Corrigendum: Patient-centred outcomes research: brave new world meets old institutional policies
Family Practice 2017; 34(3): 296 –300.doi:10.1093/fampra/cmw129 (Source: Family Practice)
Source: Family Practice - March 21, 2018 Category: Primary Care Source Type: research
Classification of chronic kidney disease 10 years on: what have we learnt and what do we need to do now?
(Source: Family Practice)
Source: Family Practice - March 13, 2018 Category: Primary Care Source Type: research
Clinical pharmacists working within family practice: what is the evidence?
(Source: Family Practice)
Source: Family Practice - February 6, 2018 Category: Primary Care Source Type: research
Does provider advice to increase physical activity differ by activity level among US adults with cardiovascular disease risk factors?
ConclusionsUS adults with CVD risk factors who do not meet PA guidelines are more likely to receive provider advice to increase PA, but only half receive such advice. Strategies to increase provider advice are needed to improve adherence to USPSTF guidelines among US adults with overweight/obesity and additional CVD risk factors. (Source: Family Practice)
Source: Family Practice - January 30, 2018 Category: Primary Care Source Type: research
Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases: A systematic review
AbstractThe aim of this study is to identify potential facilitators and barriers for health care professionals to undertake selective prevention of cardiometabolic diseases (CMD) in primary health care. We developed a search string for Medline, Embase, Cinahl and PubMed. We also screened reference lists of relevant articles to retain barriers and facilitators for prevention of CMD. We found 19 qualitative studies, 7 quantitative studies and 2 mixed qualitative and quantitative studies. In terms of five overarching categories, the most frequently reported barriers and facilitators were as follows: Structural (barriers: time...
Source: Family Practice - January 29, 2018 Category: Primary Care Source Type: research
Level of agreement between physician and patient assessment of non-medical health factors
ConclusionGPs must be particularly attentive toward their least advantaged patients, to be aware of the relevant non-medical factors that affect these patients ’ health and care, and thus provide management adapted to each individual’s personal situation. (Source: Family Practice)
Source: Family Practice - January 29, 2018 Category: Primary Care Source Type: research
Importance of comorbidities in the treatment of primary care patients with heart failure —Baseline results of the observational RECODE-HF Study
ConclusionFive somatic comorbidity groups as well as patient-reported psychosocial distress were significantly associated with a higher risk of GP-reported treatment difficulties. Further efforts to address comorbidities in clinical guidelines could be built on these results. (Source: Family Practice)
Source: Family Practice - January 29, 2018 Category: Primary Care Source Type: research
International definition of a point-of-care test in family practice: a modified e-Delphi procedure
ConclusionThe definition emerging from this study can inform family practitioners, laboratory specialists, policymakers and manufacturers on the most widely supported and recognized definition and could act as a clear starting point for the organization and execution of professional point-of-care testing in family practice worldwide. (Source: Family Practice)
Source: Family Practice - January 29, 2018 Category: Primary Care Source Type: research
Insights into radiographic investigations for headaches in general practice
ConclusionSignificant intracranial findings were uncommon following imaging for headaches, and MRIs offer no advantages over CTs. Repeating head scans within 5 years offers no clear benefits. Psycho-morbidities should be considered when deciding the imaging needs, given the lesser chance of findings. Larger studies will help validate these findings. (Source: Family Practice)
Source: Family Practice - January 24, 2018 Category: Primary Care Source Type: research
Trends in prescribing of non-steroidal anti-inflammatory drugs in patients with cardiovascular disease: influence of national guidelines in UK primary care
ConclusionDespite guidelines and a trend toward decreased prescribing, the use of potentially harmful NSAIDs continued in CVD patients. The MHRA directives potentially might have affected patients without CVD who may have inappropriately restricted their use of COX-2. (Source: Family Practice)
Source: Family Practice - January 22, 2018 Category: Primary Care Source Type: research
Inequity in contraceptive care between refugees and other migrant women?: a retrospective study in Dutch general practice
ConclusionContraceptives were significantly less often discussed with and prescribed to refugees and other migrant women compared with native Dutch women. More research is needed to elicit the reproductive health needs and preferences of migrant women regarding GP ’s care and experiences in discussing these issues. Such insights are vital in order to provide equitable reproductive healthcare to every woman regardless of her background. (Source: Family Practice)
Source: Family Practice - January 17, 2018 Category: Primary Care Source Type: research
Intensive versus conventional blood pressure monitoring in a general practice population. The Blood Pressure Reduction in Danish General Practice trial: a randomized controlled parallel group trial
ConclusionAn intensive blood pressure monitoring strategy led to a similar blood pressure reduction to conventional monitoring. However, the intensive strategy appeared to improve patients ’ cardiovascular risk profile through other effects than a reduction of blood pressure.Trial registrationClinical Trials NCT00244660. (Source: Family Practice)
Source: Family Practice - January 17, 2018 Category: Primary Care Source Type: research
Reliability measurement and ICD-10 validation of ICPC-2 for coding/classification of diagnoses/health problems in an African primary care setting
ConclusionFindings support the utility of ICPC-2 as a valid and reliable coding tool that may be adopted for routine data collection in the African primary care context. The level of accuracy achieved without training lends credence to the proposition that it is a simple-to-use classification and may be a useful starting point in a setting devoid of any primary care classification system for morbidity and mortality registration at such a critical level of public health importance. (Source: Family Practice)
Source: Family Practice - January 17, 2018 Category: Primary Care Source Type: research
How family doctors perceived their ‘readiness’ and ‘preparedness’ to identify and respond to intimate partner abuse: a qualitative study
ConclusionWhether doctors are ready to identify and respond to IPA might be influenced by their emotional concerns as well as individual motivational beliefs and values, in addition to their attitudes and perceived self-efficacy, revealing a multidimensional concept. Besides enhancing doctors ’ preparedness by means of IPA knowledge and communication skills, training and IPA research could address further their emotional readiness and legitimize doctors’ role to intervene in IPA cases. (Source: Family Practice)
Source: Family Practice - December 28, 2017 Category: Primary Care Source Type: research
An evaluation of the TARGET (Treat Antibiotics Responsibly; Guidance, Education, Tools) Antibiotics Toolkit to improve antimicrobial stewardship in primary care —is it fit for purpose?
ConclusionsWe found evidence that the workshop is likely to be more acceptable and engaging if based around clinical scenarios, with less on AMR and more time on action planning. Greater promotion of TARGET, through Clinical Commissioning Group ’s (CCG’s) and professional bodies, may improve uptake. Patient facing resources should be made accessible through computer shortcuts built into general practice software. (Source: Family Practice)
Source: Family Practice - December 28, 2017 Category: Primary Care Source Type: research
