Primary care providers ’ perspectives on initiating childhood obesity conversations: a qualitative study
ConclusionsOverall, PCPs were more comfortable with weight-related discussions during annual well-child visits and rarely initiated them during an acute visit or the first encounter with a patient. Objective measures, such as growth charts, were often utilized to start discussions. Considering a large proportion of well-child visits are missed, alternative opportunities to have discussions about healthy lifestyle behaviours should be explored. The integral role PCPs play in paediatric obesity warrants further research. (Source: Family Practice)
Source: Family Practice - March 2, 2021 Category: Primary Care Source Type: research
Validity and reliability of the Mandarin version of the Treatment Burden Questionnaire among stroke patients in Mainland China
ConclusionsThe Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care. (Source: Family Practice)
Source: Family Practice - February 22, 2021 Category: Primary Care Source Type: research
Access to inflammatory bowel disease speciality care: the primary healthcare physician perspective
ConclusionsPHCPs play an important role in identifying and managing patients with IBD in partnership with gastroenterologists. This study identifies key PHCP perceived barriers that may prevent patients from accessing speciality IBD care. Understanding and addressing barriers to access from multiple stakeholder perspectives, including PHCPs, has the potential to support informed system redesign and overcome access inequities. (Source: Family Practice)
Source: Family Practice - February 22, 2021 Category: Primary Care Source Type: research
Mapping the literature on primary care research reporting: a scoping review
ConclusionsPublished research and opinion identify unique needs for PC research reports and support new guidance to improve the validity, generalizability and application of study findings. (Source: Family Practice)
Source: Family Practice - February 18, 2021 Category: Primary Care Source Type: research
A qualitative study of VHA clinicians ’ knowledge and perspectives on cannabis for medical purposes
ConclusionsVA clinicians face challenges in navigating the topic of medical cannabis. Educational materials about cannabis products, dose and harms would be helpful to clinicians. (Source: Family Practice)
Source: Family Practice - February 9, 2021 Category: Primary Care Source Type: research
Interventions on health care providers to improve seasonal influenza vaccination rates among patients: a systematic review and meta-analysis of the evidence since 2000
ConclusionsLimited evidence suggests various forms of physicians ’ and nurses’ education and use of reminders may be effective for increasing SIV rates among patients. (Source: Family Practice)
Source: Family Practice - January 31, 2021 Category: Primary Care Source Type: research
A systematic review of general practice-based pharmacists ’ services to optimize medicines management in older people with multimorbidity and polypharmacy
ConclusionFuture high-quality studies are needed to test the effects of PBP interventions on a well-defined range of medicines management-related outcomes. (Source: Family Practice)
Source: Family Practice - January 28, 2021 Category: Primary Care Source Type: research
The opioid-prescribing practices of Australian general practice registrars: an interview study
ConclusionsNon-evidence-based opioid prescribing by Australian GP registrars is multifactorial. Emotionally difficult pain consultations, poor supervision and low prescriber confidence may contribute to unsafe prescribing. Improving registrar prescribing may require interventions to improve risk reduction, training in communication and role modelling by supervisors. (Source: Family Practice)
Source: Family Practice - January 28, 2021 Category: Primary Care Source Type: research
Incidence and management of acute otitis media in adults: a primary care-based cohort study
ConclusionOver the past years, the incidence of AOM in adults in primary care has been stable. Oral antibiotic prescription rates resemble those in children with AOM, whereas a remarkably high topical antibiotic prescription rate was observed. Future prognostic research should inform on the need and feasibility of prospective studies into the best management strategy in this condition. (Source: Family Practice)
Source: Family Practice - January 28, 2021 Category: Primary Care Source Type: research
Nudging health care workers towards a flu shot: reminders are accepted but not necessarily effective. A randomized controlled study among residents in general practice in France
ConclusionThe failure of this nudge highlights the importance of matching an intervention to the population ’s needs. The experimental approach is innovative in this context and deserves further attention.ClinicalTrials.gov pre-registrationNCT03768596 (Source: Family Practice)
Source: Family Practice - January 28, 2021 Category: Primary Care Source Type: research
Health of war-affected Karen adults 5 years post-resettlement
ConclusionsThis study is the first retrospective longitudinal analysis of patterns of health in Karen refugees originating from Burma and resettled to the USA. Findings identified in the 5-year, the post-resettlement period provided important clinical insights into the health trajectories of war-affected populations. Burden of illness was high although results did not demonstrate the extent of trauma-associated physical health conditions reported in the literature. Indicators such as significant increases in body mass index (BMI), the overall prevalence of dyslipidaemia and others suggested that the cohort may be exhibitin...
Source: Family Practice - January 22, 2021 Category: Primary Care Source Type: research
Missing data in primary care research: importance, implications and approaches
(Source: Family Practice)
Source: Family Practice - January 22, 2021 Category: Primary Care Source Type: research
Complex patients ’ effect on family physicians: high cognitive load and negative emotional impact
ConclusionAlthough preliminary, this study offers a previously unconsidered understanding of drivers of physician burnout, including high cognitive load and negative emotional impact on family physicians created by caring for complex patients. Interventions to improve health care, including addressing physician wellness and burnout, should include the provision of resources to assist them with decreasing cognitive load and negative emotional impact when caring for complex patients. (Source: Family Practice)
Source: Family Practice - December 27, 2020 Category: Primary Care Source Type: research
Education of general practitioners in the use of point-of-care ultrasonography: a systematic review
ConclusionThere was a large variation in ultrasound training programs for GPs and GPTs, with an overall emphasis on focussed practical training. Few studies included a longitudinal learning process in the training program. However, diagnostic accuracy seemed to improve with hours of practical training, and studies including continuous feedback on scans conducted during clinical patient encounters showed superior results. (Source: Family Practice)
Source: Family Practice - December 26, 2020 Category: Primary Care Source Type: research
Rationale, design and initial results of an educational intervention to improve provider-initiated HIV testing in primary care
ConclusionsThe stabilization of the downward trend in HIV testing coincided with this educational intervention. Follow-up data are needed to formally assess the intervention ’s impact on GP testing behaviour whilst considering contextual factors and secular trends. (Source: Family Practice)
Source: Family Practice - December 26, 2020 Category: Primary Care Source Type: research
