‘Water dripping on a stone’: a feasibility study of a healthy weight management conversation approach in routine general practice consultations
ConclusionsIt is possible to provide an infrastructure for healthy weight conversation approaches within general practice so that patients receive supportive and consistent messages on a regular basis. General practice is an appropriate setting for this due to the ongoing relationships with patients and team-based approach, but there is a need for effective training and education to ensure appropriate and effectively delivery. (Source: Family Practice)
Source: Family Practice - November 13, 2020 Category: Primary Care Source Type: research
Family medicine research capacity in the USA
(Source: Family Practice)
Source: Family Practice - November 7, 2020 Category: Primary Care Source Type: research
Variation in general practitioners ’ depression care following certification of sickness absence: a registry-based cohort study
ConclusionsOur findings suggest that GPs provide equitable depression care regarding consultations and referrals for all intersectional groups but differential drug treatment and talking therapy for highly educated women. GPs need to be aware of these variations to provide personalized care and to prevent reproducing inequity. (Source: Family Practice)
Source: Family Practice - November 5, 2020 Category: Primary Care Source Type: research
An estimation of patients at potential risk for drug-induced sexual dysfunction using pharmacy dispensing data
ConclusionAbout 1 in 11 inhabitants of the Netherlands was dispensed a drug with a potential high risk for sADRs, often with other risk factors for sexual complaints. Further research is needed whether these users actually experience sADRs, to understand its impact on multimorbid patients and to provide alternatives if needed. (Source: Family Practice)
Source: Family Practice - November 3, 2020 Category: Primary Care Source Type: research
Strategies for improving primary care for adolescents and young adults transitioning from pediatric services: perspectives of Canadian primary health care professionals
ConclusionsOngoing and continuous primary care is important for AYAs involved with specialty pediatric services. Participants highlighted a need to educate AYAs, families and providers about the critical role of PHC. Solutions to improve collaboration between PHC and pediatric specialist providers would benefit from additional perspectives from providers, AYAs and families. These findings will inform the development of a primary care-based intervention to improve transitional care. (Source: Family Practice)
Source: Family Practice - October 31, 2020 Category: Primary Care Source Type: research
Relevance of obstructive sleep apnea and smoking: Obstructive sleep apnea and smoking
ConclusionsOur study detected higher rate of severe OSA in male smokers and smokers with BMI< 30. PSG data did not yield statistically significant difference in non-smokers and smokers. OSA severity was not found correlated with smoking frequency. Along with the study results, the impact of smoking on OSA is still controversial. Prospective studies with larger sample size may be contributive to further evaluation of the association of OSA with smoking. (Source: Family Practice)
Source: Family Practice - October 31, 2020 Category: Primary Care Source Type: research
Challenges for obesity management in a unified health system: the view of health professionals
ConclusionObesity management is a critical challenge for all professionals. Barriers were related to the work process and structural aspects and reinforce the need to empower health teams. We propose that permanent education activities should be established, as well as the development of instructional materials that are applicable to routine work. Finally, the results may be used to develop policies and strategies to improve obesity management. (Source: Family Practice)
Source: Family Practice - October 31, 2020 Category: Primary Care Source Type: research
Obtaining nasal and rectal swabs from general practice patients to assess carriage of antibiotic resistant microorganisms: a feasibility study
ConclusionsObtaining (nasal and) rectal swabs from general practice patients for study purposes proved difficult. Lessons learnt from this feasibility study will help increase participation in HRMO prevalence studies among asymptomatic general practice patients. (Source: Family Practice)
Source: Family Practice - October 23, 2020 Category: Primary Care Source Type: research
Patterns of online health information seeking after visiting a physician: perceptions of adolescents from high schools in central Belgrade, Serbia
ConclusionOne-half of high school students in this study perceived that they search for online health information after having visited a physician. Our results suggest that many adolescents might seek additional information about health. (Source: Family Practice)
Source: Family Practice - October 23, 2020 Category: Primary Care Source Type: research
Echocardiographic screening of pregnant women by non-physicians with remote interpretation in primary care
ConclusionsIntegration of echo screening into primary prenatal care is feasible in Brazil. However, the low prevalence of severe disease urges further investigations about the effectiveness of the strategy. (Source: Family Practice)
Source: Family Practice - October 19, 2020 Category: Primary Care Source Type: research
Patterns of recurring dispensing of guideline antibiotics for uncomplicated urinary tract infection in women over a 5-year period: Longitudinal patterns of recurring dispensings of Dutch guideline UTI antibiotics
ConclusionsOver the 5-year study period, more than 50% of the source population had at least one recurring dispensing for uncomplicated UTI, most of them with at least 1 year without UTI dispensing in between. (Source: Family Practice)
Source: Family Practice - October 15, 2020 Category: Primary Care Source Type: research
Identifying patients who access musculoskeletal physical therapy: a retrospective cohort analysis
ConclusionsWe found that obesity, ethnicity, public insurance and urgent care referrals were associated with poor adherence to physical therapy referral. However, the limited predictive power of our model suggests a need for a deeper examination into factors that influence patients access to a physical therapist. (Source: Family Practice)
Source: Family Practice - October 12, 2020 Category: Primary Care Source Type: research
Development and preliminary validation of the competency model for rural general practitioner in China
ConclusionsThe CMRGP demonstrated good reliability and validity. Pilot study showed its potential for application in the rural general practice and training program. (Source: Family Practice)
Source: Family Practice - October 12, 2020 Category: Primary Care Source Type: research
Mental health burden of COVID-19
Dear Editor, (Source: Family Practice)
Source: Family Practice - October 7, 2020 Category: Primary Care Source Type: research
Family medicine physicians ’ report strong support, barriers and preferences for Registered Dietitian Nutritionist care in the primary care setting
ConclusionsFMPs report interest and value in RDN services despite multiple perceived barriers accessing RDNs care. Opportunities exist for interprofessional collaboration between dietetic and FMP professional groups to address barriers. (Source: Family Practice)
Source: Family Practice - October 6, 2020 Category: Primary Care Source Type: research
