A pharmacy management service for adults with asthma: a cluster randomised controlled trial
ConclusionA community-based asthma management program, the PharMS, that provided asthma education and skill training by a trained pharmacist, resulted in positive and significant improvements in clinical and management outcomes of adult asthma patients. (Source: Family Practice)
Source: Family Practice - May 3, 2017 Category: Primary Care Source Type: research
Patient-reported impact of after-hours house-call services on the utilization of emergency department services in Australia
ConclusionsBased on our respondents ’ reports, AHHC services appear to be associated with a reduction in ED visits in Australia, with the impact cutting across all regions and patient demographics. (Source: Family Practice)
Source: Family Practice - May 2, 2017 Category: Primary Care Source Type: research
Geographical variation in anti-diabetic prescribing in Ireland in 2013 and 2014: a cross-sectional analysis
ConclusionsThere is substantial geographical variation in the prescribing of new T2DM medicines, particularly GLP-1 agonists. The prescribing variation which was identified may not only represent differences in the application of clinical guidelines, but also variation in professional opinion or patient preference. (Source: Family Practice)
Source: Family Practice - May 2, 2017 Category: Primary Care Source Type: research
General practitioners ’ attitudes towards and experiences with referrals due to supplemental health insurance
ConclusionEven though a majority of GPs associate SHI with overtreatment and inequality in health, many GPs feel under pressure to refer patients holding SHI for treatments or examinations that are not medically warranted. Some GPs even refer these patients without further examination or questioning. Insistent SHI patients may partly explain this paradox. Future research should illuminate SHI patients ’ courses in the private as well as the public healthcare system with regards to medical indications and health outcome measures focusing on inequality and overtreatment. (Source: Family Practice)
Source: Family Practice - May 2, 2017 Category: Primary Care Source Type: research
Adverse impacts of chronic pain on health-related quality of life, work productivity, depression and anxiety in a community-based study
ConclusionsChronic pain, particularly multisite pain and neuropathic pain, significantly affected physical and psychological health. Chronic pain is a multifaceted health condition that requires a multidisciplinary treatment approach. (Source: Family Practice)
Source: Family Practice - April 22, 2017 Category: Primary Care Source Type: research
Undocumented and documented migrants with chronic diseases in Family Practice in the Netherlands
ConclusionUndocumented migrants with chronic diseases in general practices in the Netherlands that are experienced in caring for UM receive to a large extent equitable care compared to documented migrants. (Source: Family Practice)
Source: Family Practice - April 21, 2017 Category: Primary Care Source Type: research
Managing transient ischaemic attacks in Australia: a qualitative study
ConclusionHeterogeneity of TIA management equates with variation from guideline recommendations. However, Australian guidelines may not be practicable due to variability in access to secondary-care specialists. Future models of care should consider systems approaches such as telemedicine to promote collaboration and assist GPs to comply with guidelines. (Source: Family Practice)
Source: Family Practice - April 12, 2017 Category: Primary Care Source Type: research
A successful model for longitudinal community-engaged health research: the 2040 Partners for Health Student Program
Conclusion.The 2040 Partners for Health student program represents a successful model of CBPR, illuminating common challenges and reiterating the profound value of community-engaged research. (Source: Family Practice)
Source: Family Practice - April 12, 2017 Category: Primary Care Source Type: research
The North American Primary Care Research Group ’s Patient and Clinician Engagement Program (PaCE): Demystifying patient engagement through a dyad model
Conclusions.To date, 186 participants have completed the full-day, interactive PaCE training, and more than 250 people have participated in PaCE webinars and/or symposia. A 6-month follow-up sent to PaCE participants evaluates engagement activities following training. (Source: Family Practice)
Source: Family Practice - April 12, 2017 Category: Primary Care Source Type: research
How do stroke survivors and their carers use practitioners ’ advice on secondary prevention medications? Qualitative study of an online forum
ConclusionsSide effects of secondary prevention medications and statins in particular, cause anxiety and resentment in some patients, and their concerns are not always addressed by practitioners. Practitioners could consider more proactive strategies to manage such side effects. Forum feedback was appropriate and supportive of the practitioners ’ advice received. Our findings from peer-to-peer online conversations confirm and widen previous research. (Source: Family Practice)
Source: Family Practice - April 10, 2017 Category: Primary Care Source Type: research
Engaging African American women in research: an approach to eliminate health disparities in the African American community
Conclusions:Continued research is needed which specifically focuses on building and sustaining engagement with African American women and their communities. This research can transform healthcare access, experiences and outcomes by yielding actionable information about what African American women need and want to promote wellness for themselves and their communities. (Source: Family Practice)
Source: Family Practice - April 6, 2017 Category: Primary Care Source Type: research
Reply to comments on 'Taylor et al. , Survival following a diagnosis of heart failure inprimary care'
Dear Sir/Madam, (Source: Family Practice)
Source: Family Practice - April 5, 2017 Category: Primary Care Source Type: research
Adaptation to European Spanish and psychometric properties of the Patient Activation Measure 13 in patients with chronic diseases
ConclusionsThe European Spanish PAM-13 is a reliable and valid instrument for assessing activation in patients with chronic disease in Spain. We suggest adding new items to the instrument so as to examine patients with higher activation levels in the future. Further studies are needed to evaluate the usefulness of this new Spanish PAM-13 in different settings and populations, as well as to examine the relationship between PAM-13 scores and other health-related outcomes. (Source: Family Practice)
Source: Family Practice - March 31, 2017 Category: Primary Care Source Type: research
Diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care
ConclusionTrained family physician reached a good performance for evaluation of retinography for diabetic retinopathy. There was improvement in readability with pupil dilation in older patients. (Source: Family Practice)
Source: Family Practice - March 30, 2017 Category: Primary Care Source Type: research
General practitioner trainees ’ in-consultation generation of clinical questions for later answering: prevalence and associations
ConclusionAustralian GP trainees frequently generate questions in-consultation to be pursued post-consultation. Prevalence, ‘complexity’ and familiarity of clinical topic area influenced LG generation. (Source: Family Practice)
Source: Family Practice - March 24, 2017 Category: Primary Care Source Type: research
