An evaluation of a multifaceted, local Quality Improvement Framework for long-term conditions in UK primary care
ConclusionThere are concerns about the unintended consequences of large pay-for-performance schemes in health care, but in a population with a high prevalence of disease, they may at least initially be beneficial. This study also provides evidence that a local, additional scheme may further improve the health of populations. Such schemes, whether national or local, require periodic review to evaluate the balance of their benefits and risks. (Source: Family Practice)
Source: Family Practice - December 21, 2018 Category: Primary Care Source Type: research
Associations between general practice characteristics with use of urgent referrals for suspected cancer and endoscopies: a cross-sectional ecological study
ConclusionMost between-practice variation in use of urgent referrals and endoscopies seems to reflect health need. Some practice characteristics, such as the mean age of GPs, are associated with appreciable variation in use of urgent referrals, though these associations do not seem strong enough to justify targeted interventions. (Source: Family Practice)
Source: Family Practice - December 12, 2018 Category: Primary Care Source Type: research
Targeting cervical cancer campaigns on teenage high schoolers in resource-limited economies: lessons from an intervention study of Nigerian senior secondary school girls
ConclusionEnsuring ‘engagement’ with intervention campaigns is vital to achieving effective and sustainable cervical cancer knowledge. Engagement may be achieved by repeating the education activities across all the years/classes that make up high school in each developing country, along with formal examinations at each level. (Source: Family Practice)
Source: Family Practice - December 12, 2018 Category: Primary Care Source Type: research
The development of an integrated behavioural model of patient compliance with diabetes medication: a mixed-method study protocol
DiscussionThe framework developed here could help in the design of policies to optimize T2D control by identifying lapses in patients ’ intake of diabetic medications. This can be done by exploring the patients’ fundamental and unarticulated belief system via a naturalistic approach adopted in this study. The properties of the framework can be replicated in other settings to serve as a benchmark for quality improvement in T2D patient care. (Source: Family Practice)
Source: Family Practice - December 10, 2018 Category: Primary Care Source Type: research
Advance care planning for patients with cancer in the palliative phase in Dutch general practices
ConclusionsRegistration of ACP items in GPs ’ EPRs appeared to be limited. ACP elements were rarely subject of communication between primary and secondary care, which may impact the continuity of patient care during the last year of life. More emphasis on registration of ACP items and better exchange of information regarding patients’ pre ferences are needed. (Source: Family Practice)
Source: Family Practice - December 10, 2018 Category: Primary Care Source Type: research
Chronic pain is associated with increased health care use among community-dwelling older adults in Brazil: the Pain in the Elderly (PAINEL) Study
ConclusionChronic pain increased health care use among Brazilian older adults. Improving the quality of primary care management of individuals at greater risk of chronic pain should be a cornerstone of health policies directed towards reducing the personal and societal burden of ageing. (Source: Family Practice)
Source: Family Practice - December 5, 2018 Category: Primary Care Source Type: research
The course of neuropsychiatric symptoms in patients with dementia in primary care
ConclusionsGPs should be aware of NPS in people with dementia and should actively identify them when they visit these patients or when informal caregivers consult them. Timely diagnosing facilitates adequate professional care. (Source: Family Practice)
Source: Family Practice - December 4, 2018 Category: Primary Care Source Type: research
Maternal work and exclusive breastfeeding in Mansoura, Egypt
ConclusionsEBF rate is low among working mothers. There is a need to extend maternity leave and provide promoting workplace facilities. (Source: Family Practice)
Source: Family Practice - December 1, 2018 Category: Primary Care Source Type: research
Part-time in general practice —a remedy to a time-based problem?
ConclusionThis study suggests a need for new policies on how clinical consultations are timed and remunerated in keeping with a changed GP demography, new demands and a more complex patient care profile. (Source: Family Practice)
Source: Family Practice - December 1, 2018 Category: Primary Care Source Type: research
Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys
ConclusionThe psychometric properties of the WAI-GP support its use for measuring GP-patient alliance. Possibilities for use include assessing the influence of therapeutic alliance on the effectiveness of interventions. (Source: Family Practice)
Source: Family Practice - November 26, 2018 Category: Primary Care Source Type: research
Is statistician involvement as co-author associated with reduced time to publication of quantitative research in general medical journals? A bibliometric study
ConclusionsPapers co-authored by statisticians have a shorter time to publication. We encourage researchers to closely involve statisticians in the design, conduct and statistical analysis of research, not only to ensure high standards of quality but also to speed up its publication. (Source: Family Practice)
Source: Family Practice - November 26, 2018 Category: Primary Care Source Type: research
Post-stroke memory deficits and barriers to seeking help: views of patients and carers
ConclusionsWith an ageing population and increase in stroke-survival, the burden of post-stroke cognitive impairment and dementia will only increase. Stroke-survivors and their family carers in this study have identified issues that may hinder their presentation to health care professionals at a personal and organizational level. Health professionals need to be aware of these potential issues when planning services for stroke-survivors. (Source: Family Practice)
Source: Family Practice - November 19, 2018 Category: Primary Care Source Type: research
Mental health and parenting stress in mothers of children with diabetes treated in a patient-centred medical home
ConclusionsReceiving care in a patient-centred medical home, particularly the care coordination component, may mitigate some of the negative maternal effects of managing a child ’s diabetes. (Source: Family Practice)
Source: Family Practice - November 16, 2018 Category: Primary Care Source Type: research
Accuracy of urinary symptoms and urine microscopy in diagnosing urinary tract infection in women
ConclusionUrinary symptoms have limited accuracy in diagnosing culture-positive UTI. Concurrent urine microscopy showing presence of pyuria and/or bacterial count increased the diagnostic accuracy of culture-positive UTI. (Source: Family Practice)
Source: Family Practice - November 15, 2018 Category: Primary Care Source Type: research
Non-steroids anti-inflammatory drugs and risk of peritonsillar abscess in pharyngitis: a French longitudinal study in primary care †
ConclusionPrescription of NSAIDs in pharyngitis may increase the risk of PTA. This study encourages considering cautiously the balance between benefits and harms before prescription of NSAIDs for pharyngitis. (Source: Family Practice)
Source: Family Practice - November 12, 2018 Category: Primary Care Source Type: research
