Reply to: Dumping adherence: a person-centred response for primary care
To the Editor, (Source: Family Practice)
Source: Family Practice - October 1, 2020 Category: Primary Care Source Type: research

General practitioner perceptions of assessment and reporting of absolute cardiovascular disease risk via pathology services: a qualitative study
ConclusionsAbsolute CVD risk assessed and reported via pathology services may address challenges of screening CVD risk experienced by GPs in practice and encourage dedicated follow-up care for CVD prevention. (Source: Family Practice)
Source: Family Practice - October 1, 2020 Category: Primary Care Source Type: research

Burden of family caregivers of Down syndrome children: a cross-sectional study
ConclusionsLess than half of family primary caregivers of DS children in Mansoura, Egypt suffered from mild to severe burden. Primary care physicians could recognize caregivers at risk of burden using ZBI-22 scale, and provide appropriate social, medical and psychological care for parents and DS children to mitigate this burden. (Source: Family Practice)
Source: Family Practice - October 1, 2020 Category: Primary Care Source Type: research

Effect of usual source of care on receiving smoking cessation advice: Korean National Health Panel data analysis
ConclusionsHaving a USC increased the odds of receiving a doctor ’s smoking cessation advice in Koreans. The results of this study suggest that a health care policy that encourages having a USC is useful in receiving more smoking cessation advice in a Korean population. (Source: Family Practice)
Source: Family Practice - September 25, 2020 Category: Primary Care Source Type: research

Burden of infections on older patients presenting to general practice: a registry-based study
ConclusionsPotentially serious infections are quite common in an older patient population presenting to primary care. They are accompanied by several chronic comorbidities, which may differ by infection type. (Source: Family Practice)
Source: Family Practice - September 25, 2020 Category: Primary Care Source Type: research

The validity, reliability, sensitivity and responsiveness of a modified Patient Enablement Instrument (PEI-2) as a tool for serial measurements of health enablement
ConclusionsThis study supports the validity, reliability, sensitivity and responsiveness of PEI-2 in measuring changes in enablement, making it a promising tool for evaluating enablement in cohort and intervention studies. (Source: Family Practice)
Source: Family Practice - September 24, 2020 Category: Primary Care Source Type: research

mHealth adoption among primary care physicians in Malaysia and its associated factors: a cross-sectional study
ConclusionsPCPs often used mHealth apps to support their clinical work but seldom recommended mHealth apps to their patients. Training for PCPs is needed on the appraisal and knowledge of the mHealth apps for patient use. (Source: Family Practice)
Source: Family Practice - September 24, 2020 Category: Primary Care Source Type: research

Couple relationship problems —a task for the general practitioner? A cross-sectional survey from Norway
ConclusionRelationship problems are frequently addressed in general practice. GPs should be prepared to discuss this issue to facilitate help for couples earlier than they might otherwise expect. (Source: Family Practice)
Source: Family Practice - September 24, 2020 Category: Primary Care Source Type: research

Association of obesity and diabetes with physical activity and fruit and vegetable consumption in stroke survivors
ConclusionsResults indicated a joint effect of obesity and diabetes with low PA among stroke survivors. Regardless of obesity –diabetes status, however, prevalence of low FV consumption and low PA exceeded 50%. Targeted interventions that modify these unhealthy behaviours among stroke survivors should be explored. (Source: Family Practice)
Source: Family Practice - September 24, 2020 Category: Primary Care Source Type: research

Reply to Potentially inappropriate medication use in older adults: a reply to Amorim et al.
Dear Sir/Madam, (Source: Family Practice)
Source: Family Practice - September 21, 2020 Category: Primary Care Source Type: research

Spotlight on nutrition and weight management care in family practice: how did we get to this point?
This special issue showcases the fundamental importance of nutrition care and weight management in family practice. In doing so, these articles highlight numerous opportunities to improve standard care. But, it is worth recognizing the history that has led us to this place. Inadequate nutrition education during medical training is widely recognized as a fundamental problem for clinicians, especially given the centrality of diet to the management of lifestyle-related diseases. As general practice constitutes the largest group of specialist training doctors (1,2), understanding the history of nutrition in medical education i...
Source: Family Practice - September 15, 2020 Category: Primary Care Source Type: research

Factors affecting the utilization of antenatal care services among women in Guinea: a population-based study
ConclusionsThese findings suggest a variety of socio-demographic and economic factors as well as media exposure are associated with women ’s use of ANC. Policymakers should implement appropriate measures to address the existing variations and gaps in ANC services utilization among different subgroups of women in Guinea. (Source: Family Practice)
Source: Family Practice - September 12, 2020 Category: Primary Care Source Type: research

Primary care and all-cause mortality in urban China: a mixed-level analysis
ConclusionThis study provides additional evidence of the health-promoting effect of primary care supply among urban residents in China. Improving primary care coverage in China should be necessary to improve health care access, thus promoting population health. (Source: Family Practice)
Source: Family Practice - September 12, 2020 Category: Primary Care Source Type: research

Palpitation referrals from primary care to a secondary care cardiology outpatient clinic: assessing adherence to guidelines
ConclusionsThe results from this audit provide early evidence that there are a significant number of patients who are being referred that could be managed in primary care. Further studies are needed to confirm our findings in larger cohorts and to establish the underlying reasons for inappropriate referrals. (Source: Family Practice)
Source: Family Practice - September 12, 2020 Category: Primary Care Source Type: research

Primary care experience and remission of type 2 diabetes: a population-based prospective cohort study
ConclusionPrimary care practitioners should pay greater attention to delivering optimal patient experiences alongside clinical management of the disease as this may contribute towards remission of Type 2 diabetes. Further work is needed to examine which aspects of the primary care experience might be optimized and how these could be operationalized. (Source: Family Practice)
Source: Family Practice - September 12, 2020 Category: Primary Care Source Type: research