5,235 results match your criteria Family practice[Journal]


Prescribing of diabetes medications to people with type 2 diabetes and chronic kidney disease: a national cross-sectional study.

BMC Fam Pract 2019 Feb 18;20(1):29. Epub 2019 Feb 18.

Department of Medicine, St Vincent's Hospital and University of Melbourne, Fitzroy, Australia.

Background: Previous studies in general practice and hospital settings have identified that prescribing of non-insulin diabetes medications may be sub-optimal in people with type 2 diabetes (T2D) and renal impairment. Since these publications, a number of new medications have become available for the management of T2D. Study aims were to, in a cohort of Australians with T2D and renal impairment attending general practice, (1) investigate whether the prescribing of non-insulin diabetes medications is consistent with dosing adjustments recommended within current Australian Diabetes Society (ADS) guidelines; and (2) identify patient socio-demographic and clinical factors associated with at least one prescription of a non-insulin diabetes medication inconsistent with current ADS guidelines for medication doses. Read More

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http://dx.doi.org/10.1186/s12875-019-0915-xDOI Listing
February 2019

Effectiveness of individual and group multicomponent interventions for smoking cessation in primary care: a quasi-experimental study.

Fam Pract 2019 Feb 17. Epub 2019 Feb 17.

Servicio Extremeño de Salud, Centro de Salud Universitario 'La Paz', Unidad Docente de Medicina Familiar y Comunitaria, Departamento de Ciencias Biomédicas, Universidad de Extremadura, Badajoz, Spain.

Background: The efficacy of smoking cessation interventions can be quite diverse in day-to-day clinical practice.

Objective: To analyse the effectiveness in smoking cessation of multicomponent interventions carried out in groups or individually in primary care practices.

Methods: A quasi-experimental, multicentre study of 12-month follow-up of patients treated in multicomponent smoking cessation interventions was carried out in Urban health care centres in Sevilla, Spain. Read More

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http://dx.doi.org/10.1093/fampra/cmz005DOI Listing
February 2019

Difference-in-differences analysis and the propensity score to estimate the impact of non-randomized primary care interventions.

Fam Pract 2019 Feb 13. Epub 2019 Feb 13.

Department of Family Medicine, McGill University, Montreal, Canada.

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http://dx.doi.org/10.1093/fampra/cmz003DOI Listing
February 2019

Predicting patient use of general practice services in Australia: models developed using national cross-sectional survey data.

BMC Fam Pract 2019 Feb 14;20(1):28. Epub 2019 Feb 14.

(Then) Family Medicine Research Centre, School of Public Health, University of Sydney, Camperdown, Australia.

Background: The ageing population and increasing prevalence of multimorbidity place greater resource demands on the health systems internationally. Accurate prediction of general practice (GP) services is important for health workforce planning. The aim of this research was to develop a parsimonious model that predicts patient visit rates to general practice. Read More

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http://dx.doi.org/10.1186/s12875-019-0914-yDOI Listing
February 2019

Over prescribing of antibiotics for acute respiratory tract infections; a qualitative study to explore Irish general practitioners' perspectives.

BMC Fam Pract 2019 Feb 14;20(1):27. Epub 2019 Feb 14.

Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

Background: Anti-microbial resistance (AMR) is a global threat to public health and antibiotics are often unnecessarily prescribed for acute respiratory tract infections (ARTIs) in general practice. We aimed to investigate why general practitioners (GPs) continue to prescribe antibiotics for ARTIs despite increasing knowledge of their poor efficacy and worsening antimicrobial resistance.

Methods: We used an explorative qualitative study design. Read More

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http://dx.doi.org/10.1186/s12875-019-0917-8DOI Listing
February 2019

Challenges and strategies for hypertension management: qualitative analysis of small primary care practices with varying blood pressure control.

Fam Pract 2019 Feb 8. Epub 2019 Feb 8.

New York City Department of Health and Mental Hygiene, Division of Prevention and Primary Care, Bureau of the Primary Care Information Project, New York City, NY, USA.

Background: Electronic health record (EHR) data on blood pressure (BP) control among patients with hypertension show that practices' rates vary greatly. This suggests providers use different approaches in managing hypertension, and so we aimed to explore challenges small primary care practice providers face and strategies they use to manage patients' BP. We explored differences between providers with high and low BP control rates to help inform future quality improvement work. Read More

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http://dx.doi.org/10.1093/fampra/cmz004DOI Listing
February 2019
1 Read

Community pharmacy integration within the primary care pathway for people with long-term conditions: a focus group study of patients', pharmacists' and GPs' experiences and expectations.

BMC Fam Pract 2019 Feb 8;20(1):26. Epub 2019 Feb 8.

Centre for Pharmacy Workforce Studies, Division of Pharmacy and Optometry, The University of Manchester, Oxford Road, Manchester, M13 9PT, UK.

Background: This study aimed to use marketing theory to examine the views of patients, pharmacists and general practitioners (GPs) on how community pharmacies are currently used and to identify how community pharmacy services may be better integrated within the primary care pathway for people with long-term conditions (LTCs).

Methods: A qualitative research design was used. Two focus groups were conducted with respiratory patients (n = 6, 5) and two with type 2 diabetes patients (both n = 5). Read More

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http://dx.doi.org/10.1186/s12875-019-0912-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368723PMC
February 2019

INTEGRA study protocol: primary care intervention in type 2 diabetes patients with poor glycaemic control.

BMC Fam Pract 2019 Feb 7;20(1):25. Epub 2019 Feb 7.

Department of Endocrinology & Nutrition, CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Health Sciences Research Institute and University Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Background: The management of hyperglycaemia and associated cardiovascular risk factors in patients with type 2 diabetes mellitus (T2DM) may reduce diabetes-related complications. The strategy to broaden the knowledge base of primary care professionals to improve health care has mainly been prompted by the current reality of limited resources and access to specialized care. The main objective of this study is to assess the effectiveness of comprehensive interventions focused on treatment intensification, decrease clinical inertia and reduce possible barriers to treatment adherence in patients with poorly controlled diabetes in a primary care setting. Read More

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http://dx.doi.org/10.1186/s12875-019-0916-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367799PMC
February 2019

Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol.

BMC Fam Pract 2019 Feb 6;20(1):24. Epub 2019 Feb 6.

Family and Community Medicine Teaching Unit of Córdoba. Lucena II Health Centre, Córdoba, Spain.

Background: Health personnel are susceptible to high levels of work stress and burnout due to the psychological and emotional demands of their work, as well as to other aspects related to the organisation of that work. This paper describes the rationale and design of the MINDUUDD study, the aim of which is to evaluate the effectiveness of a mindfulness and self-compassion 4-session programme versus the standard 8-session programme to reduce work stress and burnout in Family and Community Medicine and Nursing tutors and residents.

Methods: The MINDUDD study is a multicentre cluster randomised controlled trial with three parallel arms. Read More

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http://dx.doi.org/10.1186/s12875-019-0913-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364464PMC
February 2019
1 Read

Understanding accreditation standards in general practice - a qualitative study.

BMC Fam Pract 2019 Jan 31;20(1):23. Epub 2019 Jan 31.

The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Background: Accreditation is a widely adopted tool for quality control and quality improvement in health care, which has increasingly been employed for general practice. However, there is lack of knowledge of how accreditation is received and experienced by health professionals in general practice. This study explores how general practitioners (GPs) and their staff experienced the comprehensibility of accreditation standards and how they worked to increase their understanding of the standards. Read More

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http://dx.doi.org/10.1186/s12875-019-0910-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354356PMC
January 2019

Safety in primary care (SAP-C): a randomised, controlled feasibility study in two different healthcare systems.

BMC Fam Pract 2019 Jan 30;20(1):22. Epub 2019 Jan 30.

Department of General Practice, School of Medicine, National University of Ireland, Galway, Galway, Ireland.

Background: Patient safety research is conducted predominantly in hospital settings, with a dearth of insight from primary care, despite suggestions that 2.2% of primary care consultations result in a patient safety incident. This study aimed to assess the feasibility of an intervention intended to improve patient safety in general practice. Read More

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http://dx.doi.org/10.1186/s12875-019-0909-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352328PMC
January 2019

Consultations for gastroenteritis in general practice and out-of-hours services in Norway 2006-15.

Fam Pract 2019 Jan 26. Epub 2019 Jan 26.

Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Background: Most of the patients with gastroenteritis seeking health care services are managed in primary care; yet, little is known about these consultations. Syndromic-based surveillance of gastrointestinal infections is used in several countries, including Norway.

Aim: To investigate the extent of, and explore characteristics associated with, consultations for gastroenteritis in primary care and to compare consultations in daytime general practice and out-of-hours (OOH) services in Norway. Read More

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http://dx.doi.org/10.1093/fampra/cmy133DOI Listing
January 2019

Regularity of contact with GPs: Measurement approaches to improve valid associations with hospitalization.

Fam Pract 2019 Jan 26. Epub 2019 Jan 26.

Health Systems & Health Economics, School of Public Health, Curtin University, Perth, Australia.

Background: Studies examine longitudinal continuity of GP contact though few consider 'regularity of GP contact', i.e., the dispersion of contacts over time. Read More

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http://dx.doi.org/10.1093/fampra/cmz002DOI Listing
January 2019

Mixed feelings: general practitioners' attitudes towards eHealth for stress urinary incontinence - a qualitative study.

BMC Fam Pract 2019 Jan 26;20(1):21. Epub 2019 Jan 26.

Department of Primary and Community Care, Unit Gender in Primary and Transmural Care, Radboud university medical center, Geert Grooteplein 21, 6500, HB, Nijmegen, the Netherlands.

Background: Stress urinary incontinence (SUI) is the most prevalent subtype of urinary incontinence and is a bothering condition in women. Only a minority of those with SUI consult a general practitioner (GP). EHealth with pelvic floor muscle training (PFMT) is effective in reducing incontinence symptoms and might increase access to care. Read More

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http://dx.doi.org/10.1186/s12875-019-0907-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347743PMC
January 2019
1 Read

Attitudes and barriers towards conducting research amongst primary care physicians in Bahrain: a cross-sectional study.

BMC Fam Pract 2019 Jan 26;20(1):20. Epub 2019 Jan 26.

Family Medicine, Royal College of Surgeons in Ireland-Medical University in Bahrain, PO Box 15503, Adliya, Bahrain.

Background: Research in primary care is essential for disease diagnosis, management and prevention in relation to the individuals, families and the community. This research aims to study the attitude of primary care physicians towards conducting research in Bahrain and to identify the main barriers encountered during research.

Methods: A cross-sectional study was conducted amongst 200 randomly selected primary care physicians registered in Ministry of Health affiliated primary healthcare centers in Bahrain. Read More

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http://dx.doi.org/10.1186/s12875-019-0911-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347740PMC
January 2019
1 Read

Communication, continuity and coordination of care are the most important patients' values for family medicine in a fee-for-services health system.

BMC Fam Pract 2019 Jan 25;20(1):19. Epub 2019 Jan 25.

Department of ambulatory care and community medicine, Institute of Family Medicine, University of Lausanne, Lausanne, Switzerland.

Background: Representing 60% of medical consultations in Switzerland, primary care holds an important place in our medical system. Patients' values in family medicine (FM) are nowadays recognized as important factors to take into account in order to provide good quality of care. The aim of this study is to describe patients' most important values regarding FM and to assess their associations with socio-demographics factors in a fee-for-services health system. Read More

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http://dx.doi.org/10.1186/s12875-018-0895-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346577PMC
January 2019

Pain management in acute otitis media: a qualitative study of parents' views and expectations.

BMC Fam Pract 2019 Jan 23;20(1):18. Epub 2019 Jan 23.

Department of Primary Care and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium.

Background: For unclarified reasons, parents tend to be cautious about administering analgesics to their children, potentially leading to suboptimal management of AOM symptoms. We aim to understand parents' views and expectations of pain management in acute otitis media (AOM) in children.

Methods: Qualitative study alongside a cluster-randomised controlled trial (PIM-POM study) aimed at optimising pain management in childhood AOM. Read More

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http://dx.doi.org/10.1186/s12875-019-0908-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343236PMC
January 2019

A survey of the attitudes, beliefs and knowledge about medical cannabis among primary care providers.

BMC Fam Pract 2019 Jan 22;20(1):17. Epub 2019 Jan 22.

Department of Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.

Background: Healthcare providers play a critical role in facilitating patient access to medical cannabis. However, previous surveys suggest only a minority of providers believe that medical cannabis confers benefits to patients. Significant new knowledge about the potential benefits and harms of medical cannabis has recently emerged. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12875-019-0906-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341534PMC
January 2019
2 Reads

Can support workers from AgeUK deliver an intervention to support older people with anxiety and depression? A qualitative evaluation.

BMC Fam Pract 2019 Jan 19;20(1):16. Epub 2019 Jan 19.

Research Institute, Primary Care and Health Sciences, Keele University, Staffordshire, UK.

Background: Anxiety and depression often co-exist. These disorders are under-diagnosed and under-treated, specifically among older people, and lead to increased use of health and social care services and raised mortality. Older people report a reluctance to present to their GP with depression or anxiety symptoms due to perceived stigma about mental health problems, lack of acceptable treatments and the prioritising of physical health problems. Read More

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http://dx.doi.org/10.1186/s12875-019-0903-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339431PMC
January 2019
3 Reads

Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial.

BMC Fam Pract 2019 Jan 18;20(1):15. Epub 2019 Jan 18.

Vigo Teaching Unit of Family and Community Medicine and Nursing, EOXI Vigo, Galician Health Service, RedIAPP, Grupo I-Saúde (Instituto de Investigación Sanitaria Galicia Sur), Vigo, Spain.

Background: Fostering a culture of safety is an essential step in ensuring patient safety and quality in primary care. We aimed to evaluate the effectiveness of an educational intervention to improve the safety culture in the family and community medicine teaching units in an Atlantic European Region.

Methods: Randomized study conducted in family and community medicine teaching units in Galicia (Spain). Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12875-018-0901-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337818PMC
January 2019
5 Reads

Correction to: Prevalence of anal symptoms in general practice: a prospective study.

BMC Fam Pract 2019 Jan 17;20(1):14. Epub 2019 Jan 17.

Sorbonne Paris Cité, General practice department, University Paris Diderot, F-75018 Paris, France; REMES, F-75018, Paris, France.

Following publication of the original article [1], the authors reported an error to one of the 'study groups' in the authorship section. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12875-019-0905-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335827PMC
January 2019
5 Reads

Helpful ways providers can communicate about persistent medically unexplained physical symptoms.

BMC Fam Pract 2019 Jan 16;20(1):13. Epub 2019 Jan 16.

War Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA.

Background: Communication between patients and providers about persistent "medically unexplained" physical symptoms (MUS) is characterized by discordance. While the difficulties are well documented, few studies have examined effective communication. We sought to determine what veterans with Gulf War Illness (GWI) perceive as the most helpful communication from their providers. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12875-018-0881-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334465PMC
January 2019
13 Reads

Symptom profile of patients receiving antibiotics for upper respiratory tract infections in general practice: an observational study using smartphone technology.

Fam Pract 2019 Jan 14. Epub 2019 Jan 14.

Datavation, Perth, Australia.

Background: Upper respiratory tract infections (URTIs) are a common presentation in general practice and are linked to high rates of inappropriate antibiotic prescription. There is limited information about the trajectory of patients with this condition who have been prescribed antibiotics.

Objective: To document the symptom profile of patients receiving antibiotics for URTIs in Australian general practice using smartphone technology and online surveys. Read More

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http://dx.doi.org/10.1093/fampra/cmy134DOI Listing
January 2019
2 Reads

Screening for poverty and intervening in a primary care setting: an acceptability and feasibility study.

Fam Pract 2019 Jan 9. Epub 2019 Jan 9.

Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada.

Background: A movement is emerging to encourage health providers and health organizations to take action on the social determinants of health. However, few evidence-based interventions exist. Digital tools have not been examined in depth. Read More

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http://dx.doi.org/10.1093/fampra/cmy129DOI Listing
January 2019
1 Read

Barriers to GPs identifying patients at the end-of-life and discussions about their care: a qualitative study.

Fam Pract 2019 Jan 14. Epub 2019 Jan 14.

Centre for Academic Primary Care, University of Bristol, UK.

Background: Identification of patients at the end-of-life is the first step in care planning and many general practices have Palliative Care Registers. There is evidence that these largely comprise patients with cancer diagnoses, but little is known about the identification process.

Objective: To explore the barriers that hinder GPs from identifying and registering patients on Palliative Care Registers. Read More

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http://dx.doi.org/10.1093/fampra/cmy135DOI Listing
January 2019
1 Read

The future of primary care rural cancer research: a commentary on Murage et al.

Fam Pract 2019 Jan 9. Epub 2019 Jan 9.

Institute of Applied Health Sciences, University of Aberdeen, Aberdeen AB24 3FX, UK.

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http://dx.doi.org/10.1093/fampra/cmy132DOI Listing
January 2019

Trends in antimicrobial management of gonorrhoea by general practitioners in Amsterdam, the Netherlands, between 2010 and 2016: a cross-sectional study.

BMC Fam Pract 2019 Jan 15;20(1):12. Epub 2019 Jan 15.

Department of General Practice, Amsterdam University Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22700, 1100 DE, Amsterdam, The Netherlands.

Background: Sexually transmitted infections (STI) caused by multidrug resistant Neisseria gonorrhoea are an emerging threat to global health. In the Netherlands, the general practitioner (GP) provides the major part of STI care. In 2013 an update of the Dutch guideline was published, recommending a single dose of intramuscular ceftriaxone as treatment for gonorrhoea infections. Read More

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http://dx.doi.org/10.1186/s12875-018-0900-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332518PMC
January 2019
1 Read

A qualitative study of cardiovascular disease risk communication in NHS Health Check using different risk calculators: protocol for the RIsk COmmunication in NHS Health Check (RICO) study.

BMC Fam Pract 2019 Jan 14;20(1):11. Epub 2019 Jan 14.

Staffordshire University, The Science Centre, Leek Road, Stoke-on-Trent, ST4 2DF, UK.

Background: NHS Health Check is a national cardiovascular disease (CVD) risk assessment programme for 40-74 year olds in England, in which practitioners should assess and communicate CVD risk, supported by appropriate risk-management advice and goal-setting. This requires effective communication, to equip patients with knowledge and intention to act. Currently, the QRISK®2 10-year CVD risk score is most common way in which CVD risk is estimated. Read More

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http://dx.doi.org/10.1186/s12875-018-0897-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332912PMC
January 2019
1 Read
1.735 Impact Factor

Effectiveness of treatment of newly diagnosed hypertension in family medicine practices in South Croatia.

BMC Fam Pract 2019 Jan 14;20(1):10. Epub 2019 Jan 14.

Department of Research in Biomedicine and Health, University of Split School of Medicine, Split, Croatia.

Background: Uncontrolled blood pressure remains an urgent issue in clinical practice worldwide. This study aimed to compare the characteristics and effectiveness of hypertension control in family medicine pratice in the first treatment year, in relation to the geographical position, socio-economic standard, and access to medical services and public pharmacies in urban, rural and island environments (city of Split vs. Dalmatian Hinterland vs. Read More

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http://dx.doi.org/10.1186/s12875-019-0902-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330736PMC
January 2019
1 Read

Job satisfaction, work stress, and turnover intentions among rural health workers: a cross-sectional study in 11 western provinces of China.

BMC Fam Pract 2019 Jan 14;20(1). Epub 2019 Jan 14.

School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.

Background: Health workforce turnover remains a global concern, particularly in rural and remote areas. Western rural areas are the least developed in China, where it faces the serious challenge on the rural health worker (RHW) management. This study aimed to investigate job satisfaction, work stress, and turnover intentions of RHWs, and to explore prominent factors associated with turnover intentions of RHWs in rural western China. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-019-0904-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330754PMC
January 2019
2 Reads

Understanding the adoption and use of point-of-care tests in Dutch general practices using multi-criteria decision analysis.

BMC Fam Pract 2019 Jan 10;20(1). Epub 2019 Jan 10.

Department of Health Technology and Services Research, Faculty of Behavioural, Management and Social Sciences, Technical Medical Centre, University of Twente, P.O. Box 217, 7500, AE, Enschede, The Netherlands.

Background: The increasing number of available point-of-care (POC) tests challenges clinicians regarding decisions on which tests to use, how to efficiently use them, and how to interpret the results. Although POC tests may offer benefits in terms of low turn-around-time, improved patient's satisfaction, and health outcomes, only few are actually used in clinical practice. Therefore, this study aims to identify which criteria are, in general, important in the decision to implement a POC test, and to determine their weight. Read More

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http://dx.doi.org/10.1186/s12875-018-0893-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327588PMC
January 2019
1 Read

Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care.

Fam Pract 2019 Jan 10. Epub 2019 Jan 10.

Department of Pharmaceutical Sciences, Utrecht University, Utrecht, the Netherlands.

Objective: To evaluate the process of clinical medication review for elderly patients with polypharmacy performed by non-dispensing pharmacists embedded in general practice. The aim was to identify the number and type of drug therapy problems and to assess how and to what extent drug therapy problems were actually solved.

Method: An observational cross-sectional study, conducted in nine general practices in the Netherlands between June 2014 and June 2015. Read More

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http://dx.doi.org/10.1093/fampra/cmy114DOI Listing
January 2019

Integration of chronic disease prevention and management services into primary care (PR1MaC): findings from an embedded qualitative study.

BMC Fam Pract 2019 Jan 9;20(1). Epub 2019 Jan 9.

Département de médecine de famille et de médecine d'urgence, Université de Sherbrooke, Sherbrooke 3001, 12e avenue Nord, Sherbrooke, Québec, J1H 5N4, Canada.

Background: The PR1MaC study was conducted to evaluate the integration of Chronic Disease Prevention and Management services into primary care practices and was reported effective. The aim of this study was to further explore the effects of the PR1MaC intervention on patients and their family.

Methods: We conducted a qualitative study embedded in a randomized controlled trial. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12875-018-0898-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325817PMC
January 2019
4 Reads

General practitioners attitude and confidence scale for dementia (GPACS-D): confirmatory factor analysis and comparative subscale scores among GPs and supervisors.

BMC Fam Pract 2019 Jan 8;20(1). Epub 2019 Jan 8.

Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania Private Bag 143, Hobart, Tasmania, 7001, Australia.

Background: The attitude of General Practitioner's (GP's) towards dementia and confidence in their clinical abilities impacts on diagnosis rates and management of the condition. The purpose of the present research is to refine and confirm the reliability and validity of the General Practitioner Attitudes and Confidence Scale for Dementia (GPACS-D) as a tool to measure confidence and attitude.

Methods: A sample of 194 GP volunteers attending dementia education workshops were recruited to complete the GPACS-D before and after the workshop. Read More

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http://dx.doi.org/10.1186/s12875-018-0896-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323804PMC
January 2019
1 Read

Exploring the sorting of patients in community health centres across Gauteng Province, South Africa.

Authors:
B A Stott S Moosa

BMC Fam Pract 2019 Jan 7;20(1). Epub 2019 Jan 7.

Department of Family Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Primary health care worldwide faces large numbers of patients daily. Poor waiting times, low patient satisfaction and staff burnout are some problems facing such facilities. Limited research has been done on sorting patients in non-emergency settings in Africa. Read More

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http://dx.doi.org/10.1186/s12875-018-0899-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322241PMC
January 2019
1 Read

Attitudes and behaviour towards psychotropic drug prescribing in Swedish primary care: a questionnaire study.

BMC Fam Pract 2019 Jan 5;20(1). Epub 2019 Jan 5.

Department of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: The prescribing of psychotropic drugs, i.e. antidepressants, sedatives (anxiolytics, hypnotics), and antipsychotics is considerable and a large proportion is prescribed by general practitioners (GPs). Read More

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http://dx.doi.org/10.1186/s12875-018-0885-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321667PMC
January 2019
2 Reads

Using a checklist to facilitate management of long-term care needs after stroke: insights from focus groups and a feasibility study.

BMC Fam Pract 2019 Jan 4;20(1). Epub 2019 Jan 4.

Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Worts' Causeway, Cambridge, CB1 8RN, UK.

Background: Long-term needs of stroke survivors are often not adequately addressed and many patients are dissatisfied with care post-discharge from hospital. Primary care could play an important role in identifying need in people with stroke.

Aim: We aimed to explore, refine and test the feasibility and acceptability of a post-stroke checklist for stroke reviews in primary care. Read More

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http://dx.doi.org/10.1186/s12875-018-0894-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318919PMC
January 2019
1 Read

The workload for home visits by German family practitioners: an analysis of regional variation in a cross-sectional study.

BMC Fam Pract 2019 Jan 4;20(1). Epub 2019 Jan 4.

Department of General Practice/Medical Clinic III, University Hospital Carl Gustav Carus of the Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Background: In Germany, home visits account for a considerable workload for many family practitioners, substantial rural-urban disparities are assumable with regards to home visit frequency and duration. Considering the ongoing demographic change and a rural-urban migration a significant regional difference in the provision of care is assumable. There is a lack of reliable data on the current provision of home visits and how their organisational procedures can be ensured in the future. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-018-0891-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318834PMC
January 2019
5 Reads

Being tested but not educated - a qualitative focus group study exploring patients' perceptions of diabetic dietary advice.

BMC Fam Pract 2019 Jan 3;20(1). Epub 2019 Jan 3.

Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.

Background: Diet is a key component of the management of diabetes. Several studies suggest that patients receive insufficient and inadequate information. As a first step for developing an intervention for improving dietary advice in primary care, we aimed to explore patients' experience of receiving dietary advice; their attitudes towards that advice; their perceived dietary advice needs, and any barriers faced in adopting a diet that supports the management of their diabetes. Read More

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http://dx.doi.org/10.1186/s12875-018-0892-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317200PMC
January 2019
2 Reads

Motivations and willingness of general practitioners in France to participate in primary care research as investigators.

Fam Pract 2019 Jan 3. Epub 2019 Jan 3.

Department of General Practice, University of Rouen, Rouen, France.

Background: Clinical research is mostly conducted among hospitalized patients, which restricts the generalizability of research results. The involvement of GPs in research has been consistently highlighted as a factor associated with successful study recruitment.

Objectives: To assess GPs' motivations and willingness to participate in primary care research as investigators and to identify factors associated with their willingness. Read More

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http://dx.doi.org/10.1093/fampra/cmy126DOI Listing
January 2019

The effectiveness of self-care and family-oriented interventions in patients with diabetes mellitus.

Fam Pract 2018 Dec 31. Epub 2018 Dec 31.

CICS-UBI-Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal.

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http://dx.doi.org/10.1093/fampra/cmy131DOI Listing
December 2018

Patients' and practice nurses' perceptions of depression in patients with type 2 diabetes and/or coronary heart disease screened for subthreshold depression.

BMC Fam Pract 2018 Dec 23;19(1):202. Epub 2018 Dec 23.

Department of Health Sciences, Amsterdam Public Health Research Institute, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.

Background: Comorbid depression is common in patients with type 2 diabetes (DM2) and/or coronary heart disease (CHD) and is associated with poor quality of life and adverse health outcomes. However, little is known about patients' and practice nurses' (PNs) perceptions of depression. Tailoring care to these perceptions may affect depression detection and patient engagement with treatment and prevention programs. Read More

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http://dx.doi.org/10.1186/s12875-018-0870-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304236PMC
December 2018
1 Read

An evaluation of a multifaceted, local Quality Improvement Framework for long-term conditions in UK primary care.

Fam Pract 2018 Dec 21. Epub 2018 Dec 21.

Keele University, Staffordshire, UK.

Background: The evidence that large pay-for-performance schemes improve the health of populations is mixed-evidence regarding locally implemented schemes is limited.

Objective: This study evaluates the effects in Stoke-on-Trent of a local, multifaceted Quality Improvement Framework including pay for performance in general practice introduced in 2009 in the context of the national Quality and Outcomes Framework that operated from 2004.

Methods: We compared age-standardized mortality data from all 326 local authorities in England with the rates in Stoke-on-Trent using Difference-in-Differences, estimating a fixed-effects linear regression model with an interaction effect. Read More

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http://dx.doi.org/10.1093/fampra/cmy128DOI Listing
December 2018

The needs of informal caregivers and barriers of primary care workers toward dementia management in primary care: a qualitative study in Beijing.

BMC Fam Pract 2018 Dec 20;19(1):201. Epub 2018 Dec 20.

School of General Practice and Continuing Education, Capital Medical University, No.10 Xitoutiao, You An Men, Beijing, 100069, China.

Background: Informal caregivers of people with dementia in Beijing are increasingly called upon to provide home-based care for their patients due to the increasing number of dementia patients and the shortage of standardized institutional solutions of care for patients in China. This study aimed to clarify the needs of informal caregivers and barriers of primary care workers toward dementia management in primary care in Beijing to provide references that may help to improve the care and services provided to individuals with dementia and their family caregivers residing in urban China.

Methods: A mixed-methods approach was used in this study. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-018-0890-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302289PMC
December 2018
2 Reads

An online survey of Irish general practitioner experience of and attitude toward managing problem alcohol use.

BMC Fam Pract 2018 Dec 18;19(1):200. Epub 2018 Dec 18.

Irish College of General Practitioners, 4-5 Lincoln Place, Dublin, 2, County Tipperary, Ireland.

Background: In the general practice setting screening, brief intervention and counselling have been shown to be effective in the reduction of problem alcohol use. This study aimed to explore Irish general practitioners' (GPs) current practice of and attitudes towards the management of problem alcohol use.

Methods: An online survey was emailed, with one email reminder, to 1750 general/family practitioners who were members of the Irish College of General Practitioners (ICGP) and for whom an active email address was available. Read More

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http://dx.doi.org/10.1186/s12875-018-0889-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297939PMC
December 2018
1 Read

Diabetes mellitus and periodontal disease: awareness and practice among doctors working in public general out-patient clinics in Kowloon West Cluster of Hong Kong.

Authors:
Sut Yee Tse

BMC Fam Pract 2018 Dec 17;19(1):199. Epub 2018 Dec 17.

Department of Family Medicine and Primary Health Care, New Territories West Cluster, Hospital Authority, Hong Kong, China.

Background: Diabetes mellitus (DM) and periodontitis are very common and they interact with each other bidirectionally. This survey studied public primary care doctors on their awareness of this bidirectional relationship and their corresponding practice.

Methods: All Family Medicine doctors in Kowloon West Cluster, Hospital Authority were invited to a cross-sectional questionnaire survey. Read More

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http://dx.doi.org/10.1186/s12875-018-0887-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297978PMC
December 2018
1 Read

The value of an embedded qualitative study in a trial of a second antidepressant for people who had not responded to one antidepressant: understanding the perspectives of patients and general practitioners.

BMC Fam Pract 2018 Dec 14;19(1):197. Epub 2018 Dec 14.

Centre for Academic Primary Care, Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN, UK.

Background: Depression is the leading cause of disability worldwide, and is a major contributor to the overall global burden of disease. The number of prescriptions for antidepressants has risen dramatically in recent years yet up to 50% of patients who are treated for depression with antidepressants do not report feeling better as a result of treatment, and do not show the desired improvement on depression measures. We report a qualitative study embedded in a trial of second antidepressant for people who had not responded to one antidepressant, exploring the acceptability of a combination of antidepressants from the perspectives of both patients and practitioners, together with experiences of participating in a clinical trial. Read More

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http://dx.doi.org/10.1186/s12875-018-0877-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293563PMC
December 2018
2 Reads

Frequency and features of nocturnal enuresis in Pakistani children aged 5 to 16 years based on ICCS criteria: a multi-center cross-sectional study from Karachi, Pakistan.

BMC Fam Pract 2018 Dec 14;19(1):198. Epub 2018 Dec 14.

South Tyneside District Hospital, South Shields, UK.

Background: Nocturnal enuresis (NE) is a common symptom in children worldwide. International Children's Continence Society (ICCS) defines enuresis as either mono-symptomatic, NE with lower urinary tract symptoms and NE with co-morbid conditions. The objectives of this study were to determine the frequencies and types of NE and associated symptoms and conditions in children aged 5 to 16 years based on ICCS criteria. Read More

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http://dx.doi.org/10.1186/s12875-018-0876-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293541PMC
December 2018
3 Reads
1.735 Impact Factor

Irish general practitioners' view of perinatal mental health in general practice: a qualitative study.

BMC Fam Pract 2018 Dec 13;19(1):196. Epub 2018 Dec 13.

School of Allied Health, Faculty of Education & Health Sciences, Health Sciences Building, University of Limerick, Limerick, Ireland.

Background: Identification of perinatal mental health problems and effective care for women who experience them are important considering the potentially serious impact that they may have on the wellbeing of the woman, her baby, family and wider society. General practitioners (GPs) play a central role in identifying and supporting women and this study aimed to explore GPs' experiences of caring for women with perinatal mental health problems in primary care. The results of this study may provide guidance to inform policy, practice, research and development of curriculum and continuous professional development resources. Read More

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http://dx.doi.org/10.1186/s12875-018-0884-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293539PMC
December 2018
2 Reads