General practice nurse perceptions of barriers and facilitators to implementation of best-practice dementia care recommendations-a qualitative interview study
CONCLUSION: This study identified several factors that need addressing to support general practice nurses to integrate best-practice dementia care recommendations into daily clinical practice. The development of interventions needs to include strategies to mitigate potential barriers and enhance facilitators that they perceive impact on their delivery of best-practice care for people living with dementia and their carer(s). The knowledge gained in this study could be used to develop multi-faceted interventions informed by theoretical implementation change models to enable the general practice nurse to operationalise best-p...
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Caroline Gibson Dianne Goeman Dimity Pond Mark Yates Alison Hutchinson Source Type: research
Management of chronic kidney disease for M āori in Aotearoa New Zealand: a summary of clinical practice guidelines
CONCLUSIONS: Recommendations to health services for Māori with CKD are based on giving effect to Te Tiriti o Waitangi and best practice care to prevent CKD, delaying its progression, treating kidney failure through timely transplantation, delivering in community and providing high-quality symptom management.PMID:38696833 | DOI:10.26635/6965.6483 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Curtis Walker Susan Reid Carla White Merryn Jones Lee-Ora Lusis Rachael C Walker John Collins Helen Rodenburg David Tunnicliffe Suetonia C Green Source Type: research
Healthcare avoidance during the early stages of the COVID-19 pandemic and all-cause mortality: a longitudinal community-based study
Conclusion We found an increased risk of all-cause mortality among individuals who avoided healthcare during COVID-19. These individuals were characterised by poor mental and physical self-appreciated health. Therefore, interventions should be targeted to these vulnerable individuals to safeguard their access to primary and specialist care in order to limit health disparities, inside and beyond healthcare crises.PMID:38697627 | DOI:10.3399/BJGP.2023.0637 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - May 2, 2024 Category: Primary Care Authors: Marije J Splinter Premysl Velek Brenda C T Kieboom M Arfan Ikram Evelien de Schepper M Kamran Ikram Silvan Licher Source Type: research
General practice nurse perceptions of barriers and facilitators to implementation of best-practice dementia care recommendations —a qualitative interview study
With an aging population and a growing prevalence of people living with dementia, the demand for best-practice dementia care in general practice increases. There is an opportunity to better utilise the nurse r... (Source: BMC Family Practice)
Source: BMC Family Practice - May 2, 2024 Category: Primary Care Authors: Caroline Gibson, Dianne Goeman, Dimity Pond, Mark Yates and Alison Hutchinson Tags: Research Source Type: research
Saxon Epidemiological Study in General Practice-6 (SESAM-6): protocol of a cross-sectional study
Introduction
General practitioners (GPs) are mostly the first point of contact for patients with health problems in Germany. There is only a limited epidemiological overview data that describe the GP consultation hours based on other than billing data. Therefore, the aim of Saxon Epidemiological Study in General Practice-6 (SESAM-6) is to examine the frequency of reasons for encounter, prevalence of long-term diagnosed diseases and diagnostic and therapeutic decisions in general practice. This knowledge is fundamental to identify the healthcare needs and to develop strategies to improve the GP care. The results of the stud...
Source: BMJ Open - May 2, 2024 Category: General Medicine Authors: Gräfe, W., Liebig, L., Deutsch, T., Schübel, J., Bergmann, A., Bleckwenn, M., Frese, T., Brütting, C., Riemenschneider, H. Tags: Open access, Epidemiology Source Type: research
The effect of focused lung ultrasonography on antibiotic prescribing in patients with acute lower respiratory tract infections in Danish general practice: study protocol for a pragmatic randomized controlled trial (PLUS-FLUS)
The use of antibiotics is a key driver of antimicrobial resistance and is considered a major threat to global health. In Denmark, approximately 75% of antibiotic prescriptions are issued in general practice, w... (Source: Trials)
Source: Trials - May 2, 2024 Category: General Medicine Authors: Julie Jepsen Str øm, Camilla Aakjær Andersen, Martin Bach Jensen, Janus Laust Thomsen, Christian B. Laursen, Søren Helbo Skaarup, Hans Henrik Lawaetz Schultz and Malene Plejdrup Hansen Tags: Study protocol Source Type: research
Mixed-methods evaluation of an enhanced asthma biologics clinical pathway in the West Midlands UK
We report a mixed-methods evaluation of an enhanced severe asthma pathway implemented in Staffordshire and Stoke-on-Trent, UK which aimed to optimise primary care referrals through training/education, and increased capacity in specialist clinics. Quantitative analysis assessed patient wait times between pathway stages, prescribing changes, exacerbations, hospital admissions and asthma control. Interviews with 12 stakeholders evaluated perceptions of the enhanced pathway across settings. In 12 months, 564 patients from 28 general practices were reviewed for biologics eligibility, of whom 125 (22.2%) were referred for specia...
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Sarah Damery Janet Jones Elfatih Idris Angela Cooper Holly Minshall Chris Clowes Kate Jolly Source Type: research
Mixed-methods evaluation of an enhanced asthma biologics clinical pathway in the West Midlands UK
We report a mixed-methods evaluation of an enhanced severe asthma pathway implemented in Staffordshire and Stoke-on-Trent, UK which aimed to optimise primary care referrals through training/education, and increased capacity in specialist clinics. Quantitative analysis assessed patient wait times between pathway stages, prescribing changes, exacerbations, hospital admissions and asthma control. Interviews with 12 stakeholders evaluated perceptions of the enhanced pathway across settings. In 12 months, 564 patients from 28 general practices were reviewed for biologics eligibility, of whom 125 (22.2%) were referred for specia...
Source: Respiratory Care - May 1, 2024 Category: Respiratory Medicine Authors: Sarah Damery Janet Jones Elfatih Idris Angela Cooper Holly Minshall Chris Clowes Kate Jolly Source Type: research
Appropriateness of prescribing profiles and intake adherence to non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation: analysis of a retrospective longitudinal study using real-world data from Northern Portugal (AF-React Study)
Conclusions
Dabigatran had the lowest percentage of guideline-consistent doses. Patients younger than 75 years with GFR >60 mL/min had the highest percentage with an adequate GFR range, while other groups who require closer GFR monitoring had lower percentages within an adequate GFR range. Adherence to NOACs differed among different drugs, with greater adherence to treatment with edoxaban and less adherence to apixaban. (Source: BMJ Open)
Source: BMJ Open - April 30, 2024 Category: General Medicine Authors: Silva Pinto, S., Henriques, T. S., Teixeira, A. S. C., Monteiro, H., Martins, C. Tags: Open access, General practice / Family practice Source Type: research
Development and validation of a risk prediction model for hospital admission in COVID-19 patients presenting to primary care
CONCLUSION: We derived a risk model using readily available variables at GP assessment to predict hospital admission for COVID-19. It performed accurately across regions and waves. Further validation on cohorts with acquired immunity and newer SARS-CoV-2 variants is recommended.PMID:38682305 | DOI:10.1080/13814788.2024.2339488 (Source: European Journal of General Practice)
Source: European Journal of General Practice - April 29, 2024 Category: Primary Care Authors: Laure Wynants Natascha Jh Broers Tamara N Platteel Roderick P Venekamp Dennis G Barten Mathie Pg Leers Theo Jm Verheij Patricia M Stassen Jochen Wl Cals Eefje Gpm de Bont Source Type: research
Understanding GPs' referral decisions for younger patients with symptoms of cancer: a qualitative interview study
CONCLUSION: While most GPs interpret age criteria flexibly and follow their own judgement and experience when making clinical decisions regarding younger patients, system constraints may be a barrier to timely investigation.PMID:38684377 | DOI:10.3399/BJGP.2023.0304 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 29, 2024 Category: Primary Care Authors: Erica di Martino Stephanie Honey Stephen H Bradley Omer M Ali Richard D Neal Suzanne E Scott Source Type: research
Asthma deaths in children in the UK the last straw!
Br J Gen Pract. 2024 Apr 29:bjgp24X738201. doi: 10.3399/bjgp24X738201. Online ahead of print.NO ABSTRACTPMID:38684376 | DOI:10.3399/bjgp24X738201 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 29, 2024 Category: Primary Care Authors: Mark L Levy Louise Fleming Andrew Bush Source Type: research
Development and validation of a risk prediction model for hospital admission in COVID-19 patients presenting to primary care
CONCLUSION: We derived a risk model using readily available variables at GP assessment to predict hospital admission for COVID-19. It performed accurately across regions and waves. Further validation on cohorts with acquired immunity and newer SARS-CoV-2 variants is recommended.PMID:38682305 | PMC:PMC11060008 | DOI:10.1080/13814788.2024.2339488 (Source: European Journal of General Practice)
Source: European Journal of General Practice - April 29, 2024 Category: Primary Care Authors: Laure Wynants Natascha Jh Broers Tamara N Platteel Roderick P Venekamp Dennis G Barten Mathie Pg Leers Theo Jm Verheij Patricia M Stassen Jochen Wl Cals Eefje Gpm de Bont Source Type: research
Understanding GPs' referral decisions for younger patients with symptoms of cancer: a qualitative interview study
CONCLUSION: While most GPs interpret age criteria flexibly and follow their own judgement and experience when making clinical decisions regarding younger patients, system constraints may be a barrier to timely investigation.PMID:38684377 | DOI:10.3399/BJGP.2023.0304 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 29, 2024 Category: Primary Care Authors: Erica di Martino Stephanie Honey Stephen H Bradley Omer M Ali Richard D Neal Suzanne E Scott Source Type: research
