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Strengthening the Philippine Health Information System for future health crisis. Fam. Pract. (IF 2.2) Pub Date : 2023-11-27 Dalmacito A Cordero
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The role of social support as a moderator between resilience and levels of burden of multimorbidity management among general practitioners: a cross-sectional study in Portugal. Fam. Pract. (IF 2.2) Pub Date : 2023-11-24 Filipe Prazeres,Luísa Castro,Andreia Teixeira
BACKGROUND Multimorbidity management poses significant challenges for general practitioners (GPs). The aim of this study is to analyse the role of resilience and social support on the burden experienced by GPs in managing patients with multiple health conditions in Portugal. METHODS Cross-sectional quantitative study conducted among GPs in Portugal using an online questionnaire that included validated
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A short tool to screen self-care preparedness: cross-sectional study in general practice. Fam. Pract. (IF 2.2) Pub Date : 2023-11-17 Ulla Mikkonen,Nina Tusa,Sanna Sinikallio,Hannu Kautiainen,Pekka Mäntyselkä
BACKGROUND Self-care is crucial in the prevention and treatment of chronic diseases. It is important to identify patients who need support with self-care. OBJECTIVES This study introduces a self-care preparedness index (SCPI) and examines its associations with health-related quality of life (HRQoL) and other outcomes. METHODS A cross-sectional study of adults (n = 301) with hypertension, coronary artery
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Determinants and effectiveness of annual wellness visits among Medicare beneficiaries in 2020. Fam. Pract. (IF 2.2) Pub Date : 2023-11-16 Sungchul Park,Ann M Nguyen
BACKGROUND Annual wellness visits (AWVs) have the potential to improve general health and well-being, but little is known about the role of AWVs during the COVID-19 pandemic. OBJECTIVE We examined the determinants and effectiveness of having an AWV among Medicare beneficiaries in 2020. METHODS We employed a cross-sectional study design using data from the 2020 Medicare Current Beneficiary Survey. Our
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Adolescent behavioural risk screening in primary care: physician's point of view. Fam. Pract. (IF 2.2) Pub Date : 2023-11-16 Taslina Eisner-Fellay,Joan-Carles Suris,Yara Barrense-Dias
BACKGROUND Despite regular consultation between adolescents/young adults (AYA) and their physicians, they are not regularly screened for psychosocial risk behaviours. This study examines physicians' self-reported psychosocial risk behaviour screening in AYA. It aims to highlight which elements hinder or improve screening abilities. METHODOLOGY The design was a cross-sectional quantitative survey. Data
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"Everyone's struggling right now": Impact of COVID-19 on addressing food insecurity in rural primary care. Fam. Pract. (IF 2.2) Pub Date : 2023-11-14 Arvind Suresh,Kayla E Jordanova,Maureen B Boardman,Chelsey R Canavan,Tiffany T D'cruze,Alka Dev,Meaghan A Kennedy
BACKGROUND Primary care practices can address food insecurity (FI) through routine screening, practice-based food programmes, and referrals to community resources. The COVID-19 pandemic had disproportionate impacts on health outcomes for food-insecure households. OBJECTIVE To describe the impact of the COVID-19 pandemic on FI screening and interventions in rural primary care practices in northern New
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Anaemia and its causes at the Brazilian Longitudinal Study of Adult Health: a cross-sectional analysis of baseline data. Fam. Pract. (IF 2.2) Pub Date : 2023-11-10 Cássia S S Silva,Isabela M Bensenor,Alessandra C Goulart,Paulo A Lotufo,Itamar S Santos
BACKGROUND Most anaemia studies focus on children and women of childbearing age. We assessed the frequency and main aetiologies of anaemia according to sociodemographic characteristics at the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a cohort of middle-aged adults. METHODS The primary analyses included 15,051 participants aged 35-74 years with a valid blood cell count. We built logistic
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Understanding barriers and facilitators of appropriate antibiotic use: a qualitative analysis of an online parenting forum. Fam. Pract. (IF 2.2) Pub Date : 2023-11-09 Maija Reblin,Carter Ward,Alice Hammond,Jack Peloquin,Morgan Rabinowitz,Mark Fung,Kirsten Threlkeld,Sarah Nowak
PURPOSE Antibiotic use and misuse are common in pregnant women and young children. Few studies have assessed real-world discussions of antibiotics in these populations. Using social media posts of pregnant women and parents, our goal was to identify key themes about facilitators and barriers to appropriate antibiotic usage. METHODS A purposive sample of public posts and comments relevant to antibiotic
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Rebuilding trust in the physician-patient relationship: addressing causes and implementing reforms in China. Fam. Pract. (IF 2.2) Pub Date : 2023-11-06 Yu Xiao,Liang Liu,Ting-Ting Chen,Shao-Yi Zhu
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The French ecology of medical care. A nationwide population-based cross sectional study. Fam. Pract. (IF 2.2) Pub Date : 2023-11-02 Catherine Laporte,Frédéric Fortin,Julie Dupouy,David Darmon,Bruno Pereira,Nicolas Authier,Jessica Delorme,Chouki Chenaf,Hubert Maisonneuve,Matthieu Schuers
PURPOSE Studies in the United States, Canada, Belgium, and Switzerland showed that the majority of health problems are managed within primary health care; however, the ecology of French medical care has not yet been described. METHODS Nationwide, population-based, cross sectional study. In 2018, we included data from 576,125 beneficiaries from the General Sample of Beneficiaries database. We analysed
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Weight management in primary care: the call for a practical and evidence-informed approach. Fam. Pract. (IF 2.2) Pub Date : 2023-11-01 Hilmi S Rathomi,Nahal Mavaddat,Judith Katzenellenbogen,Sandra C Thompson
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Measurement of treatment burden in patients with multimorbidity in the Netherlands: translation and validation of the Multimorbidity Treatment Burden Questionnaire (NL-MTBQ). Fam. Pract. (IF 2.2) Pub Date : 2023-10-25 Loes W S Engels,Tiny van Merode,Monique Heijmans,Juliane Menting,Polly Duncan,Jany Rademakers
BACKGROUND Multimorbidity is a growing problem. The number and complexity of (non-)pharmaceutical treatments create a great burden for patients. Treatment burden refers to the perception of the weight of these treatments, and is associated with multimorbidity. Measurement of treatment burden is of great value for optimizing treatment and health-related outcomes. OBJECTIVE We aim to translate and validate
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Primary care physicians' work conditions and their confidence in managing multimorbidity: a quantitative analysis using Job Demands-Resources Model. Fam. Pract. (IF 2.2) Pub Date : 2023-10-18 Ruixue Zhao,Jinnan Zhang,Mengyao Li,Ekaterina Loban,Stephen Nicolas,Elizabeth Martiland,Wenhua Wang
BACKGROUND Multimorbidity is a global issue that presents complex challenges for physicians, patients, and health systems. However, there is a lack of research on the factors that influence physicians' confidence in managing multimorbidity within primary care settings, particularly regarding physicians' work conditions. OBJECTIVES Drawing on the Job Demands-Resources Model, this study aims to investigate
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Patient-centred consultations-clinicians can still do better. Fam. Pract. (IF 2.2) Pub Date : 2023-10-06 Niccolo Doe
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"We're trained to trust our patients": a qualitative study on the general practitioners' trust in patients for colorectal cancer shared care. Fam. Pract. (IF 2.2) Pub Date : 2023-10-05 Faith R Yong,Sundresan Naicker,Kerry Uebel,Maria Agaliotis,Christopher Chan,John D T Nguyen,Thanya Pathirana,Alexandra Hawkey,Kylie Vuong
BACKGROUND In a therapeutic partnership, physicians rely on patients to describe their health conditions, join in shared decision-making, and engage with supported self-management activities. In shared care, the patient, primary care, and specialist services partner together using agreed processes and outputs for the patient to be placed at the centre of their care. However, few empirical studies have
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Is use of a long-term proton pump inhibitor or histamine-2 receptor antagonist a risk factor for iron-deficiency anaemia in Taiwan? A neglected clinical drug-drug interaction. Fam. Pract. (IF 2.2) Pub Date : 2023-09-26 Yi-Ting Wu,Ya-Ting Lu,Chao-Yu Chu,Horng-Jiun Chao,Li-Na Kuo,Kuei-Ju Cheng,Hsiang-Yin Chen
BACKGROUND Proton pump inhibitors (PPIs) and histamine-2 receptor (H2) antagonists change the gastric pH and reduce the intestinal absorption of nonheme iron. Case reports and case-control studies have demonstrated that absorption of iron is affected by gastric acidity, but the clinical importance of these drug-drug interactions has remained uncertain. OBJECTIVES The present case-control study employed
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Prevalence and correlates of alcohol use, mental disorders, and awareness and utilization of support services among healthcare professionals in West Rand District, Gauteng, South Africa: a cross-sectional study. Fam. Pract. (IF 2.2) Pub Date : 2023-09-15 Charlotte Mc Magh,Oluwafojimi Fadahun,Joel Msafiri Francis
INTRODUCTION Healthcare professionals (workers) are at an increased risk for developing mental and alcohol use disorders (risky drinking) due to increased psychological distress, long working hours, medical litigation, role conflict, and verbal/physical violence from colleagues and patients. Psychological well-being in healthcare workers is crucial to provide the best quality of care to patients. Current
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The utility of the classification tools in National Institute of Health and Clinical Excellence's Clinical Knowledge Summaries for primary care. Fam. Pract. (IF 2.2) Pub Date : 2023-09-13 Kevork Hopayian,Sotiris Dimosthenous
BACKGROUND The National Institute of Health and Clinical Excellence provides a web-based resource, Clinical Knowledge Summaries (CKS), whose aim is to give evidence-based guidance for primary care practitioners and students. Included in the information it provides, are tools for the classification of conditions. OBJECTIVES The objective of this study was to measure the proportion and utility of the
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The association between use of ambient voice technology documentation during primary care patient encounters, documentation burden, and provider burnout. Fam. Pract. (IF 2.2) Pub Date : 2023-09-06 Lance M Owens,Joshua J Wilda,Peter Y Hahn,Tracy Koehler,Jeffrey J Fletcher
BACKGROUND The burden of documentation in the electronic medical record has been cited as a major factor in provider burnout. The aim of this study was to evaluate the association between ambient voice technology, coupled with natural language processing and artificial intelligence (DAX™), on primary care provider documentation burden and burnout. METHODS An observational study of 110 primary care
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Patellofemoral pain in general practice: the incidence and management. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Guido J van Leeuwen,Evelien I T de Schepper,Patrick J E Bindels,Sita M A Bierma-Zeinstra,Marienke van Middelkoop
BACKGROUND Patellofemoral pain (PFP) is a nontraumatic knee problem primarily observed in physically active adolescents. The objective of this study was to determine the incidence and management of PFP in children and adolescents in general practice. METHODS A retrospective cohort study was conducted using a regional primary care database containing full electronic health records of over 300,000 patients
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General practitioners' perceptions of dealing with patients with pressured speech: a qualitative study. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Stéphanie Lallier,Christelle Hourantier,Julie Gilles de la Londe,Grégoire Billon,Jean-Sébastien Cadwallader,Marie-Aude Piot
BACKGROUND Empathetic listening can be particularly challenging with patients presenting pressured speech, while time pressure and costs limit practitioners' availability. We aimed to explore general practitioners' (GPs') experiences when encountering a patient with pressured speech without pathological syndrome. METHODS Using a thematic analysis method, 19 semi-structured interviews were conducted
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Development and implementation of a continuing care program for patients with intellectual and developmental disabilities in family medicine. Fam. Pract. (IF 2.2) Pub Date : 2023-09-01 Mary M Stephens,Allison R Casola,Emma T Cooper,Olivia Rea,Karin Roseman
In the United States, individuals with intellectual and developmental disabilities (IDD) consistently experience health disparities. One factor is limited access to quality healthcare services equipped to meet the needs of those with IDD, particularly as they transition to adulthood. The purpose of this work is to describe the development and implementation of Jefferson's Continuing Care Program (JCCP)
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The association between patients' frailty status, multimorbidity, and demographic characteristics and changes in primary care for chronic conditions during the COVID-19 pandemic: a pre-post study. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Shireen Fikree,Shuaib Hafid,Jennifer Lawson,Gina Agarwal,Lauren E Griffith,Liisa Jaakkimainen,Dee Mangin,Michelle Howard
BACKGROUND The purpose of this study was to assess the impact of SARS-COV-2 (Severe acute respiratory syndrome coronavirus 2) pandemic on primary care management (frequency of monitoring activities, regular prescriptions, and test results) of older adults with common chronic conditions (diabetes, hypertension, and chronic kidney disease) and to examine whether any changes were associated with age,
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Organizational factors associated with primary care nurses' self-efficacy in pandemic response: a multilevel study in China. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Tiange Xu,Rebecca Mitchell,Wenhua Wang
BACKGROUND Building primary care nurses' self-efficacy in the pandemic response has great potential to improve their well-being and work performance. We identified the organizational factors associated with their self-efficacy in pandemic response and propose potential management levers to guide primary care response for the pandemic. METHODS We conducted a cross-sectional survey with 175 nurses working
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Telemedicine as a tool for continuing medical education. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Ana Rita J Maria,Helena Serra,Maria G Castro,Bruno Heleno
BACKGROUND There is a growing interest in the use of digital technologies to foster learning in the health professions, along with the drive to expand teleconsultations arising from the COVID-19 pandemic. This study aims to explore whether telemedicine between levels of care can act as continuous medical education (CME) tool for general practitioners (GPs) and hospital consultants at the referral cardiology
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Nonpharmacological home remedies for upper respiratory tract infections: a cross-sectional study of primary care patients in Switzerland and France. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Paul Sebo,Neria E Winkler,Mohamed Amir Moussa,Dagmar M Haller,Hubert Maisonneuve
BACKGROUND Many patients might be tempted to use nonpharmacological home remedies (NPHRs) to relieve upper respiratory tract infection (URTI) symptoms. However, primary care physicians (PCPs) rarely recommend NPHRs due to a lack of knowledge in this field. We conducted a questionnaire-based survey among primary care patients in Switzerland and France to explore which NPHRs they use and consider effective
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Provider perspectives on nutrition interventions in primary care: the role of organizational structure and community partnerships. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Carissa van den Berk-Clark,Clare Schrodt,Christopher Phan,Terry Garfield,Sandra Samuel,
BACKGROUND Poor nutrition remains a significant public health concern that is often managed within primary care settings. Meanwhile, to our knowledge, there have been few studies that evaluate the intent of primary care providers to offer nutrition services, nor what type of exchanges they engage in to ensure those programs can be implemented. METHODS Semi-structured interviews were conducted with
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Testing for sexually transmitted infection: who and where? A data linkage study using population and provider data in the Rotterdam area, the Netherlands. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Denise E Twisk,Abraham Meima,Jan Hendrik Richardus,Hannelore M Götz
BACKGROUND In the Netherlands, insight into sexually transmitted infection (STI) testing and characteristics of those tested by general practitioners (GPs) and sexual health centres (SHC) is limited. This is partly due to lacking registration of socio-demographics at GPs. We aimed to fill this gap by linking different registers. METHODS Individual STI testing data of GPs and SHC were linked to population
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Effect of social integration on family doctor contracting services among migrant populations in China: a national cross-sectional survey. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Tiantian Gao,Genquan Yan,Meiying Zhang,Bing Leng,Fan Jiang,Wei Mi
BACKGROUND The family doctor (FD) contracting system is a key reform in the development of the Chinese health system, and is considered an effective way to ensure equitable access to healthcare services. This study investigates the effects of social integration on FD contracting services among migrant populations. METHODS In total, 120,106 respondents from the 2018 China Migrants Dynamic Survey were
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Use of high- and low-value care among US adults by education levels. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Sungchul Park,Ann M Nguyen
BACKGROUND Healthcare reform in the United States has focused on improving the value of health care, but there are some concerns about the inequitable delivery of value-based care. OBJECTIVE We examine whether the receipt of high- and low-value care differs by education levels. METHODS We employed a repeated cross-sectional study design using data from the 2010-2019 Medical Expenditure Panel Survey
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Musculoskeletal corticosteroid injection and risk of acute coronary syndrome: a case control study. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Katharine Thomas,Yochai Schonmann
BACKGROUND Musculoskeletal corticosteroid injection (CSI) is a frequently used treatment, considered safe with a low incidence of minor side effects. OBJECTIVE To investigate whether the incidence of acute coronary syndrome (ACS) is increased following corticosteroid injection for musculoskeletal conditions. METHODS Data were reviewed from 41,276 patients aged over 40 years and hospitalised with ACS
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Effectiveness of primary care interventions in conjointly treating comorbid chronic pain and depression: a systematic review and meta-analysis. Fam. Pract. (IF 2.2) Pub Date : 2023-08-02 Krishna H Patel,Benjamin Chrisinger
BACKGROUND Chronic pain and depression are highly comorbid, but the lack of consensus on the best treatment strategies puts patients at high risk of suboptimal care-coordination as well as health and social complications. Therefore, this study aims to quantitatively assesses how effective different primary care interventions have been in treating the comorbid state of chronic pain and depression. In
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Lay and general practitioner attitudes towards endometrial cancer prevention: a cross-sectional study. Fam. Pract. (IF 2.2) Pub Date : 2023-07-28 Sarah J Kitson,Urwaa Khan,Emma J Crosbie
BACKGROUND Effective and targeted endometrial cancer prevention strategies could reduce diagnoses by 60%. Whether this approach is acceptable to individuals and general practitioners (GPs) is currently unknown. This study sought to determine attitudes towards the provision of personalised endometrial cancer risk assessments and the acceptability of potential prevention strategies. METHODS Specific
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Changes in family practice work management in Zagreb due to the COVID-19 pandemic. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Juraj Jug,Kristian Hodak
BACKGROUND Since the COVID-19 pandemic has impacted family medicine practice (FMP) workload, we aimed to determine changes in the structure of work of FMPs in the number and type of consultations, check-ups, administrative, preventive, and other diagnostic-therapeutic procedures (DTPs) during the COVID-19 pandemic (2021 and 2022) compared to 2019. METHODS In this cross-sectional study, 172 FMPs from
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Kratom use disorder: case reports on successful treatment with home induction of buprenorphine-naloxone. Fam. Pract. (IF 2.2) Pub Date : 2023-11-23 Miki Kiyokawa,Anthony K Kwon,Micaiah C Cape,Jon M Streltzer
BACKGROUND Kratom has been used for different reasons such as pain, opioid withdrawal, and relaxation. Kratom can cause dependence and overdose, and it's classified under 'drugs of concern' by the US Drug Enforcement Administration. Despite these concerns, kratom is legal in most of the United States and many countries around the world with easy accessibility. Literature searches reveal recommendations
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Early detection of neurodevelopmental disorders in paediatric primary care: A scoping review. Fam. Pract. (IF 2.2) Pub Date : 2023-07-25 Paulette T O'Hara,Pamela Talero Cabrejo,Tracey V Earland
BACKGROUND Earlier detection of children at risk for neurodevelopmental disorders is critical and has longstanding repercussions if not addressed early enough. OBJECTIVES To explore the supporting or facilitating characteristics of paediatric primary care models of care for early detection in infants and toddlers at risk for neurodevelopmental disorders, identify practitioners involved, and describe
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Effect of 2-week postpartum check-ups on screening positive for postpartum depression: a population-based cohort study using instrumental variable estimation in Japan. Fam. Pract. (IF 2.2) Pub Date : 2023-07-19 Naoko Nakamura,Toshiharu Mitsuhashi,Yasuko Nakashima,Naomi Matsumoto,Takashi Yorifuji
BACKGROUND Postpartum depression is experienced by approximately 10% of women and affects the health and development of their children. Although it is recommended that all mothers have the opportunity for early detection and intervention for postpartum depression, it is unclear whether early postpartum check-ups help to reduce postpartum depression. OBJECTIVE The aim of this study was to assess the
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Statins for primary prevention in multimorbid patients: to prescribe or not to prescribe? A qualitative analysis of general practitioners' decision-making processes. Fam. Pract. (IF 2.2) Pub Date : 2023-07-18 Racha Onaisi,Anaïs Bezzazi,Thomas Berthouin,Justine Boulet,Jennifer Hasselgard-Rowe,Hubert Maisonneuve
INTRODUCTION A better understanding of the determinants involved in general practitioners' (GPs) decision-making processes when it comes to prescribing statins as primary prevention in patients with multimorbidity could provide insights for improving implementation of primary prevention guidelines. METHODS We conducted a qualitative study using a deductive framework-based and inductive analysis of
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Tribute to a founding father-Prof. Joe Herman-how to practice Family Medicine. Fam. Pract. (IF 2.2) Pub Date : 2023-07-15 Aya Biderman,Yosef Avni,Sody Naimer,Yosef Polachek,Hava Tabenkin,Pesach Shvartzman
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The impact of drug palatability on prescribing and dispensing of antibiotic formulations for paediatric patients: a cross-sectional survey of general practitioners and pharmacists. Fam. Pract. (IF 2.2) Pub Date : 2023-07-06 Ayat Elgammal,Joseph Ryan,Colin Bradley,Abina Crean,Margaret Bermingham
BACKGROUND Palatability is a key element of paediatric acceptability for medicines. Many patient and drug factors are considered when choosing an antibiotic for a child. Pharmacists report that they receive questions about the palatability of oral liquid antibiotics for children. This study aimed to explore the experiences of GPs and pharmacists concerning palatability of oral liquid antibiotics for
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Irritable bowel syndrome in children with chronic gastrointestinal symptoms in primary care. Fam. Pract. (IF 2.2) Pub Date : 2023-07-01 Esmee M Hogervorst,Ilse N Ganzevoort,Marjolein Y Berger,Gea A Holtman
BACKGROUND Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder in children. However, in primary care, it is still unknown whether there are differences in the prognosis of children with IBS compared to other diagnostic subgroups. Therefore, our aim was to describe the course of symptoms and health-related quality of life (HRQoL) for children with chronic gastrointestinal
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Management of anti-M antibody during pregnancy: a case report. Fam. Pract. (IF 2.2) Pub Date : 2023-07-01 Emily R Leibovitch,Robert T Carlisle
BACKGROUND Anti-M antibodies are relatively common and naturally occurring. When anti-M antibodies cross the placenta, they may cause hemolytic disease of the fetus and newborn (HDFN). Anti-M antibodies account for less than 15 cases of HDFN reported in the published English literature. HDFN can lead to foetal anaemia, hydrops fetalis, hypoxia, heart failure, and even death. OBJECTIVE To review the
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Parental experiences and opinions regarding the management of acute otitis media in Finland-a comparative questionnaire between 2006 and 2019. Fam. Pract. (IF 2.2) Pub Date : 2023-06-30 Sylvia Jokinen,Aino Ruohola,Paula A Tähtinen
BACKGROUND Treatment guidelines for acute otitis media (AOM) have changed over the past 20 years. Watchful waiting is often recommended as an option for antibiotic treatment and the use of proper pain medication is emphasised. OBJECTIVE To study parental experiences and opinions regarding the management of AOM and compare our findings with our previous questionnaire submitted in 2006. METHODS We sent
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Caring for patients with chronic illness: is respecting patient autonomy enough or must we promote patient autonomy as well? Fam. Pract. (IF 2.2) Pub Date : 2023-06-28 Mark D Sullivan
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A critical appraisal of acute sore throat guidelines using the AGREE II instrument: a scoping review. Fam. Pract. (IF 2.2) Pub Date : 2023-06-15 Irène Supper,Johanna Gratadour,Mathilde François,Nemat Jaafari,Rémy Boussageon
BACKGROUND Conflicting international guidelines exist on the management of sore throat by antibiotics. OBJECTIVES To assess with the Appraisal of Guidelines for Research and Evaluation II (AGREE) instrument the quality of guidelines for uncomplicated acute group A beta-haemolytic streptococcal (GABHS) sore-throat. To make a sensitivity analysis restricted to guidelines with a rigour of development
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Preferences for training needs of village doctors in China: a systematic review. Fam. Pract. (IF 2.2) Pub Date : 2023-06-10 Liying Zhou,Xuefeng Wei,Yanan Wu,Xinxin Deng,Meng Xu,Xue Shang,E Fenfen,Guihang Song,Yiliang Zhu,Kehu Yang,Xiuxia Li
BACKGROUND Village doctors, as gatekeepers of the health system for rural residents in China, are often confronted with adversity in providing the basic public healthcare services. OBJECTIVE We sought to summarize the training contents, training method, training location, and training costs most preferred by village doctors in China and hope to provide evidence and support for the government to deliver
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Unusual case of pernicious anaemia masquerading as thrombotic thrombocytopenic purpura in the setting of multiple normal vitamin B12 deficiency parameters: preventing anchoring and overdiagnosis. Fam. Pract. (IF 2.2) Pub Date : 2023-06-09 Zoya Mohammad,Anil Ananthaneni,Andee Fontenot,Poornima Ramadas,Mohammad Nour Salloum
BACKGROUND Pseudo-thrombotic microangiopathy (pseudo- thrombotic microangiopathy (TMA)) is a rare presentation of B12 deficiency. Overlapping features like elevated LDH/total bilirubin with low haemoglobin/haptoglobin/platelets could deceivingly suggest thrombotic thrombocytopenic purpura (TTP) resulting in avoidable procedures/treatments. CASE PRESENTATION A 36-year-old female with hypothyroidism
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General Practitioners perspectives on infant telomere length screening after a pregnancy complication: a qualitative analysis. Fam. Pract. (IF 2.2) Pub Date : 2023-06-01 Carolyn J Puglisi,Joshua McDonough,Tina Bianco-Miotto,Jessica A Grieger
BACKGROUND Pregnancy complications can impact the mother and child's health in the short and longterm resulting in an increased risk of chronic disease later in life. Telomere length is a biomarker of future cardiometabolic diseases and may offer a novel way of identifying offspring most at risk for future chronic diseases. OBJECTIVE(S) To qualitatively explore General Practitioners' (GPs) perspectives
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Epidemiology of invasive meningococcal disease and its sequelae: a population-based study in Italian primary care, 2000-2019. Fam. Pract. (IF 2.2) Pub Date : 2023-06-01 Francesco Lapi,Ettore Marconi,Davide L Vetrano,Alessandro Rossi,Erik Lagolio,Vincenzo Baldo,Claudio Cricelli
BACKGROUND Invasive meningococcal disease (IMD) is a severe infectious disease. Although effective preventive and therapeutical strategies are available, the fatality rate remains high in the general population, with an occurrence of meningococcal-related severe sequelae involving 10-20% of survivors. Given the crucial role of general practitioners in recognizing and preventing IMD and its related
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Greening Family Medicine clinic operations and clinical care, where do we start? A scoping review of toolkits and aids. Fam. Pract. (IF 2.2) Pub Date : 2023-05-31 Sonja C Wicklum,Kate Nuique,Martina A Kelly,Colleen C Nesbitt,Jessica J Zhang,Clark P Svrcek
BACKGROUND There is a pressing need for healthcare to respond to the climate crisis. Family physicians, given their central role in community healthcare provision, are strategically placed to lead, support, and promote sustainable healthcare, yet guidance on how to do this is fragmented. OBJECTIVE To identify and evaluate toolkits and aids on sustainable healthcare to act as a curated resource for
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Tackling climate change and health inequalities in primary care. Fam. Pract. (IF 2.2) Pub Date : 2023-05-31 David N Blane,Nayanika Basu
The Climate Emergency is now widely accepted as the biggest public health crisis facing humanity. Previous research has highlighted how social and health inequalities shape the health impacts of climate change in the UK, but there has been little attention to the role of general practice in deprived areas. This Brief Report summarises a roundtable discussion of Scottish 'Deep End' GPs - family doctors
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Pragmatic Delphi study aimed at determining practical components for a tool designed to assist Dutch primary care-givers in opioid deprescribing for non-cancer pain. Fam. Pract. (IF 2.2) Pub Date : 2023-05-27 Elsemiek A W Jansen-Groot Koerkamp,Loes de Kleijn,Romina Fakhry,Alessandro Chiarotto,Mette Heringa,Hanneke J B M Rijkels-Otters,Jeanet W Blom,Mattijs E Numans,Bart W Koes,Marcel L Bouvy
BACKGROUND Over the past decades, opioid prescriptions have increased in the Netherlands. The Dutch general practitioners' guideline on pain was recently updated and now aims to reduce opioid prescriptions and high-risk opioid use for non-cancer pain. The guideline, however, lacks practical measures for implementation. OBJECTIVE This study aims to determine practical components for a tool that should
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Impact of healthy lifestyles on risk of hypertension in the Chinese population: finding from SHUN-CVD study. Fam. Pract. (IF 2.2) Pub Date : 2023-05-27 Juanying Zhen,Shuyun Liu,Guoru Zhao,Hao Peng,Aimin Xu,Chao Li,Jun Wu,Bernard Man Yung Cheung
INTRODUCTION Lifestyle factors are known to play a role in the development of hypertension. We aimed to study the relationship between lifestyle and hypertension in a Chinese population. METHODS This study involved 3,329 participants (1,463 men and 1,866 women) aged 18-96 years in the Shenzhen-Hong Kong United Network on Cardiovascular Disease. A healthy lifestyle score was derived from 5 factors:
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Evaluation of an electronic clinical decision support system (DeSSBack) to improve low back pain management: a pilot cluster randomized controlled trial. Fam. Pract. (IF 2.2) Pub Date : 2023-05-27 Abdul Malik Tun Firzara,Chin Hai Teo,Shu Yi Teh,Je Yu Su,Hana Salwani Mohd Zaini,Anwar Suhaimi,Wei Leik Ng,Mahmoud Danaee,Kay Stevenson,Christian David Mallen,Chirk Jenn Ng
BACKGROUND Low back pain (LBP) is a common reason for primary care consultation; yet doctors often find managing it challenging. An electronic decision support system for LBP (DeSSBack) was developed based on an evidence-based risk stratification tool to improve the management of patients with LBP in a Malaysian primary care setting. This pilot study aimed to assess the feasibility, acceptability,
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Temporal patterns of antibiotic prescribing for sore throat, otitis media, and sinusitis: a longitudinal study of general practitioner registrars. Fam. Pract. (IF 2.2) Pub Date : 2023-05-24 Alexandria Turner,Mieke L van Driel,Benjamin L Mitchell,Joshua S Davis,Alison Fielding,Andrew Davey,Elizabeth Holliday,Jean Ball,Anna Ralston,Amanda Tapley,Katie Mulquiney,Emma J Baillie,Neil Spike,Lisa Clarke,Parker Magin
BACKGROUND Antibiotics provide minimal benefit for sore throat, otitis media, and sinusitis. Antibiotic stewardship, with reduced prescribing, is required to address antibiotic resistance. As most antibiotic prescribing occurs in general practice and prescribing habits develop early, general practitioner (GP) trainees (registrars) are important for effective antibiotic stewardship. OBJECTIVES To establish
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Disagreement between patients' and general practitioners' estimates of patient health literacy increases from the top to the bottom of the social ladder: a cross-sectional study in the Paris area. Fam. Pract. (IF 2.2) Pub Date : 2023-05-24 Céline Casta,Sophie Bucher,Pierre Labitrie,Théotime Nadot,Henri Panjo,Laurent Rigal
BACKGROUND Associated with both socioeconomic position and health outcomes, health literacy (HL) may be a mechanism contributing to social disparities. However, it is often difficult for general practitioners (GPs) to assess their patients' HL level. OBJECTIVE To analyse disagreements about patient HL between GPs and their patients according to the patient's socioeconomic position. METHODS For each
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Migraine care practices in primary care: results from a national US survey. Fam. Pract. (IF 2.2) Pub Date : 2023-05-23 Elisabeth Callen,Tarin Clay,Jillian Alai,Paul Crawford,Adam Visconti,Andrea Nederveld,Inez Cruz,Bailey Perez,Karen L Roper,Tamara K Oser,May-Lorie Saint Laurent,Yalda Jabbarpour
BACKGROUND Primary care clinicians play a critical role in diagnosis and treatment of migraine, yet barriers exist. This national survey assessed barriers to diagnosis and treatment of migraine, preferred approaches to receiving migraine education, and familiarity with recent therapeutic innovations. METHODS The survey was created by the American Academy of Family Physicians (AAFP) and Eli Lilly and
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Leaflet information by the local government on mental health during the coronavirus disease 2019 pandemic: a cross-sectional study in a rural area in Japan. Fam. Pract. (IF 2.2) Pub Date : 2023-05-19 Ryu Fukase,Masayasu Murakami,Takaaki Ikeda
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic and associated infodemic increased depression and anxiety. Proper information can help combat the infodemic and promotes mental health; however, rural residents have more difficulties in getting correct information than urban residents. OBJECTIVE To examine whether the information on COVID-19 provided by the local government maintained the
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Use of Mindex and Demiquet for assessing nutritional status in older adults. Fam. Pract. (IF 2.2) Pub Date : 2023-05-19 Yanisa Thuayngam,Narucha Komolsuradej,Napakkawat Buathong,Siwaluk Srikrajang
BACKGROUND The Mini Nutritional Assessment (MNA) is a validated questionnaire that estimates nutritional status. Given that this questionnaire uses stature measurement, which are unreliable in older adults, Mindex and Demiquet are alternatives to BMI for assessing malnutrition risk. However, the correlation of Mindex and Demiquet values with MNA scores has not been investigated. OBJECTIVES This cross-sectional
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The quality of paediatric asthma guidelines: evidence underpinning diagnostic test recommendations from a meta-epidemiological study. Fam. Pract. (IF 2.2) Pub Date : 2023-05-17 Elizabeth T Thomas,Sarah T Thomas,Rafael Perera,Peter J Gill,Susan Moloney,Carl J Heneghan
BACKGROUND Asthma is one of the most frequent reasons children visit a general practitioner (GP). The diagnosis of childhood asthma is challenging, and a variety of diagnostic tests for asthma exist. GPs may refer to clinical practice guidelines when deciding which tests, if any, are appropriate, but the quality of these guidelines is unknown. OBJECTIVES To determine (i) the methodological quality