Diagnostic performance and clinical feasibility of a point-of-care test for respiratory viral infections in primary health care
ConclusionsOur study shows that diagnostic POCTs for respiratory viruses might contribute to a precise and evidence-based diagnosis of RTIs and could positively influence prescription of antibiotics by GPs. However, before implementation in primary healthcare, diagnostic accuracy of the POCT needs improvement and it is impact on clinical decision making should be further assessed. (Source: Family Practice)
Source: Family Practice - March 24, 2017 Category: Primary Care Source Type: research
Impact of clinic follow-up visits on body weight control in people with prediabetes or diabetes mellitus: Japanese nonelderly cohort study
ConclusionIn Japanese people found to have prediabetes or diabetes during an annual health screen, those who visited clinics after their first diagnosis were likely to have better body weight control. (Source: Family Practice)
Source: Family Practice - March 23, 2017 Category: Primary Care Source Type: research
Late-life depression and the association with multimorbidity and polypharmacy: a cross-sectional study
ConclusionsLate-life depression in primary care patients is associated with more chronic drug use, even beyond the increased rates of comorbid somatic diseases. General practitioners should consider medication reviews to prevent unnecessary drug-related problems in these patients. (Source: Family Practice)
Source: Family Practice - March 23, 2017 Category: Primary Care Source Type: research
Epidemiology of latent tuberculosis infection among patients with and without diabetes mellitus
ConclusionsThere is no significant risk of contracting LTBI in DM patients using the standard 10-mm TST cut-off. Nonetheless, using lower cut-offs in a DM population appear valid. Smoking is an important predictor of LTBI. (Source: Family Practice)
Source: Family Practice - March 23, 2017 Category: Primary Care Source Type: research
Corrigendum
<span class="paragraphSection"><strong>Medically unexplained symptoms and general practitioners: a comprehensive survey about their attitudes, experiences and management strategies</strong></span> (Source: Family Practice)
Source: Family Practice - March 22, 2017 Category: Primary Care Source Type: research
Understanding collaboration in general practice: a qualitative study
ConclusionOur findings suggest that regular, formal avenues of communication, professional development and non-hierarchical environments facilitated collaboration between nurses and GPs. Implementing strategies to promote these features has the potential to improve inter-professional collaboration and quality of care within primary care. (Source: Family Practice)
Source: Family Practice - March 8, 2017 Category: Primary Care Source Type: research
Adherence and persistence of patients using oral bone sparing drugs in primary care
ConclusionOlder age of the patients and the GP prescribing the majority of medication were associated with better adherence and persistence. Good adherence in the first prescription year was associated with better persistence. (Source: Family Practice)
Source: Family Practice - March 8, 2017 Category: Primary Care Source Type: research
Evaluating pharmacist input into the pharmaceutical care of patients in dispensing medical practices in remote and rural areas of Scotland
Conclusion.The clinical pharmacist service was both needed and valued highly by staff and patients. In Scotland, this aligns with the Government vision and action plan, ‘Prescription for Excellence’, that by 2023 all patient facing pharmacists will be independent prescribers with those in remote and rural areas entitled to ‘equity of access to such expertise’. (Source: Family Practice)
Source: Family Practice - March 8, 2017 Category: Primary Care Source Type: research
Clinicians ’ interpretations of point of care urine culture versus laboratory culture results: analysis from the four-country POETIC trial of diagnosis of uncomplicated urinary tract infection in primary care
Conclusion.Flexicult ™-POCT overestimated the positivity rate of urine samples for UTI when laboratory culture was used as the reference standard. However, it is unclear whether point-of-care or laboratory based urine culture provides the most valid diagnostic information. (Source: Family Practice)
Source: Family Practice - March 1, 2017 Category: Primary Care Source Type: research
The challenge of identifying family medicine patients with obstructive sleep apnea: addressing the question of gender inequality
Conclusions.We conclude that greater gender equality in sleep apnea rates can be achieved in family practice if sleep apnea assessments are widely offered to older patients. (Source: Family Practice)
Source: Family Practice - February 23, 2017 Category: Primary Care Source Type: research
The effectiveness of optimised clinical medication reviews for geriatric patients: Opti-Med a cluster randomised controlled trial
Conclusion.The study intervention did not influence QoL and geriatric problems. The higher percentage of solved DRPs in the intervention group did not result in effects on the patient ’s health. CMRs on a large scale seem not meaningful and should be reconsidered. (Source: Family Practice)
Source: Family Practice - February 23, 2017 Category: Primary Care Source Type: research
Early assessment of the 10-step patient engagement framework for patient-centred outcomes research studies: the first three steps
Conclusions.Researchers ’ views illustrate the need to re-evaluate patient engagement in PCOR based on current realities. Given the many challenges to engagement that researchers encounter, it may be more productive to redefine the process of patient engagement so that the issues researchers now face are taken into accou nt in future funding announcements, engagement rubrics and methodology frameworks developed. (Source: Family Practice)
Source: Family Practice - February 23, 2017 Category: Primary Care Source Type: research
Alcohol screening among young people: a prospective study from the Swiss Sentinel Surveillance System (Sentinella) of physicians ’ a priori opinions
Conclusion.The systematic use of a screening tool should be preferred over family practitioners ’ subjective opinions to identify excessive alcohol use in young people. (Source: Family Practice)
Source: Family Practice - February 22, 2017 Category: Primary Care Source Type: research
A systematic review of the physical activity assessment tools used in primary care
Conclusion.The evidence base about physical activity assessment in primary care is insufficient to inform current practice. (Source: Family Practice)
Source: Family Practice - February 21, 2017 Category: Primary Care Source Type: research
Satisfaction with general practice care in German patients with multimorbidity: a cross-sectional study
Conclusions.This study found high levels of satisfaction with primary care in patients with multimorbidity. However, since high levels of patient satisfaction are not necessarily equivalent to high quality of care, a broader view is necessary to integrate the subjective views of patients and objective quality indicators into a comprehensive concept of good quality of care. (Source: Family Practice)
Source: Family Practice - February 21, 2017 Category: Primary Care Source Type: research
