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Evaluation of the introduction of a single-lead ECG device and digital cardiologist consultation platform among general practitioners in the Netherlands Prim. Health Care Res. (IF 1.6) Pub Date : 2024-04-18 Evert P.M. Karregat, Marlou A. de Koning, Jelle C.L. Himmelreich, David W. Koetsier, Jonas S.S.G. de Jong, Eric P. Moll van Charante, Ralf E. Harskamp, Wim A.M. Lucassen
Aim: To evaluate the use of a single-lead electrocardiography (1L-ECG) device and digital cardiologist consultation platform in diagnosing arrhythmias among general practitioners (GPs).Background: Handheld 1L-ECG offers a user-friendly alternative to conventional 12-lead ECG in primary care. While GPs can safely rule out arrhythmias on 1L-ECG recordings, expert consultation is required to confirm suspected
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Assessing primary healthcare disaster preparedness: a study in Northern Italy Prim. Health Care Res. (IF 1.6) Pub Date : 2024-04-12 Alessandro Lamberti-Castronuovo, Hamdi Lamine, Martina Valente, Ives Hubloue, Francesco Barone-Adesi, Luca Ragazzoni
Aim: The aim of this paper is to outline the steps taken to develop an operational checklist to assess primary healthcare (PHC) all-hazards disaster preparedness. It then describes a study testing the applicability of the checklist. Background: A PHC approach is an essential foundation for health emergency and disaster risk management (H-EDRM) because it can prevent and mitigate risks prior to disasters
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Chronic pain–mental health comorbidity and excess prevalence of health risk behaviours: a cross-sectional study Prim. Health Care Res. (IF 1.6) Pub Date : 2024-04-08 Sophie Lumley, Dahai Yu, Ross Wilkie, Kelvin P. Jordan, George Peat
Background: Chronic musculoskeletal pain and anxiety/depression are significant public health problems. We hypothesised that adults with both conditions constitute a group at especially high risk of future cardiovascular health outcomes. Aim: To determine whether having comorbid chronic musculoskeletal pain and anxiety/depression is associated with the excess prevalence of selected known cardiovascular
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Healthy lifestyle promotion via digital self-help for mental health patients in primary care: a pilot study including an embedded randomized recruitment trial Prim. Health Care Res. (IF 1.6) Pub Date : 2024-03-27 Karoline Kolaas, Erland Axelsson, Erik Hedman-Lagerlöf, Anne H. Berman
Aim: This study piloted a digital self-help intervention facilitating healthy lifestyle for patients with mental health problems in primary care. Background: Patients with mental health problems show more unhealthy lifestyle behaviors than the general population and prior research indicates that healthy lifestyle behaviors can improve mental health. Methods: This pilot study assessed use of a self-help
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Unmet and unperceived needs for type 2 diabetes self-management among slum dwellers in Iran: a cross-sectional study Prim. Health Care Res. (IF 1.6) Pub Date : 2024-03-14 Fawzieh Ghammari, Habib Jalilian, Masumeh Gholizadeh
Aim: This study aimed to identify unmet and unperceived needs for T2D self-management among those residing in Tabriz slums, Iran, in 2022. Background: Type 2 diabetes (T2D) and its complications are more common among slum dwellers. T2D is a lifelong disease that requires continuous care. By contrast, slum dwellers are less likely to adhere to standard health care. Methods: This study is cross-sectional
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Long-term catheter management in the community: a population-based analysis of user characteristics, service utilisation and costs in England Prim. Health Care Res. (IF 1.6) Pub Date : 2024-03-07 Heather Gage, Peter Williams, Miriam Avery, Catherine Murphy, Mandy Fader
Background: Long-term urinary catheters are problematic and burdensome for patients, carers and health services. Nursing practice to improve the management of long-term urinary catheters has been held back by a lack of evidence to support policy and practice. Little is known about who uses a catheter long term and the resources and costs needed for their management. Understanding these costs will help
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Primary care practice-based interventions and their effect on participation in population-based cancer screening programs: a systematic narrative review Prim. Health Care Res. (IF 1.6) Pub Date : 2024-02-12 Ebony J. Verbunt, Grace Newman, Nicola S. Creagh, Kristi M. Milley, Jon D. Emery, Margaret A. Kelaher, Nicole M. Rankin, Claire E. Nightingale
Aim: To provide a systematic synthesis of primary care practice-based interventions and their effect on participation in population-based cancer screening programs. Background: Globally, population-based cancer screening programs (bowel, breast, and cervical) have sub-optimal participation rates. Primary healthcare workers (PHCWs) have an important role in facilitating a patient’s decision to screen;
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Exploring public health nurses’ acceptability of clinical assessment tools in a Norwegian child health centre Prim. Health Care Res. (IF 1.6) Pub Date : 2024-02-12 Elisabeth Ovanger Barrett, Hilde Laholt, Geir Fagerjord Lorem, Catharina Elisabeth Arfwedson Wang
Background: Infants’ symptoms of mental struggle are often diffuse and undifferentiated, and health services do not identify many infants at risk of poor development. However, primary health care is advantageous for early identification, given there are frequent consultations during the infant’s first two years. Health policy encourages using evidence-based screening but use varies in primary health
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Influencing factors of knowledge proficiency of general practitioners in rural China for esophageal cancer prevention and treatment: a cross-sectional study Prim. Health Care Res. (IF 1.6) Pub Date : 2024-02-12 Jinjia Zhang, Huadong Wu, Rongying Wang, Min Zhang
Background: This study aims to investigate the knowledge of rural general practitioners (GPs) in esophageal cancer (EC) prevention and treatment in China and analyze relevant influencing factors, so as to improve the ability of rural GPs in EC prevention and treatment. Methods: This cross-sectional study was conducted from November 5, 2021, to November 20, 2021. A self-designed questionnaire was used
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Bridging the first-aid knowledge gap: a cross-sectional study of medical scope students in Syria Prim. Health Care Res. (IF 1.6) Pub Date : 2024-02-08 Jamal Ataya, Jawdat Ataya, Ziad Aljarad
Introduction and Objective: Sufficient knowledge required to deal with emergencies at the accident site may not be found in most medical students due to the lack of effective first-aid training in most medical education curricula. This study aims to assess and evaluate medical students’ knowledge level in providing first-aid care, especially first-year students. Methods: An electronic questionnaire
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Feasibility of a home-designed respiratory rehabilitation program for chronic obstructive pulmonary disease Prim. Health Care Res. (IF 1.6) Pub Date : 2024-01-30 Nidhal Belloumi, Chaima Habouria, Imen Bachouch, Meriem Mersni, Fatma Chermiti, Soraya Fenniche
Background: According to international guidelines, respiratory rehabilitation (RR) for patients with chronic obstructive pulmonary disease (COPD) is a cornerstone of standard non-pharmacological treatment. Aims: To evaluate feasibility of a home-designed RR program and analyze its medium-term impact on respiratory parameters and quality of life. Methods: This was a prospective study involving 74 COPD
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Double positivity for rheumatoid factor and anti-CCP autoantibodies: improving referral from primary care of patients suspected of having rheumatoid arthritis Prim. Health Care Res. (IF 1.6) Pub Date : 2024-01-17 Maria Salinas, Álvaro Blasco, Emilio Flores, Mauricio Minguez, Carlos Leiva-Salinas
Background: Rheumatoid arthritis (RA) is a chronic progressive autoimmune inflammatory disease with significant morbidity and mortality. The course of the disease can be modified if diagnosis is early and treatment appropriate. Aim: In this study, we aimed to evaluate a new strategy for early identification of RA patients in primary care settings (the ‘diagnostic bottleneck’) based on serological biomarkers
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Healthcare professionals’ perceptions and experiences of obesity and overweight and its management in primary care settings: a qualitative systematic review Prim. Health Care Res. (IF 1.6) Pub Date : 2024-01-17 Laura Jeffers, Jillian Manner, Ruth Jepson, John McAteer
Aim: This qualitative systematic review aimed to synthesise existing qualitative research on HCPs’ perceptions and experiences of obesity and its management in primary care settings. Background: Healthcare professionals (HCPs), particularly those in primary care, play a key role in policy implementation around weight management. Overweight and obese individuals are subject to weight stigma which has
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Recommendations for healthy aging as documented by health professionals: a summative content analysis of health records Prim. Health Care Res. (IF 1.6) Pub Date : 2024-01-09 Anna Nivestam, Maria Haak, Albert Westergren
Aim: To identify what type of recommendations were recorded in older adults’ health records by health professionals during preventive home visits. Background: To promote health and prevent ill health, health professionals can give support and recommendations to older adults. The preventive home visit for older adults is one example of an intervention where health professionals such as nurses, social
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Physical activity and sedentary time after lifestyle interventions at the Norwegian Healthy Life Centres Prim. Health Care Res. (IF 1.6) Pub Date : 2024-01-08 Odin H. Gryte, Eivind Meland, Gro B. Samdal, Lars T. Fadnes, Jørn H. Vold, Thomas Mildestvedt
Aims: This study evaluates long-term changes in physical activity and its associations with various predictors after a behavior change program at the Norwegian Healthy Life Centers. Background: Physical activity is recommended and is part of public health strategies to prevent noncommunicable diseases. Methods: This longitudinal cohort, based on a controlled randomized trial, studies a population of
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Biographical continuation: recovery of stroke survivors and their family caregivers in Taiwan Prim. Health Care Res. (IF 1.6) Pub Date : 2024-01-05 Zih-Yong Liao, Elaine Haycock-Stuart, Susanne Kean
Aim: To explore the experiences pertaining to long-term care services from the perspectives of dyads of stroke survivors and their family caregivers in indigenous and non-indigenous communities. Background: Stroke occurrence is a life-changing event associated with quality of life for stroke survivors and their families, especially those who provide primary support. Indigenous people are more likely
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Are remote health clinics primary health care focused? Validation of the Primary Health Care Engagement (PHCE) Scale for the Australian remote primary health care setting Prim. Health Care Res. (IF 1.6) Pub Date : 2024-01-05 Kylie McCullough, Gemma Doleman, Melissa Dunham, Lisa Whitehead, Davina Porock
Aim: To test and validate a measure of primary health care (PHC) engagement in the Australian remote health context. Background: PHC principles include quality improvement, community participation and orientation of health care, patient-centred continuity of care, accessibility, and interdisciplinary collaboration. Measuring the alignment of services with the principles of PHC provides a method of
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Food as medicine: a quasi-randomized control trial of two healthy food interventions for chronic disease management among ambulatory patients at an urban academic center Prim. Health Care Res. (IF 1.6) Pub Date : 2023-12-21 Peris W. Kibera, Nana A. Ofei-Tenkorang, Chanda Mullen, Aaron M. Lear, Elliot B. Davidson
Background: Globally, poor nutrition is a driver of many chronic diseases and is responsible for more deaths than any other risk factor. Accordingly, there is growing interest in the direct provision of healthy foods to patients to tackle diet-linked chronic diseases and mortality. Aim: To assess the effect of two healthy food interventions in conjunction with nutrition counseling and education on
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Pain management in infant immunisation: A cross-sectional survey of UK primary care nurses Prim. Health Care Res. (IF 1.6) Pub Date : 2023-12-21 Annie P. Mabbott, Helen Bedford
Background: Childhood immunisation is a critically important public health initiative. However, since most vaccines are administered by injection, it is associated with considerable pain and distress. Despite evidence demonstrating the efficacy of various pain management strategies, the frequency with which these are used during routine infant vaccinations in UK practice is unknown. Aim: This study
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Pilot test of Consensus Reporting Items for Studies in Primary care (CRISP) Prim. Health Care Res. (IF 1.6) Pub Date : 2023-12-19 Elizabeth Sturgiss, William R. Phillips
The Consensus Reporting Items for Studies in Primary care (CRISP) provides a new research reporting guideline to meet the needs of the producers and users of primary care (PC) research. Developed through an iterative program of research, including investigators, practicing clinicians, patients, community representatives, and educators, the CRISP Checklist guides PC researchers across the spectrum of
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Strategies for improving access to primary care services for homeless immigrants in England: a Delphi study Prim. Health Care Res. (IF 1.6) Pub Date : 2023-12-14 Carol Namata, Eleni Hatzidimitriadou
Aim: The aim of the study was to identify the most prioritized strategies in improving access to primary care services (PCS) for homeless immigrants. Background: The issue of improving access to PCS for homeless immigrants is a complex and multifaceted one, and yet there is limited research on the strategies aimed at improving these services. Hence, the need for more studies that directly engage homeless
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Reduction of anxiety symptoms among women within a collaborative care model and women’s health settings Prim. Health Care Res. (IF 1.6) Pub Date : 2023-12-04 Lindsay R. Standeven, Kristen N. Miller, Alissa Mallow, Roni Berger, Virna Little
Aim: The purpose of this study is to focus on changes in anxiety symptoms among women treated in women’s health practices and under a collaborative care model. Background: Research on collaborative care has largely focused on improving depressive and anxiety symptoms among adults in primary care settings. The applicability of collaborative care in other healthcare settings is underreported with limited
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Editorial: Developing research potential in the primary and community-nursing workforce: the impact of a community of practice. Prim. Health Care Res. (IF 1.6) Pub Date : 2023-11-28 Eleanor Hoverd,Joanne Cooper,Sue Shortland,Peter Zeh,Ben Bowers,Lee Tomlinson,Sandra Dyer,Paula Boyer,Jen Charlewood,Andrew Finney
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Speaking the same language – a scoping review to identify the terminology associated with social prescribing Prim. Health Care Res. (IF 1.6) Pub Date : 2023-11-28 Simon Newstead, Megan Elliott, Dawn Cavanagh, Sion Tetlow, Carolyn Wallace
Aim: To identify the social prescribing-related terminology within the peer-reviewed literature of the UK and the grey literature from Wales. Background: Social prescribing has seen a period of development that has been accompanied by a proliferation of related terminology and a lack of standardisation in the manner in which it is employed. This creates barriers to engagement and impairs communication
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Access to episodic primary care: a cross-sectional comparison of walk-in clinics and urgent primary care centers in British Columbia Prim. Health Care Res. (IF 1.6) Pub Date : 2023-11-28 Mary A. McCracken, Ian R. Cooper, Michee-Ana Hamilton, Jan Klimas, Cameron Lindsay, Sarah Fletcher, Morgan Price, Lindsay Hedden, Rita K. McCracken
Aim: This study aimed to identify publicly reported access characteristics for episodic primary care in BC and provided a clinic-level comparison between walk-in clinics and UPCCs. Background: Walk-in clinics are non-hospital-based primary care facilities that are designed to operate without appointments and provide increased healthcare access with extended hours. Urgent and Primary Care Centres (UPCCs)
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How does evidence-based medicine training affect medical students’ views on traditional, complementary, and alternative medicine and the conspiracy theories about COVID-19: a nationwide study Prim. Health Care Res. (IF 1.6) Pub Date : 2023-11-24 Özlem Coşkun, Yavuz Selim Kıyak, Işıl İrem Budakoğlu
Aim: It was aimed to explore the relationship between evidence-based medicine (EBM) training and medical students’ views on traditional, complementary, and alternative medicine (TCAM) and their views on conspiracies about COVID-19. Background: Medical students constitute the future workforce of primary health care services. The relationship between EBM training and their views on conspiracies about
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Agreement and consistency in the triaging of musculoskeletal primary care referrals by vetting clinicians using a knowledge-based triage tool Prim. Health Care Res. (IF 1.6) Pub Date : 2023-10-26 F. M. Shorthouse, N. Griffin, C. McNicholas, N. Spahr, G. Jones
Background: Primary care referrals received by secondary care services are vetted or triaged to pathways best suited for patients’ needs. If knowledge-based triaging is used by vetting clinicians, accuracy is required to avoid incorrect decisions being made. With limited evidence to support best practice, we aimed to evaluate consistency across vetting clinicians’ decisions and their agreement with
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The role of primary health care in long-term care facilities during the COVID-19 pandemic in 30 European countries: a retrospective descriptive study (Eurodata study) Prim. Health Care Res. (IF 1.6) Pub Date : 2023-10-24 Marina Guisado-Clavero, Sara Ares-Blanco, Alice Serafini, Lourdes Ramos Del Rio, Ileana Gefaell Larrondo, Louise Fitzgerald, Shlomo Vinker, Gijs van Pottebergh, Kirsi Valtonen, Bert Vaes, Canan Tuz Yilmaz, Péter Torzsa, Paula Tilli, Theresa Sentker, Bohumil Seifert, Natalija Saurek-Aleksandrovska, Martin Sattler, Goranka Petricek, Ferdinando Petrazzuoli, Davorina Petek, Ábel Perjés, Naldy Parodi López
Background and aim: Primary health care (PHC) supported long-term care facilities (LTCFs) in attending COVID-19 patients. The aim of this study is to describe the role of PHC in LTCFs in Europe during the early phase of the pandemic. Methods: Retrospective descriptive study from 30 European countries using data from September 2020 collected with an ad hoc semi-structured questionnaire. Related variables
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Relational care and epistemic injustice Prim. Health Care Res. (IF 1.6) Pub Date : 2023-10-23 Rupal Shah, Sanjiv Ahluwalia, John Spicer
The philosophical underpinnings of primary care have been examined from several perspectives in recent years. In two previous articles, we have argued that a relational view of autonomy is better matched to the primary care setting than others, and that view is mainly formed from the descriptors of its practice. Here we develop that analysis further, linking it to other relevant theory: the experience
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Disparities in health and nutrition between semi-urban and rural mothers and birth outcomes of their newborns in Bukavu, DR Congo: a baseline assessment Prim. Health Care Res. (IF 1.6) Pub Date : 2023-10-23 Damaris Elisabeth Beitze, Céline Kavira Malengera, Theophile Barhwamire Kabesha, Jan Frank, Veronika Scherbaum
Aim: This research aimed to evaluate health and nutritional practices of mothers during pregnancy and birth outcomes of their newborns in Bukavu, Democratic Republic of the Congo (DRC), comparing semi-urban and rural areas. Background: Health and nutrition during pregnancy are crucial for adequate development of the fetus. Health care plays an important role but is often poor in rural areas of developing
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Postpartum family planning attitudes among Turkish women: development of a reliable and valid scale Prim. Health Care Res. (IF 1.6) Pub Date : 2023-10-18 Zeynep Sedef Varol, Meltem Çiçeklioğlu
Aim: The aim of this study was to develop a scale based on the Health Belief Model (HBM) to assess the family planning (FP) attitudes of postpartum women with 0- to 12-month-old infants residing in eight neighbourhoods of the Bornova province, Izmir, Turkey. Introduction: Family planning is an integral component of maternal and infant health during the postpartum period and is a fundamental aspect
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Enabling primary healthcare service development with patient participation: a qualitative study of the internal facilitator role in Norway Prim. Health Care Res. (IF 1.6) Pub Date : 2023-09-27 Ann Britt Sandvin Olsson, Una Stenberg, Mette Haaland-Øverby, Tor Slettebø, Anita Strøm
Aim: To explore how primary healthcare professionals (HCPs) tasked with facilitating primary healthcare service development with patient participation perceived their role. Introduction: Patient participation in health service development is a recognized means of ensuring that health services fit the public’s needs. However, HCPs are often uncertain about how to involve patient representatives (PRs)
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Patient and primary care practitioners’ perspectives on consultations for fibromyalgia: a qualitative evidence synthesis Prim. Health Care Res. (IF 1.6) Pub Date : 2023-09-26 Ailish Byrne, Katherine Jones, Michael Backhouse, Fiona Rose, Emma Moatt, Christina van der Feltz-Cornelis
Background: Fibromyalgia presents a challenge to both the patients experiencing symptoms and the staff aiming to treat them. This qualitative review aimed to synthesise how patients and practitioners experience primary care consultations, develop a rounded picture of how they perceive each other, the challenges to primary care consultation and how they might be tackled. Methods: CINAHL, Embase, CENTRAL
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The roles and challenges of the primary health care systems in epidemic management: a scoping review Prim. Health Care Res. (IF 1.6) Pub Date : 2023-09-14 Elham Shami, Kamal Gholipour, Deniz Naghibi, Saber Azami-Aghdash
Background and aim: During the early stage of pandemics, primary health care (PHC) is the first point of contact with the health system for people. This study aimed to find the leading roles and challenges of the PHC system in dealing with the outbreak of infectious diseases Methods: The current scoping review was conducted in 2022 using the Arkesy and O’Malley framework. A bibliographic search was
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How do determinants of health relate to children’s quality of life? A cross-sectional study in Izmir, Turkey Prim. Health Care Res. (IF 1.6) Pub Date : 2023-09-14 Hilal Duzel, Isil Ergin, Raika Durusoy
Aim: This study aims to determine health-related quality of life (QoL) and the related factors from the perspective of social determinants of health among children. Background: Childhood is the most intense period of life, and environmental factors surrounding children, as well as individual lifestyle factors, are related to the child’s physical and mental well-being. To our knowledge, there is a lack
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Trustful conversations: a qualitative interview study on older patients’ experiences of the intervention Proactive healthcare in a Swedish primary care setting Prim. Health Care Res. (IF 1.6) Pub Date : 2023-08-24 Åsa Sax, Magnus Nord, Elisabet Cedersund, Anna Olaison, Annette Sverker, Lisa Kastbom
Aim: To explore older patients’ experiences of the intervention Proactive healthcare for frail elderly persons. Background: Previous research has indicated that continuity and good access to primary care can improve satisfaction in older people seeking care. However, little is known about the older patients’ experiences in taking part of interventions aiming to enhance the care. Methods: Individual
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Developing modern primary care nursing in North Macedonia Prim. Health Care Res. (IF 1.6) Pub Date : 2023-08-14 Rosamund Bryar, Peter P. Groenewegen, Mireia Sánchez Martínez, Cris Scotter
Background: Nurses have the potential to make a real impact on the health and well-being of people and populations and contribute to the realisation of delivery of Universal Health Coverage. However, in many parts of the world, the education and practice of nursing and nurses’ position in health care and society are restricted by a range of social, cultural, economic and political factors. In North
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Identifying key policy objectives for strong primary care: a cross-sectional study Prim. Health Care Res. (IF 1.6) Pub Date : 2023-08-14 Sarah Burgmann, Muna Paier-Abuzahra, Martin Sprenger, Alexander Avian, Andrea Siebenhofer
Aim: The aim of this study was to identify key policy objectives by investigating the perception of important stakeholders and affected professionals concerning relevance and feasibility of a successful primary care (PC) reform. Background: Since 2013, the Austrian PC system has been undergoing a reform process to establish multiprofessional primary care units. The reforms have various defined objectives
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The availability and delivery of culturally responsive Australian Aboriginal infant resuscitation education programmes: a structured literature review Prim. Health Care Res. (IF 1.6) Pub Date : 2023-08-07 Nakita Stephens, Caroline Nilson, Tracy Reibel, Rhonda Marriott
Aim: To critically appraise the literature to determine availability and identify the cultural responsiveness of infant resuscitation education for Aboriginal and Torres Strait Islander populations. Background: Despite overall reductions in infant mortality in the last two decades, Aboriginal people have some of the highest rates of infant mortality of any developed nation. One of the key factors that
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‘They’re all individuals, none of them are on the same boat’: barriers to weight management in general practice from the rural nurse perspective Prim. Health Care Res. (IF 1.6) Pub Date : 2023-07-31 Kimberley Norman, Lisette Burrows, Lynne Chepulis, Hilde Mullins, Ross Lawrenson
Aim: To explore nurses’ experiences with, and barriers to, obesity healthcare in rural general practice. Background: Obesity is a significant health risk worldwide, which can lead to many other physical and psychosocial health issues that contribute to a poor quality of life. Primary care is considered the most suitable context to deliver obesity management healthcare across the world, including New
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Quality of prescription writing in Brazilian primary health care Prim. Health Care Res. (IF 1.6) Pub Date : 2023-07-31 Almária Mariz Batista, Zenewton André da Silva Gama, Pedro Jesús Saturno Hernández, Dyego Souza
Objective: To evaluate the quality of prescription writing in the context of public primary health care. Background: Prescription errors are one of the leading patient safety problems in primary care and can be caused by errors in therapeutic decisions or in the quality of prescription writing. Methods: Cross-sectional observational study conducted in a municipality in Northeastern Brazil. The assessment
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Barriers to health care access and utilization among aged indigents under the Livelihood Empowerment Against Poverty Programme (LEAP): the perspective of users and service providers in north-western Ghana Prim. Health Care Res. (IF 1.6) Pub Date : 2023-07-24 Maximillian Kolbe Domapielle, Cornelius Dassah, Felix Dordaa, Benjamin Spears Ngmekpele Cheabu, Mohammed Sulemana
Aim: This article draws on the poverty and access to health care framework to explore the barriers to access and utilization of primary health care among aged indigents under the Livelihood Empowerment Against Poverty Programme (LEAP) in Ghana. Background: Although many developing countries have made progress in extending primary health care to their populations following the Alma-Ata Declaration of
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What are the experiences of nurses delivering research studies in primary care? Prim. Health Care Res. (IF 1.6) Pub Date : 2023-07-12 Azaria Ballintine, Rachel Potter
Background: Clinical research provides evidence to underpin and inform advancements in the quality of care, services and treatments. Primary care research enables the general patient population access and opportunities to engage in research studies. Nurses play an integral role in supporting the delivery of primary care research, but there is limited understanding of nurses’ experiences of this role
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A multifaceted provider-centred intervention versus usual care to improve the recognition and diagnosis of depression in primary health care: a hybrid study Prim. Health Care Res. (IF 1.6) Pub Date : 2023-07-10 Eva Vanesa Nogueras, Nazaret Cantero, María Macías, José Miguel Morales-Asencio, José María García-Herrera Pérez-Bryan, María M. Hurtado
Background: The aim of this study was to evaluate the impact of a multifaceted intervention to implement an adapted guideline for the management of depression in primary health care. Methods: A hybrid trial was carried out to determine the effect of a multicomponent provider-centred intervention to improve the detection and diagnosis of depression in primary care, as part of the guideline implementation
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Extended home visits can provide multidimensional adapted professional support for parents – an intervention study Prim. Health Care Res. (IF 1.6) Pub Date : 2023-07-05 Margaretha Larsson, Caroline Bäckström, Rebecca Larsson, Sara Gahm, Marie Wilhsson
Aim: The aim of this study was to explore healthcare professionals’ experiences of working with extended home visits for parents. Background: It is essential to identify parents, both expectant and with a newborn child, who need support in their parenting abilities at an early stage because children’s health and well-being are affected by their home environment as well as by their parents’ health and
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Screening for depression as part of annual diabetic review using PHQ-9 scores: a pilot study Prim. Health Care Res. (IF 1.6) Pub Date : 2023-06-20 Rabeeah Asim, Muhammad Asim, Rajah Reddy, Lynne Chepulis, Ross Lawrenson
Diabetes mellitus is associated with an increased risk of depression. Appropriate screening and treatment of depression may therefore support diabetes management in primary care. Study aim was to review the efficacy of using a Patient Health Questionnaire – (PHQ-9) tool to screen for depression in patients with type 2 diabetes mellitus (T2DM) in New Zealand. It was a cross-sectional study that included
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Educating sports people about CPR and first aid in general practice: the Savtember project Prim. Health Care Res. (IF 1.6) Pub Date : 2023-06-08 Arnaud Maury, Manuel Buet, Emilie Rossignol, Anthony Chapron
Aim: During an exercise-related sudden cardiac arrest, bystander automated external defibrillator use occurred in a median of 31%. The present study conducted in France evaluated the feasibility and impact of a brief intervention by general practitioners (GPs) to increase awareness about first aid/CPR training among amateur sportspeople. Methods: In 2018, 49 French GPs proposed a brief intervention
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Amigos de Fibro (Fibro Friends): validation of an e-book to promote health in fibromyalgia Prim. Health Care Res. (IF 1.6) Pub Date : 2023-05-31 Mateus Dias Antunes, Ana Carolina Basso Schmitt, Amélia Pasqual Marques
Background: Educational strategies are necessary for the care of patients with fibromyalgia. The objective was to develop and validate an e-book to promote the health of individuals with fibromyalgia. Methods: Methodological research in which, initially, through a bibliographic survey, the available publications on the subject were analyzed. Then, this knowledge was used to build the theoretical content
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Perspectives towards cultural competence and receptivity to cultural competence training: a qualitative study on healthcare professionals Prim. Health Care Res. (IF 1.6) Pub Date : 2023-05-26 Daniel W. L. Lai, Vincent W. P. Lee, Yong Xin Ruan
Background: Cultural competence training plays an effective role in improving cultural competence for healthcare professionals, but cultural competence training was found to be insufficient in Hong Kong. Aim: This study aims to explore receptivity and readiness of Hong Kong healthcare professionals (nurses, occupational therapists (OTs), and physiotherapists (PTs)) towards cultural competence training
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Managing dementia care during COVID-19 pandemic: caregivers’ experiences in Odisha, India Prim. Health Care Res. (IF 1.6) Pub Date : 2023-05-25 Pranab Mahapatra, Krushna Chandra Sahoo, Shyama Desaraju, Binapani Nath, Sanghamitra Pati
Aim: The present study explored the family caregivers’ perspectives and elicited their experience while managing dementia care during the COVID-19 pandemic in Odisha, India. Background: The onset of the COVID-19 pandemic has diverted the attention of health systems away from chronic disease management and health services delivery. Psychiatric care particularly for dementia and the elderly is found
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Beliefs about illness: comparing foreign- and native-born persons with type 2 diabetes living in Sweden in a cross-sectional survey Prim. Health Care Res. (IF 1.6) Pub Date : 2023-05-24 Emina Hadziabdic, Katarina Hjelm
Aim: Based on previous qualitative studies, it was hypothesised that dissimilarities in beliefs about illness, which influence healthcare-seeking behaviour, exist between foreign- and native-born persons diagnosed with type 2 diabetes living in Sweden (in the following termed ‘Swedish-born’). Background: Beliefs about illness are individual, culturally related, based on knowledge, and guide health-related
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Scoping review of outpatient health services utilization among women Prim. Health Care Res. (IF 1.6) Pub Date : 2023-05-18 Mahasti Alizadeh, Bahar Zamiran, Ayoub Eslamian, Neda SoleimanvandiAzar, Mohammad Ali Mohammadi Gharehghani, Gelavizh Karimijavan, Salah Eddin Karimi
Background: Health services utilization, as one of the mechanisms of the health system, guarantees a healthy life and improves well-being for everyone. Aims: The aim of this study was to identify factors affecting the use of outpatient health services among women. Methods/designs: This scoping review examined the studies related to outpatient health services utilization (OHSU) and its determinants
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Current status and needs in the primary healthcare system in Yangon, Myanmar: a mixed-method evaluation Prim. Health Care Res. (IF 1.6) Pub Date : 2023-05-18 Jihyun Moon, Su Jin Kang, Young Dae Kwon, Eun-mi Song, Jin-Won Noh
Background: Many low- and middle-income countries and international organisations have invested resources to strengthen primary health care (PHC). This study aimed to identify the challenges and unmet needs in the current PHC by assessing the experiences and perceptions of healthcare workers in three townships (Htan Ta Pin, Hmawbi, and Taikkyi) in Yangon, Myanmar. Methods: The study was conducted among
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How to improve interest for undergraduate nursing students working in primary health care Prim. Health Care Res. (IF 1.6) Pub Date : 2023-05-12 Beate André, Therese Antonsen, Sølvi Karin Romarheim Akslen, Wenche Bergseth Bogsti
Aim: To explore the association between the implementation of a new model of supervision and the impact of undergraduate nursing students’ interest in working in primary health care. Background: There is a need for more nurses in primary health care. To influence undergraduate nursing students to work in primary health care after graduation, the experience of their clinical practice in primary health
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Clinical decision rules in primary care: necessary investments for sustainable healthcare Prim. Health Care Res. (IF 1.6) Pub Date : 2023-05-02 Jorn S. Heerink, Ruud Oudega, Rogier Hopstaken, Hendrik Koffijberg, Ron Kusters
Clinical judgement in primary care is more often decisive than in the hospital. Clinical decision rules (CDRs) can help general practitioners facilitating the work-through of differentials that follows an initial suspicion, resulting in a concrete ‘course of action’: a ‘rule-out’ without further testing, a need for further testing, or a specific treatment. However, in daily primary care, the use of
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Community participation in the health system: analyzing the implementation of community health committee policies in Kenya Prim. Health Care Res. (IF 1.6) Pub Date : 2023-04-28 Robinson Karuga, Marjolein Dieleman, Patrick Mbindyo, Kim Ozano, Judy Wairiuko, Jacqueline E.W. Broerse, Maryse Kok
Background: Community health committees (CHCs) are a mechanism for communities to voluntarily participate in making decisions and providing oversight of the delivery of community health services. For CHCs to succeed, governments need to implement policies that promote community participation. Our research aimed to analyze factors influencing the implementation of CHC-related policies in Kenya. Methods:
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Training and development experiences of nursing associate trainees based in primary care across England: a qualitative study Prim. Health Care Res. (IF 1.6) Pub Date : 2023-04-28 Rachel King, Sara Laker, Sarah Alden, Tony Ryan, Emily Wood, Angela Tod, Michaela Senek, Bethany Taylor, Steven Robertson
Background: The nursing associate role was first deployed in England in 2019 to fill a perceived skills gap in the nursing workforce between healthcare assistants and registered nurses and to offer an alternative route into registered nursing. Initially, trainee nursing associates were predominantly based in hospital settings; however, more recently, there has been an increase in trainees based in
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Clinicians’ experiences with cancer patients living longer with incurable cancer: a focus group study in the Netherlands Prim. Health Care Res. (IF 1.6) Pub Date : 2023-04-28 Hilde M. Buiting, Femke Botman, Lilly-Ann van der Velden, Linda Brom, Florien van Heest, Eva E. Bolt, Pieter de Mol, Ton Bakker
Aim: To explore (1) experiences of primary care physicians (PCPs) and oncological medical specialists about providing care to patients living longer with incurable cancer, and (2) their preferences concerning different care approaches (palliative support, psychological/survivorship care support). Background: At present, oncological medical specialists as well as PCPs are exploring how to improve and
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Impact of culturally tailored shared medical appointments on diabetes self-care ability and knowledge in African Americans Prim. Health Care Res. (IF 1.6) Pub Date : 2023-04-27 Adrienne L. Reddick, Deborah C. Gray
Background: Type 2 diabetes mellitus (T2DM) continues to disproportionately affect African Americans, significantly impacting morbidity and mortality. Research suggests that addressing barriers that stem from socioeconomic circumstances, systemic inequalities, biological factors, and cultural factors may positively influence biometric indicators of health and diabetes control. Objective: The aim of
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‘I’m a bit of a champion for it actually’: qualitative insights into practitioner-supported self-collection cervical screening among early adopting Victorian practitioners in Australia Prim. Health Care Res. (IF 1.6) Pub Date : 2023-04-27 Claire Zammit, Nicola Creagh, Claire Nightingale, Tracey McDermott, Marion Saville, Julia Brotherton, Margaret Kelaher
Background: Self-collection for cervical screening has been available in the Australian National Cervical Screening Program since 2017 and is now available to all people as an option for cervical screening through a practitioner-supported model. Documenting early adopting practitioner experiences with self-collection as a mechanism to engage people in cervical screening is crucial to informing its