A path to early diagnosis of mild cognitive impairment and dementia: validity and reliability of the myMemCheck ® self-administered screening tool
ConclusionsmyMemCheck ® may help fast-track the diagnostic process, facilitate appropriate referrals for cognitive and neuropsychological evaluation, reduce assessment burden in health care and prevent negative outcomes associated with undetected cognitive impairment. (Source: Family Practice)
Source: Family Practice - February 20, 2020 Category: Primary Care Source Type: research
Predictors of patient satisfaction and outpatient health services in China: evidence from the WHO SAGE survey
ConclusionsPatients ’ perceived outcomes of health care visits and patient communication with health care professionals are the most important variables associated with patient satisfaction in outpatient health services settings in China. (Source: Family Practice)
Source: Family Practice - February 17, 2020 Category: Primary Care Source Type: research
The use of online discussion forums and communities for health research
Online forums/communitiesonline research methodsqualitative researchresearch ethics (Source: Family Practice)
Source: Family Practice - February 12, 2020 Category: Primary Care Source Type: research
Roles and recommendations from primary care physicians towards managing low-risk breast cancer survivors in a shared-care model with specialists in Singapore —a qualitative study
ConclusionsPCPs were willing to share the care of BCS with oncologists but recommended role definition, training, clinical protocol, resources and access to oncologist ’s consultation to optimize the programme implementation. (Source: Family Practice)
Source: Family Practice - February 7, 2020 Category: Primary Care Source Type: research
Understanding TIA: an ethnographic study of TIA consultations
ConclusionsTIA is a complex medical diagnosis with multiple risk factors that may make the management complex and hence difficult for patients to undertake. Our findings found variability in the conduct, provision of information and patient understanding. Guidance on nationally agreed consultation framework may prove useful. Improved patient education may include individualized/sustained education utilizing multidisciplinary team members across family/primary and secondary care, video or greater online education and improved general public education. (Source: Family Practice)
Source: Family Practice - February 4, 2020 Category: Primary Care Source Type: research
Chest discomfort at night and risk of acute coronary syndrome: cross-sectional study of telephone conversations
ConclusionsPatients calling the OHS-PC for chest discomfort between 0 and 9 am have almost twice a higher risk of ACS than those calling other hours, a phenomenon more evident in men than in women. At night, dispatching ambulances more ‘straightaway’ could be considered for these patients with chest discomfort.Trial numberNTR7331. (Source: Family Practice)
Source: Family Practice - January 30, 2020 Category: Primary Care Source Type: research
Postponing vaccination in children with an infection: a qualitative study among general practitioners and pediatricians
The objective was to explore the factors motivating the practice of vaccination postponement in a child with an infection by general practitioners (GPs) and paediatricians.MethodsAn exploratory qualitative study using semi-directive individual interviews was carried out among GPs and paediatricians in a French region between November 2015 and January 2018. After the interviews were fully transcribed, an analysis of the data was performed using an inductive method derived from the grounded theory.ResultsFourteen GPs and four paediatricians participated in the study. Vaccination postponement during infection in children is r...
Source: Family Practice - January 29, 2020 Category: Primary Care Source Type: research
Family medicine physicians ’ confidence and perceived effectiveness in delivering health behaviour change interventions
ConclusionThese findings highlight the need for the development and evaluation of educational curricula to teach physicians brief, evidence-based approaches to helping patients make these changes in their health-related behaviours. (Source: Family Practice)
Source: Family Practice - January 22, 2020 Category: Primary Care Source Type: research
Barriers and facilitators to GP –patient communication about emotional concerns in UK primary care: a systematic review
ConclusionThe findings suggest that treatment guidelines should acknowledge: the therapeutic value of a positive GP –patient relationship; that diagnosis is a two-way negotiated process rather than an activity strictly in the doctor’s domain of expertise; and the value of exploring and shaping new understandings about patients’ emotional concerns and their management. (Source: Family Practice)
Source: Family Practice - January 22, 2020 Category: Primary Care Source Type: research
Preventing unwanted situations and gaining trust: a qualitative study of older people and families ’ experiences with advance care planning in the daily practice of primary care
ConclusionsQuality and accessibility of ACP may improve if GPs and nurses involve family, explain GPs ’ interest in ACP and discuss future situations older people may want to prevent, and views on their current life and future. (Source: Family Practice)
Source: Family Practice - December 9, 2019 Category: Primary Care Source Type: research
Development and psychometric study of a simple instrument to assess patient communication and comprehension skills: the AsCkS
ConclusionThe AsCkS is a reliable and valid instrument and may be used to detect patients requiring a greater effort by the physician to communicate health care messages. (Source: Family Practice)
Source: Family Practice - December 4, 2019 Category: Primary Care Source Type: research
General practitioners ’ considerations when deciding whether to initiate end-of-life conversations: a qualitative study
ConclusionsThese findings enable the development of approaches to support GPs to initiate end-of-life discussions that are cognizant both of GPs ’ sense of responsibility for these discussions, and factors that may contribute to caution initiating them, such as anticipated patient response, cultural considerations, societal taboos, family dynamics and personal challenges to doctors. (Source: Family Practice)
Source: Family Practice - December 4, 2019 Category: Primary Care Source Type: research
Recall bias and reduction measures: an example in primary health care service utilization
Health-services utilizationpatient recallprimary care servicesrecall biasself-report (Source: Family Practice)
Source: Family Practice - October 8, 2019 Category: Primary Care Source Type: research
Conducting ethnography in primary care
(Source: Family Practice)
Source: Family Practice - July 31, 2019 Category: Primary Care Source Type: research
Effects of home visits for pregnant and postpartum women on premature birth, low birth weight and rapid repeat birth: a meta-analysis and systematic review of randomized controlled trials
ConclusionThis meta-analysis is the first to suggest that home visits can prevent and decrease LBW and RRB; however, it remains unclear whether home visits benefit PTB. Therefore, home visits can be an alternative and complementary part of primary health care for women, especially those with risk factors. (Source: Family Practice)
Source: Family Practice - March 29, 2019 Category: Primary Care Source Type: research
