Rate of renal function decline, race and referral to nephrology in a large cohort of primary care patients
Conclusion.Nephrology referrals are more common in fast CKD progression, but referrals are underutilized. Nephrology referral is more common among blacks but its ’ association with rate of decline does not differ by race. Further studies are required to investigate the benefit of early referral of patients at risk of fast CKD progression. (Source: Family Practice)
Source: Family Practice - February 21, 2017 Category: Primary Care Source Type: research
Lessons learned from community-based participatory research: establishing a partnership to support lesbian, gay, bisexual and transgender ageing in place
Conclusion.Multi-sector stakeholder involvement with capacity to connect communities and use frameworks that formalize equity was key to establishing a high-trust CBPR partnership. However, lack of focus on external forces impacting each partner (e.g. individual organizational strategic planning, community funding agency perspectives) ultimately led to dissolution of the SUSTAIN partnership even though implementation of community programming was realized. (Source: Family Practice)
Source: Family Practice - February 21, 2017 Category: Primary Care Source Type: research
The shifting dynamics of social roles and project ownership over the lifecycle of a community-based participatory research project
Conclusion. This was the first study to use Social network analysis to document a shift in ownership from academic to community partners, indicating community self-determination over the research process. Further analysis of qualitative data will determine which participatory actions or strategies were responsible for this observed change. (Source: Family Practice)
Source: Family Practice - February 21, 2017 Category: Primary Care Source Type: research
Throat swabs in children with respiratory tract infection: associations with clinical presentation and potential targets for point-of-care testing
Conclusion.Findings demonstrate that clinical presentation cannot distinguish the presence of bacteria or viruses in the upper respiratory tract. However, individual and overall microbe prevalence was greater when children were unwell than when well, providing some evidence that upper respiratory tract microbes may be the cause or consequence of the illness. If causal, selective microbial point-of-care testing could be beneficial. (Source: Family Practice)
Source: Family Practice - February 18, 2017 Category: Primary Care Source Type: research
Engagement strategies that foster community self-determination in participatory research: Insider ownership through outsider championship
Conclusion.Although communities must take ownership over the research process to assure sustained action and change, a strong, trusted and accepted outside champion who actively enacts participatory engagement strategies can facilitate the participatory process and provide community stakeholders the time and support they need to achieve meaningful and sustained leadership roles. These findings have implications for how partnership research is designed and implemented, both in community and in clinical organisational settings. (Source: Family Practice)
Source: Family Practice - February 18, 2017 Category: Primary Care Source Type: research
