Reducing early career general practitioners ’ antibiotic prescribing for respiratory tract infections: a pragmatic prospective non-randomised controlled trial
ConclusionsA multifaceted intervention reduced antibiotic prescribing for bronchitis/bronchiolitis but not URTIs. (Source: Family Practice)
Source: Family Practice - July 17, 2017 Category: Primary Care Source Type: research
The association between implementation and outcome of a complex care program for frail elderly people
ConclusionA higher degree of implementation of the CareWell program did not lead to the prevention of functional decline in frail elderly people. (Source: Family Practice)
Source: Family Practice - July 15, 2017 Category: Primary Care Source Type: research
Recruiting primary care practices for practice-based research: a case study of a group-randomized study (TRANSLATE CKD) recruitment process
ConclusionsDespite the general belief that the research topic, invitation method, and interest in research may facilitate practice recruitment, our results suggest that most of the recruitment challenges represent managerial challenges. Future research projects may need to consider relevant methodologies from businesses administration and marketing fields. (Source: Family Practice)
Source: Family Practice - July 15, 2017 Category: Primary Care Source Type: research
General practitioners ’ perceptions of irritable bowel syndrome: a Q-methodological study
ConclusionThere was overwhelming agreement in the way GPs perceived IBS. This contrasts with the range of patient accounts of IBS and may explain why both GPs and their patients face difficult negotiations in achieving therapeutic relationships. (Source: Family Practice)
Source: Family Practice - July 14, 2017 Category: Primary Care Source Type: research
Neuropsychiatric symptoms and psychotropic drug use in patients with dementia in general practices
ConclusionsNPS are highly prevalent in patients with dementia in general practices, but PDU is rather low. The most common clinically relevant NPS were aberrant motor behaviour, agitation/aggression and apathy/indifference. (Source: Family Practice)
Source: Family Practice - July 14, 2017 Category: Primary Care Source Type: research
Erratum
How the ‘omics’ revolution can change primary care (Source: Family Practice)
Source: Family Practice - July 13, 2017 Category: Primary Care Source Type: research
Concomitant pulmonologist and primary care for chronic obstructive pulmonary disease: a population study
ConclusionPatients who received concomitant care after COPD emergency department or hospital discharge did not have better outcomes than those who received primary care alone, however, they did receive more testing and medical management. (Source: Family Practice)
Source: Family Practice - July 7, 2017 Category: Primary Care Source Type: research
Multimorbidity and immigrant status: associations with area of origin and length of residence in host country
ConclusionPrevalence of multimorbidity is lower among foreign-borns as compared with native-borns, but increases rapidly with length of residence in the host country. However, the progressive development of multimorbidity among immigrants varies widely depending on area of origin. These findings provide important insight into the health care needs of specific population groups and may help minimize the negative impact of multimorbidity among the most vulnerable groups. (Source: Family Practice)
Source: Family Practice - July 6, 2017 Category: Primary Care Source Type: research
Comprehensive geriatric assessment for identifying older people at risk of hip fracture: cross-sectional study with comparative group
ConclusionsThere are easily obtained CGA determinants that are strongly associated with fragility HF. The detection of low weight, disability, malnutrition, muscle weakness, and vitamin D deficiency can help identify at-risk older people to implement prevention strategies. (Source: Family Practice)
Source: Family Practice - July 4, 2017 Category: Primary Care Source Type: research
Reducing barriers to consulting a General Practitioner in patients at increased risk of lung cancer: a qualitative evaluation of the CHEST Australia intervention
ConclusionsThese findings suggest that the CHEST Australia intervention is achieving the desired objectives at the qualitative level through the proposed theoretical mechanisms. (Source: Family Practice)
Source: Family Practice - June 21, 2017 Category: Primary Care Source Type: research
Comparing watchful waiting with antidepressants for the management of subclinical depression symptoms to mild –moderate depression in primary care: a systematic review
ConclusionsSuperiority was not demonstrated by either treatment option. More robust evidence is needed to inform recommendations for the management of depressive symptoms in PC. (Source: Family Practice)
Source: Family Practice - June 19, 2017 Category: Primary Care Source Type: research
A multidisciplinary intervention programme for overweight and obese children in deprived areas
ConclusionA local multidisciplinary intervention programme in deprived areas is effective in reducing waist circumference of obese children, compared to a waiting list expectancy, but no significant changes in lifestyle and quality of life were shown. (Source: Family Practice)
Source: Family Practice - June 19, 2017 Category: Primary Care Source Type: research
Will electronic health record data become the standard resource for clinical research?
(Source: Family Practice)
Source: Family Practice - June 14, 2017 Category: Primary Care Source Type: research
What do tests do for doctors? A qualitative study of blood testing in UK primary care
ConclusionOur study emphasises that defining ‘unnecessary’ blood testing may not be as simple as determining medical criteria for testing; psychosocial reasons may be equally valid and interlinked. Further research is needed to help GPs manage uncertainty within the context of a risk averse society, and to explore the congruence and disson ance between doctors’ and patients’ perceptions of testing. (Source: Family Practice)
Source: Family Practice - June 13, 2017 Category: Primary Care Source Type: research
Incidence and treatment of heavy menstrual bleeding in general practice
ConclusionIn this cohort, most women with HMB were treated with oral hormone therapy, and few received the LNG-IUS. If patients are to benefit from the LNG-IUS, further research is needed into the reasons for this lack of change in prescribing practices. (Source: Family Practice)
Source: Family Practice - June 6, 2017 Category: Primary Care Source Type: research
