The effect of a primary care-based Medical Weight Loss Program on weight loss and anthropomorphic metrics
ConclusionMWLP integrated into the general primary care practice may potentially be an effective model for managing obesity and related morbidities. (Source: Family Practice)
Source: Family Practice - June 11, 2020 Category: Primary Care Source Type: research
The extraordinary diagnostic sensitivity of family physicians
Primary care is the core function in health systems that provide access to health care for all health problems in all patients in all stages of their illness and disease (1). As the first point of contact, an important function is to come to an understanding of the health problem, for which the patient is consulting. In their early stage, diseases may still have minimal and trivial signs and symptoms, even in case of health problems with a major impact on the patient ’s health status, and coping with this clinical uncertainty is a major factor of the effectiveness of primary care with family physicians in health systems....
Source: Family Practice - May 8, 2020 Category: Primary Care Source Type: research
Roles and challenges of primary care physicians facing a dual outbreak of COVID-19 and dengue in Singapore
Dear Sir/Madam, (Source: Family Practice)
Source: Family Practice - May 6, 2020 Category: Primary Care Source Type: research
Introducing teledermoscopy of possible skin cancers in general practice in Southern Denmark
ConclusionUseful images of suspicious skin lesions were obtained from general practice, and GPs could benefit from TD to improve their diagnostic accuracy and confidence. (Source: Family Practice)
Source: Family Practice - April 29, 2020 Category: Primary Care Source Type: research
Development of nutrition counselling resources for family medicine using the knowledge to action framework
ConclusionsHCP and patient barriers to nutrition counselling are multiple and varied. Design and implementation of an approach tailored to stakeholders ’ needs have potential to improve nutrition counselling in primary care. (Source: Family Practice)
Source: Family Practice - April 7, 2020 Category: Primary Care Source Type: research
Using a group medical visit model to promote healthy behaviour change with an underserved population
ConclusionThis study provides preliminary evidence that our GMV model can improve weight loss and autonomous motivation in an underserved population. This project has potential for scalability and sustainability. (Source: Family Practice)
Source: Family Practice - March 29, 2020 Category: Primary Care Source Type: research
Results, barriers and enablers in atrial fibrillation case finding: barriers in opportunistic atrial fibrillation case finding —a cross-sectional study
ConclusionsA health care program of case finding is feasible and is associated with a significant increase in the prevalence and incidence of AF. The results depend on factors such as the ease of access to health care, age, place of residence and comorbidities. (Source: Family Practice)
Source: Family Practice - March 27, 2020 Category: Primary Care Source Type: research
Assessing guideline-concordant care for patients with multimorbidity treated in a care management setting
ConclusionsPatients with multimorbidity do not receive ~20% of guideline recommendations, mostly due to clinicians not referring care. Determining the types of care for which the greatest deviation from guidelines exists can inform the tailoring of care for multimorbidity patients. (Source: Family Practice)
Source: Family Practice - March 27, 2020 Category: Primary Care Source Type: research
General practitioners and decision-making capacity assessment: the experiences and educational needs of New Zealand general practitioners
ConclusionsGPs take responsibility for decision-making capacity assessments; however, assessments can be complex. There is a need to develop specific curriculum and training resources for GPs to improve their clinical skills and legal knowledge in decision-making capacity assessments. (Source: Family Practice)
Source: Family Practice - March 24, 2020 Category: Primary Care Source Type: research
Mental health and satisfaction with primary care services in older adults: a study from the patient perspective on four dimensions of care
ConclusionsMental health was consistently associated with low satisfaction within dimensions of care. Results support the need for increased attention when delivering care to older adults with mental health problems. (Source: Family Practice)
Source: Family Practice - March 23, 2020 Category: Primary Care Source Type: research
Associations between the supply and utilization of primary care and newborn, children and maternal health in rural counties of Guangdong Province, China
ConclusionsThese findings support existing evidence regarding associations between primary care and improved health outcomes among newborns, children and pregnant women, especially for disadvantaged populations. However, associations were not significant for all studied health outcomes, implying the need for further study. (Source: Family Practice)
Source: Family Practice - March 19, 2020 Category: Primary Care Source Type: research
Acute and chronic musculoskeletal pain situations among the working population and their pain education needs: an exploratory study
ConclusionsThe high prevalence of pain in the working population requires special attention. Health care professionals should be proactive and an online pain management programme can be a solution to address the critical problem of pain in the working population. (Source: Family Practice)
Source: Family Practice - February 28, 2020 Category: Primary Care Source Type: research
Inter-clinician eConsults without programmatic incentives or requirements: a qualitative study of primary care provider perspectives
ConclusionsOur findings suggest that eConsult systems with no programmatic incentives or requirements for PCPs have the potential to improve care. (Source: Family Practice)
Source: Family Practice - February 28, 2020 Category: Primary Care Source Type: research
The role of mental disease on the association between multimorbidity and medical expenditure
ConclusionsMultimorbidity is associated with high medical expenditure in Japan. Mental diseases may contribute to increased medical costs. (Source: Family Practice)
Source: Family Practice - February 22, 2020 Category: Primary Care Source Type: research
Sharing the ‘weight’ of obesity management in primary care: integration of registered dietitian nutritionists to provide intensive behavioural therapy for obesity for Medicare patients
ConclusionsRegistered dietitian nutritionist (RDN) provision of IBTO has demonstrated benefit in improving clinical outcomes including weight, A1C, and reduced medication duration (use) as demonstrated by the IBTO treatment group versus control. IBTO intensity was not predictive of success, and its impact was reduced with older and African American patients. IBTO is beneficial and can be delivered within the primary care setting by a RDN. (Source: Family Practice)
Source: Family Practice - February 20, 2020 Category: Primary Care Source Type: research
