Development and validation study of a non-alcoholic fatty liver disease risk scoring model among adults in China
ConclusionA NAFLD risk scoring model can be used to identify asymptomatic Chinese people who are at risk of NAFLD for further USS investigation. (Source: Family Practice)
Source: Family Practice - June 6, 2017 Category: Primary Care Source Type: research
Psychological issues and cognitive impairment in adults with familial hypercholesterolemia
AbstractA literature review about depression, anxiety, illness perception and neurocognitive impairment in adults with familial hypercholesterolemia (FH) was performed. Through PubMed and PsycINFO published studies from 1980 until March 2017 were searched. Two papers assessed depression and anxiety. Four papers explored illness perception. Five studies assessed cognitive impairment. Mean depression and anxiety scores were within normal range. From the reviewed research, it can be concluded that deficits in executive functioning and memory appear in FH patients between 18 and 40 years old, and mild cognitive impairment in o...
Source: Family Practice - June 6, 2017 Category: Primary Care Source Type: research
Erratum
The North American Primary Care Research Group ’s Patient and Clinician Engagement Program (PaCE): Demystifying patient engagement through a dyad model (Source: Family Practice)
Source: Family Practice - June 2, 2017 Category: Primary Care Source Type: research
Guideline adherence for diagnostic faeces testing in primary care patients with gastroenteritis
ConclusionOverall adherence to CPG indications when requesting DFT in primary care patient with GE was 17%. Implementation of PCR-based DFT was not associated with a change in CPG adherence. (Source: Family Practice)
Source: Family Practice - May 20, 2017 Category: Primary Care Source Type: research
Quandaries in patient and community engagement in research
(Source: Family Practice)
Source: Family Practice - May 19, 2017 Category: Primary Care Source Type: research
Reply to Forsyth et al. , commenting on our paper ‘Survival following a diagnosis of heart failure in primary care’
Dear Sir (Source: Family Practice)
Source: Family Practice - May 10, 2017 Category: Primary Care Source Type: research
Oncologists ’ views on the importance of general practitioners for cancer patients: a qualitative interview study from Germany
ConclusionOur analysis found that oncologists clearly distinguish between their own sphere of evidence-based treatment decision-making and GPs ’ sphere of psychosocial caring. The question remains how these roles get interconnected in real life situations in order to meet patients’ needs adequately. So far it seems that it is often the patient who is travelling between both spheres and needs to initiate interconnection to get comprehen sive cancer care. (Source: Family Practice)
Source: Family Practice - May 9, 2017 Category: Primary Care Source Type: research
Considerations on requests for euthanasia or assisted suicide; a qualitative study with Dutch general practitioners
ConclusionsOur study feeds the ethical discussion on the tension that can arise between a physician ’s own views on death and dying, and the views and preferences of his patients. When considerations like ‘no unresolved conflicts’ or ‘enough resignation’ influence the decision to grant a request for EAS this poses questions from an ethical and professional point of view. We hypothesise t hat these considerations reflect GPs’ views on what ‘good dying’ entails and we advocate further research on this topic. (Source: Family Practice)
Source: Family Practice - May 9, 2017 Category: Primary Care Source Type: research
‘Meet and greet’ intake appointments in primary care: a new pattern of patient intakes?
Conclusion‘Meet and greets’ are common among FPs in NS and result in some patients not being accepted into practice. More research is needed to understand the intentions, processes, and outcomes of ‘meet and greets’. We recommend that practice scope be made clear to prospective patients before their f irst visit, which may eliminate the need for ‘meet and greets’. (Source: Family Practice)
Source: Family Practice - May 9, 2017 Category: Primary Care Source Type: research
Dutch practice nurses ’ adherence to evidence-based smoking cessation treatment guidelines
ConclusionThis study quantitatively confirmed practice nurses ’ sub-optimal guideline adherence and found associations between socio-cognitive (self-efficacy and perceived advantages) and predisposing factors (time spent on counselling), and guideline adherence. Detailed insights in these factors offer preliminary directions for intervention development to i mprove practice nurses’ adherence to evidence-based smoking cessation guidelines. (Source: Family Practice)
Source: Family Practice - May 9, 2017 Category: Primary Care Source Type: research
Short-course versus long-course oral antibiotic treatment for infections treated in outpatient settings: a review of systematic reviews
ConclusionsThis overview of systematic reviews has identified good quality evidence that short course antibiotics are as effective as longer courses for most common infections managed in ambulatory care. The impact on antibiotic resistance and associated treatment failure requires further study. (Source: Family Practice)
Source: Family Practice - May 9, 2017 Category: Primary Care Source Type: research
Motivational interviewing by general practitioners for Type 2 diabetes patients: a systematic review
Conclusions.Few studies have examined evidence for the effectiveness of MI delivered by GPs to Type 2 diabetes patients. Evidence to support the effectiveness of MI on GP and patient outcomes is weak. Further quality studies are needed to examine the effects of MI on GP and patient outcomes. (Source: Family Practice)
Source: Family Practice - May 9, 2017 Category: Primary Care Source Type: research
What do we know and need to know about transforming primary care?
Regardless of a country ’s approach, results or costs, there appears to be worldwide interest in transforming medical care to better serve an aging population while managing rising costs, improving health and enhancing the patient experience (the ‘triple aim’) (1). In the USA, that interest is accompanied by the opinion that the current volume-based payment system may need fundamental reforms to allow the desired transformation to occur. In addition, widespread and growing dissatisfaction by health care professionals has led Bodenheimer and Sinksy to suggest adding a fourth aim —improving the work life of clinician...
Source: Family Practice - May 5, 2017 Category: Primary Care Source Type: research
Primary care physicians ’ use of the proposed classification of common mental disorders for ICD-11
ConclusionsResults generally supported the inclusion of the new categories of anxious depression, BSS and HA for ICD-11 PHC and suggested that PCPs could implement these categories satisfactorily. (Source: Family Practice)
Source: Family Practice - May 4, 2017 Category: Primary Care Source Type: research
Frailty in family practice
(Source: Family Practice)
Source: Family Practice - May 4, 2017 Category: Primary Care Source Type: research
