influencers with regard to improving antibiotic prescription patterns. Although GPs' prescription patterns in general are well-studied, little is known about antibiotic prescription patterns in pregnancy.

Aim: To study GPs' antibiotic prescriptions in respiratory tract infections (RTIs) during pregnancy, and assess differences, if any, between pregnant and non-pregnant patients. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101505
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http://dx.doi.org/10.3399/bjgpopen18X101505DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184091PMC
July 2018
9 Reads

'Hajj: what it means for general practice'.

BJGP Open 2018 Jul 18;2(2):bjgpopen18X101493. Epub 2018 Apr 18.

Director, Ihsan Institute for Arabic and Islamic Studies, London, UK.

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http://dx.doi.org/10.3399/bjgpopen18X101493DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184103PMC
July 2018
1 Read

Derivation and validation of a clinical prediction rule for sleep apnoea syndrome for use in primary care.

BJGP Open 2018 Jul 16;2(2):bjgpopen18X101481. Epub 2018 May 16.

Research Fellow, Araba Research Unit, Araba University Hospital, OSI-Araba, Vitoria-Gasteiz, Spain.

Background: Several clinical prediction rules (CPRs) are available for sleep apnoea-hypopnoea syndrome (OSAH), but they are difficult to apply in primary care (PC).

Aim: Derivation and validation of a CPR using simple measurements available in PC.

Design & Setting: A prospective study conducted in health centres from the area of influence of three Spanish hospitals. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101481DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184092PMC

What GPs mean by 'spirituality' and how they apply this concept with patients: a qualitative study.

BJGP Open 2018 Jul 18;2(2):bjgpopen18X101469. Epub 2018 Apr 18.

Director, Centre for Rural Health, University of Aberdeen, Centre for Health Science, Inverness, UK.

Background: Little is known about how the concept of spirituality is understood and applied by GPs.

Aim: To provide a detailed description of how GPs understand the concept of spirituality and apply this with patients.

Design & Setting: Nineteen Scottish GPs were interviewed about their perceptions of the concept of spirituality and how they apply this in practice. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101469DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184090PMC

To vaccinate or not to vaccinate? Women's perception of vaccination in pregnancy: a qualitative study.

BJGP Open 2018 Jul 4;2(2):bjgpopen18X101457. Epub 2018 Apr 4.

Programme Director, GP Trainings Scheme, North Dublin City GP Training Programme, Dublin, Ireland.

Background: Vaccination against influenza and pertussis in pregnancy can reduce the significant morbidity and mortality associated with these infections. Despite this, there is poor uptake of both vaccines in pregnancy.

Aim: To explore women's perception of vaccination in pregnancy and thereby determine the reasons behind such low vaccination rates. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101457DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184095PMC
July 2018
2 Reads

Family medicine and physician reimbursement: a US perspective and the RCGP International and Overseas Network.

BJGP Open 2018 Apr 7;2(1):bjgpopen18X101529. Epub 2018 Apr 7.

Founder Member, RCGP International and Overseas Network, RCGP, London, UK.

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http://dx.doi.org/10.3399/bjgpopen18X101529DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181078PMC

Long-term condition management in adults with intellectual disability in primary care: a systematic review.

BJGP Open 2018 Apr 21;2(1):bjgpopen18X101445. Epub 2018 Apr 21.

Professor of Learning Disabilities, Mental Health and Wellbeing Research Group, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Background: Adults with intellectual disabilities have higher morbidity and earlier mortality than the general population. Access to primary health care is lower, despite a higher prevalence of many long-term conditions.

Aim: To synthesise the evidence for the management of long-term conditions in adults with intellectual disabilities and identify barriers and facilitators to management in primary care. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181081PMC
April 2018
1 Read

Qualitative impact assessment of an educational workshop on primary care practitioner attitudes to NICE HIV testing guidelines.

BJGP Open 2018 Apr 7;2(1):bjgpopen18X101433. Epub 2018 Apr 7.

Unit Lead, Primary Care Unit, Department of Microbiology, Public Health England, Gloucester, UK.

Background: In 2013, Public Health England piloted the '3Cs (chlamydia, contraception, condoms) and HIV (human immunodeficiency virus)' educational intervention in 460 GP surgeries. The educational HIV workshop aimed to improve the ability and confidence of staff to offer HIV testing in line with national guidelines.

Aim: To qualitatively assess the impact of an educational workshop on GP staff's attitudes to NICE HIV testing guidelines. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181084PMC
April 2018
7 Reads

Implementing change in primary care practice: lessons from a mixed-methods evaluation of a frailty initiative.

BJGP Open 2018 Apr 7;2(1):bjgpopen18X101421. Epub 2018 Apr 7.

Professor of Primary Care Research, Academy of Primary Care, Hull York Medical School, Hull, UK.

Background: The NHS is facing increasing needs from an aging population, which is acutely visible in the emerging problem of frailty. There is growing evidence describing new models of care for people living with frailty, but a lack of evidence on successful implementation of these complex interventions at the practice level.

Aim: This study aimed to determine what factors enable or prevent implementation of a whole-system, complex intervention for managing frailty (the PACT initiative) in the UK primary care setting. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101421
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http://dx.doi.org/10.3399/bjgpopen18X101421DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181079PMC
April 2018
6 Reads

Future career intentions of recent GP graduates in Ireland: a trend analysis study.

BJGP Open 2018 Apr 21;2(1):bjgpopen18X101409. Epub 2018 Apr 21.

Director of Research, Research Department, Irish College of General Practitioners, Dublin, Ireland.

Background: A lack of manpower and negative health statistics have increased the workload for Irish GPs. Consequently, recent GP graduates are considering emigration or part-time employment.

Aim: To report on trends of the current status and future work intentions of recent GP graduates in Ireland. Read More

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http://bjgpopen.org/lookup/doi/10.3399/bjgpopen18X101409
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http://dx.doi.org/10.3399/bjgpopen18X101409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181082PMC
April 2018
11 Reads

Clinical features of patients with non-metastatic lung cancer in primary care: a case-control study.

BJGP Open 2018 Apr 7;2(1):bjgpopen18X101397. Epub 2018 Apr 7.

Professor, Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: Lung cancer (LC) kills more people than any other cancer globally, mainly due to the late stage of diagnosis.

Aim: To identify and quantify the prediagnostic features of non-metastatic lung cancer (nMLC) and to compare the clinical features in GPs' chest X-ray referral letters with the clinical features (expressed as diagnostic codes) in medical records.

Design & Setting: A population-based case-control study was conducted using diagnostic codes from national and regional healthcare databases in Sweden. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101397DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181077PMC
April 2018
1 Read

Challenges in measuring interprofessional-interorganisational collaboration with a questionnaire.

BJGP Open 2018 Apr 21;2(1):bjgpopen18X101385. Epub 2018 Apr 21.

Professor of Primary Care, Department of GP Training, Julius Center for Health Sciences and Primary Care, UMC Utrecht, Utrecht, The Netherlands.

Background: Collaboration between medical professionals from separate organisations is necessary to deliver good patient care. This care is influenced by professionals' perceptions about their collaboration. Until now, no instrument to measure such perceptions was available in the Netherlands. Read More

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http://dx.doi.org/10.3399/bjgpopen18X101385DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181086PMC