Brief encounters: what do primary care professionals contribute to peoples’ self-care support network for long-term conditions? A mixed methods study
Primary care professionals are presumed to play a central role in delivering long-term condition management. However the value of their contribution relative to other sources of support in the life worlds of p... (Source: BMC Family Practice)
Source: BMC Family Practice - February 17, 2016 Category: Primary Care Authors: Anne Rogers, Ivaylo Vassilev, Helen Brooks, Anne Kennedy and Christian Blickem Source Type: research

The Diabetes Remission Clinical Trial (DiRECT): protocol for a cluster randomised trial
Despite improving evidence-based practice following clinical guidelines to optimise drug therapy, Type 2 diabetes (T2DM) still exerts a devastating toll from vascular complications and premature death. Biochem... (Source: BMC Family Practice)
Source: BMC Family Practice - February 16, 2016 Category: Primary Care Authors: Wilma S. Leslie, Ian Ford, Naveed Sattar, Kieren G. Hollingsworth, Ashley Adamson, Falko F. Sniehotta, Louise McCombie, Naomi Brosnahan, Hazel Ross, John C. Mathers, Carl Peters, George Thom, Alison Barnes, Sharon Kean, Yvonne McIlvenna, Angela Rodrigues& Source Type: research

BMC Family Practice reviewer acknowledgment 2015
The editors of BMC Family Practice would like to thank all our reviewers who have contributed to the journal in Volume 16 (2015) (Source: BMC Family Practice)
Source: BMC Family Practice - February 12, 2016 Category: Primary Care Authors: Elaine Zhang Source Type: research

Piloting a new approach in primary care to identify, assess and support carers of people with terminal illnesses: a feasibility study
General practices in the United Kingdom are encouraged to have a protocol for the identification of carers and a mechanism for social care referral. However, a minority of carers are identified and those carin... (Source: BMC Family Practice)
Source: BMC Family Practice - February 11, 2016 Category: Primary Care Authors: Emma Carduff, Alison Jarvis, Gill Highet, Anne Finucane, Marilyn Kendall, Nadine Harrison, Jane Greenacre and Scott A Murray Source Type: research

Primary care characteristics and their association with health screening in a low-socioeconomic status public rental-flat population in Singapore- a mixed methods study
In Singapore, subsidized primary care is provided by centralized polyclinics; since 2000, policies have allowed lower-income Singaporeans to utilize subsidies at private general-practitioner (GP) clinics. We s... (Source: BMC Family Practice)
Source: BMC Family Practice - February 6, 2016 Category: Primary Care Authors: Liang En Wee, Wen Qi Cher, David Sin, Zong Chen Li and Gerald Choon-Huat Koh Source Type: research

Multicentric randomized clinical trial to evaluate the long-term effectiveness of a motivational intervention against smoking, based on the information obtained from spirometry in primary care: the RESET study protocol
Spirometry is the recommended method of evaluating pulmonary function when respiratory disease is suspected in smokers. Nonetheless, no evidence exists of the usefulness of information obtained from this test ... (Source: BMC Family Practice)
Source: BMC Family Practice - February 4, 2016 Category: Primary Care Authors: Francisco Martin-Lujan, Antoni Santigosa-Ayala, Josep-Lluis Piñol-Moreso, Mar Sorli-Aguilar, Gemma Flores-Mateo, Jordi Bladé-Creixenti, Josep Basora-Gallisà and Rosa Sola-Alberich Source Type: research

Erratum to: It could be a ‘Golden Goose’: a qualitative study of views in primary care on an emergency admission risk prediction tool prior to implementation
(Source: BMC Family Practice)
Source: BMC Family Practice - February 3, 2016 Category: Primary Care Authors: Alison Porter, Mark Rhys Kingston, Bridie Angela Evans, Hayley Hutchings, Shirley Whitman and Helen Snooks Source Type: research

How do we improve men’s mental health via primary care? An evaluation of the Atlas Men’s Well-being Pilot Programme for stressed/distressed men
Over three-quarters of all suicides are men (England and Wales), this is despite higher levels of anxiety and depression being reported by women. This disparity may in part be explained by atypical presentatio... (Source: BMC Family Practice)
Source: BMC Family Practice - February 2, 2016 Category: Primary Care Authors: Anna Cheshire, David Peters and Damien Ridge Source Type: research

Exploring interprofessional collaboration during the integration of diabetes teams into primary care
Specialised diabetes teams, specifically certified nurse and dietitian diabetes educator teams, are being integrated part-time into primary care to provide better care and support for Canadians living with dia... (Source: BMC Family Practice)
Source: BMC Family Practice - February 1, 2016 Category: Primary Care Authors: Enza Gucciardi, Sherry Espin, Antonia Morganti and Linda Dorado Source Type: research

Compliance with referrals to medical specialist care: patient and general practice determinants: a cross-sectional study
In a gatekeeper system, primary care physicians and patients jointly decide whether or not medical specialist care is needed. However, it is the patient who decides to actually use the referral. Referral non-c... (Source: BMC Family Practice)
Source: BMC Family Practice - February 1, 2016 Category: Primary Care Authors: Christel E. van Dijk, Judith D. de Jong, Robert A. Verheij, Tessa Jansen, Joke C. Korevaar and Dinny H. de Bakker Source Type: research

Knowledge structure and theme trends analysis on general practitioner research: A Co-word perspective
General practitioners (GPs) are the most important providers of primary health care, as proven by related research published several decades ago. However, the knowledge structure and theme trends of such resea... (Source: BMC Family Practice)
Source: BMC Family Practice - January 29, 2016 Category: Primary Care Authors: Yang Hong, Qiang Yao, Ying Yang, Jun-jian Feng, Shu-de Wu, Wen-xue Ji, Lan Yao and Zhi-yong Liu Source Type: research

Determinants of frequent attendance in Danish general practice: a cohort-based cross-sectional study
This study... (Source: BMC Family Practice)
Source: BMC Family Practice - January 28, 2016 Category: Primary Care Authors: Jeanette Therming Jørgensen, John Sahl Andersen, Anne Tjønneland and Zorana Jovanovic Andersen Source Type: research

A geriatric assessment in general practice: prevalence, location, impact and doctor-patient perceptions of pain
To investigate what a geriatric assessment in general practice adds towards previous findings of prevalence, location, impact and the dyadic doctor-patient perception of pain in this age group. (Source: BMC Family Practice)
Source: BMC Family Practice - January 28, 2016 Category: Primary Care Authors: Carsten Kruschinski, Birgitt Wiese, Marie-Luise Dierks, Eva Hummers-Pradier, Nils Schneider and Ulrike Junius-Walker Source Type: research

Patients’ views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events
Patient safety gained widespread public attention in the last 20 years. However, most patient safety research relied upon professionals’ exceptions and was realised especially in the hospital sector. Gradually... (Source: BMC Family Practice)
Source: BMC Family Practice - January 27, 2016 Category: Primary Care Authors: Sarah Lang, Marcial Velasco Garrido and Christoph Heintze Source Type: research

Validation study of HSCL-10, HSCL-6, WHO-5 and 3-key questions in 14–16 year ethnic minority adolescents
This study aimed to compare a subgroup of the bilingual, ethnic minority adolescents... (Source: BMC Family Practice)
Source: BMC Family Practice - January 27, 2016 Category: Primary Care Authors: Manjit Kaur Sirpal, Wench Haugen, Kaj Sparle and Ole Rikard Haavet Source Type: research

Erratum to: Prescribed therapy for asthma: therapeutic ratios and outcomes
(Source: BMC Family Practice)
Source: BMC Family Practice - January 25, 2016 Category: Primary Care Authors: Laurent Laforest, Idlir Licaj, Gilles Devouassoux, Irene Eriksson, Pascal Caillet, Gérard Chatte, Manon Belhassen and Eric Van Ganse Source Type: research

Perspectives of family medicine physicians on the importance of adolescent preventive care: a multivariate analysis
The study objective was to identify commonalities amongst family medicine physicians who endorse annual adolescent visits. (Source: BMC Family Practice)
Source: BMC Family Practice - January 20, 2016 Category: Primary Care Authors: Jaime L. Taylor, Matthew C. Aalsma, Amy L. Gilbert, Devon J. Hensel and Vaughn I. Rickert Source Type: research

General practice based psychosocial interventions for supporting carers of people with dementia or stroke: a systematic review
Particularly with ageing populations, dementia and stroke and their resultant disability are worldwide concerns. Much of the support for people with these conditions comes from unpaid carers or caregivers. The... (Source: BMC Family Practice)
Source: BMC Family Practice - January 15, 2016 Category: Primary Care Authors: Nan Greenwood, Ferruccio Pelone and Anne-Marie Hassenkamp Source Type: research

Burnout among after-hours home visit doctors in Australia
No previous study had ever looked at Burnout among medical practitioners involved in after-hours house calls (AHHC) in Australia. The growing popularity of AHHC and the high number of overseas-trained doctors ... (Source: BMC Family Practice)
Source: BMC Family Practice - January 13, 2016 Category: Primary Care Authors: Chris O. Ifediora Source Type: research

It could be a ‘Golden Goose’: a qualitative study of views in primary care on an emergency admission risk prediction tool prior to implementation
Rising demand for health care has prompted interest in new technologies to support a shift of care from hospital to community and primary care, which may require clinicians to undertake new working practices. ... (Source: BMC Family Practice)
Source: BMC Family Practice - January 6, 2016 Category: Primary Care Authors: Alison Porter, Mark Rhys Kingston, Bridie Angela Evans, Hayley Hutchings, Shirley Whitman and Helen Snooks Source Type: research

Effects of a lifestyle program in subjects with Impaired Fasting Glucose, a pragmatic cluster-randomized controlled trial
In this study the feasibility and effectiveness of a nurse led lifestyle program for subjects with impai... (Source: BMC Family Practice)
Source: BMC Family Practice - December 22, 2015 Category: Primary Care Authors: Arlette E. Hesselink, Guy E. H. Rutten, Sander M. Slootmaker, Inge de Weerdt, Lieke G.M. Raaijmakers, Ruud Jonkers, Marloes K. Martens and Henk J. G. Bilo Source Type: research

Acceptance of interventions to promote primary care: What do physicians prioritize?
Background: Switzerland is facing a shortage of primary care physicians (PCPs); government organizations therefore suggested a broad variety of interventions to promote primary care. The aim of the study was to prioritize these interventions according to the acceptance and perceived barriers of most relevant groups of physicians in this context (hospital physicians and PCPs). Methods: The study was conducted during summer 2014. An online-based questionnaire assessed demographic data, working conditions and future plans. Participants were asked to rank the usefulness of 22 interventions to promote primary care. Intervention...
Source: BMC Family Practice - December 15, 2015 Category: Primary Care Authors: Ryan TandjungSima DjalaliSusann HaslerNathalie ScherzThomas RosemannStefan Markun Source Type: research

Perceived determinants of cardiovascular risk management in primary care: disconnections between patient behaviours, practice organisation and healthcare system
Conclusions: Perceived determinants of cardiovascular risk management were mainly related to patient behaviors and (but only for health professionals) to the healthcare system. Though health care professionals and patients agree upon the importance of patients’ knowledge and self-management, their judgment of the current state of knowledge and self-management is entirely different. (Source: BMC Family Practice)
Source: BMC Family Practice - December 15, 2015 Category: Primary Care Authors: E. HuntinkM. WensingM. KlompJ. van Lieshout Source Type: research

Bodily distress syndrome: A new diagnosis for functional disorders in primary care?
DiscussionA growing body of evidence suggests that the numerous diagnoses for functional disorders listed in the current classifications belong to one family of closely related disorders. We name the underlying phenomenon ‘bodily distress’; it manifests as patterns of multiple and disturbing bodily sensations. Bodily distress syndrome is a diagnostic category with specific criteria covering this illness phenomenon. The category has been explored through empirical studies, which in combination provide a sound basis for determining a symptom profile, the diagnostic stability and the boundaries of the condition. H...
Source: BMC Family Practice - December 15, 2015 Category: Primary Care Authors: Anna Budtz-LillyAndreas SchröderMette RaskPer FinkMogens VestergaardMarianne Rosendal Source Type: research

Swiss family physicians’ perceptions and attitudes towards knowledge translation practices
Conclusion: Improved performance of KT initiatives in family medicine should be tailored to actual needs and based on high quality evidence-based sources. (Source: BMC Family Practice)
Source: BMC Family Practice - December 11, 2015 Category: Primary Care Authors: Theresa BengoughEmilie BovetCamille BécherrazSusanne SchlegelBernard BurnandVincent Pidoux Source Type: research

Improving primary palliative care in Scotland: lessons from a mixed methods study
Conclusions: The DES helped more patients with long-term conditions (LTC) receive generalist palliative care. Approaching generalist palliative care as anticipatory care could facilitate communication between GPs and patients/families and remove some barriers to early identification of palliative care needs. Improvement of information technology and use of identification tools like the SPICT™ may improve professionals’ communication with each other and help may make identification and management of patients easier. (Source: BMC Family Practice)
Source: BMC Family Practice - December 10, 2015 Category: Primary Care Authors: Bruce MasonSusan BuckinghamAnne FinucanePeter HutchisonMarilyn KendallHazel McCutcheonLorna PorteousScott Murray Source Type: research

Exploring lesbian, gay, bisexual, and queer (LGBQ) people’s experiences with disclosure of sexual identity to primary care physicians: a qualitative study
Conclusion: Improving physicians’ recognition of their own heteronormative value system and addressing structural heterosexual hegemony will help to make health care settings more inclusive. This will allow LGBQ patients to feel better understood, willing to disclose, subsequently improving their care and health outcomes. (Source: BMC Family Practice)
Source: BMC Family Practice - December 9, 2015 Category: Primary Care Authors: Marcus LawAnila MathaiPaula VeinotFiona WebsterMaria Mylopoulos Source Type: research

Development of the competency scale for primary care managers in Thailand: Scale development
Conclusions: Based on these analyses, this instrument demonstrated sound psychometric properties and therefore is considered an effective tool for assessment of the primary care manager competencies. The results can be used to improve competency requirements of primary care managers, with implications for health service management workforce development. (Source: BMC Family Practice)
Source: BMC Family Practice - December 9, 2015 Category: Primary Care Authors: Keerati KitreerawutiwongChanaphol SriruechaWongsa Laohasiriwong Source Type: research

Risk of exacerbation in chronic obstructive pulmonary disease: a primary care retrospective cohort study
Conclusions: This model can identify patients at high risk of acute exacerbation. Preventive measures and modification of treatment in these high-risk patients would improve survival. (Source: BMC Family Practice)
Source: BMC Family Practice - December 8, 2015 Category: Primary Care Authors: Josep Montserrat-CapdevilaPere GodoyJosep MarsalFerran BarbéLeonardo Galván Source Type: research

Process quality indicators in family medicine: results of an international comparison
Conclusions: A comparison of process quality indicators in family medicine revealed similarities and differences within and between countries. The researchers found that the major proportion of variation can be explained by physicians’ characteristics. (Source: BMC Family Practice)
Source: BMC Family Practice - December 2, 2015 Category: Primary Care Authors: Danica Pavli¿Maja SeverZalika Klemenc-Keti¿Igor ¿vab Source Type: research

Living with complexity; marshalling resources: a systematic review and qualitative meta-synthesis of lived experience of mental and physical multimorbidity
Conclusions: Understanding how people experience the complexities of mental and physical multimorbidity may be crucial to designing and delivering interventions to support successful self-management in this population. Future self-management interventions should aim to support patients to exert responsibility and autonomy for medical self-management and promote agency and self-determination to lead purposeful lives via improved access to appropriate social and psychological support. (Source: BMC Family Practice)
Source: BMC Family Practice - November 24, 2015 Category: Primary Care Authors: Peter CoventryNicola SmallMaria PanagiotiIsabel AdeyemiPenny Bee Source Type: research

Point-of-care testing with CRP in primary care: a registry-based observational study from Norway
Conclusions: The increase in the frequency of CRP test use from daytime to OOH occurs in general for RGPs and for all most used diagnoses. The RGPs who use the CRP test most frequently in their daytime practice have the highest rate of CRP in OOH services. (Source: BMC Family Practice)
Source: BMC Family Practice - November 19, 2015 Category: Primary Care Authors: Ingrid RebnordSteinar HunskaarSturla GjesdalØystein Hetlevik Source Type: research

A qualitative study exploring the acceptability of the McNulty-Zelen design for randomised controlled trials evaluating educational interventions
DiscussionOur RCT was evaluating the effect of an educational intervention to increase chlamydia screening tests in general practices where there was routine monitoring of testing rates; our participants may have been less enthusiastic about the design if it had been evaluating a more controversial educational area, or if data monitoring was not routine.ImplicationsThe McNulty-Zelen design should be considered for the evaluation of educational interventions, but these designs should have clear consent protocols and proportionate ethical review.Trial registrationThe trial was registered on the UK Clinical Research Network S...
Source: BMC Family Practice - November 17, 2015 Category: Primary Care Authors: Cliodna McNultyEllie RickettsClaire RugmanAngela HoganAndre CharlettRona Campbellon behalf of the CIRT study group Source Type: research

Primary health care teams put to the test a cross-sectional study from Austria within the QUALICOPC project
Conclusions: This study gives insight into the structures of PHC in Austria. The results indicate a low number of PHCT; however, the overall return rate in our sample was low with more male GPs, more GPs from urban areas and more GPs working in offices together with other physicians than the national average. Younger GPs demonstrate a greater tendency to implement this primary care practice model in their practices, which seems to be associated with an emphasis in psychosocial and preventive care. If Austria is to increase the number of PHC teams, the country should embrace the work of young GPs and should offer relevant s...
Source: BMC Family Practice - November 16, 2015 Category: Primary Care Authors: Kathryn HoffmannAaron GeorgeThomas DornerKatharina SüßWillemijn SchäferManfred Maier Source Type: research

Barriers and facilitators to providing primary care-based weight management services in a patient centered medical home for Veterans: a qualitative study
Conclusion: We found a diversity of attitudes, and practices within PACT, and identified factors that can enhance the MOVE! program and inform interventions to improve weight management within primary care. Although findings are site-specific, many are supported in the literature and applicable to other VA and non-VA sites with PCMH models of care. (Source: BMC Family Practice)
Source: BMC Family Practice - November 14, 2015 Category: Primary Care Authors: Melanie JaySumana ChintapalliAllison SquiresKatrina MateoScott ShermanAdina Kalet Source Type: research

How psychosocial factors affect well-being of practice assistants at work in general medical care? – a questionnaire survey
Conclusions: Psychosocial factors at work influence well-being at work and could be strong risk factors for poor health and work-related outcomes. Effective management of these issues could have an impact on the retention and recruitment of health care staff. (Source: BMC Family Practice)
Source: BMC Family Practice - November 11, 2015 Category: Primary Care Authors: Katja GoetzSarah BergerAmina GavartinaStavria ZarotiJoachim Szecsenyi Source Type: research

Validation of Self-Management Screening (SeMaS), a tool to facilitate personalised counselling and support of patients with chronic diseases
Conclusions: SeMaS is a short validated tool that can signal potential barriers for self-management that need to be addressed in the dialogue with the patient. As such it can be used to facilitate personalised counselling and support to enhance self-management in patients with chronic conditions in primary care. (Source: BMC Family Practice)
Source: BMC Family Practice - November 11, 2015 Category: Primary Care Authors: Nathalie EikelenboomIvo SmeeleMarjan FaberAnnelies JacobsFrank VerhulstJoyca LacroixMichel WensingJan van Lieshout Source Type: research

Experiences of tobacco smoking and quitting in smokers with and without chronic obstructive pulmonary disease-a qualitative analysis
Conclusions: The participants showed many similarities in their reasoning about smoking and quitting. The corresponding themes argue for a less paternalistic regime in the communication with smokers with attention required for the motivational stage and room made for smokers’ own views, and with clear information and education. Furthermore, addressing social interactions, health perceptions and moral agendas in the communication with smokers with COPD may help to make smoking cessation interventions more suitable for them. (Source: BMC Family Practice)
Source: BMC Family Practice - November 4, 2015 Category: Primary Care Authors: Eva van EerdMette RisørCarolien van RossemOnno van SchayckDaniel Kotz Source Type: research

Factors associated with access to HIV care services in eastern Uganda: the Kumi home based HIV counseling and testing program experience
Conclusions: There was relatively high access to HIV care and treatment services at health facilities for HIV positive clients referred from the Kumi home based HIV counseling and testing program. The factors associated with access to HIV care services include; age group, sex, residence and having a supportive family. Stakeholders involved in providing HIV care and treatment services in similar settings should therefore consider these socio-demographic variables as they formulate interventions to improve access to HIV care services. (Source: BMC Family Practice)
Source: BMC Family Practice - November 3, 2015 Category: Primary Care Authors: David LubogoJohn DdamuliraRaymond TweheyoHenry Wamani Source Type: research

Development of a questionnaire to measure primary care physicians’ scope of practice
Conclusions: We developed a self-administered 68-point scale, the SPI, which had satisfactory validity and reliability. Primary care quality and educational research using SPI are expected to contribute to comprehensive and efficient health care systems in the future. (Source: BMC Family Practice)
Source: BMC Family Practice - November 2, 2015 Category: Primary Care Authors: Kenya IeShuhei IchikawaYousuke Takemura Source Type: research

Communicating with mismatch and tension: treatment provision experiences of primary care doctors treating patients with overactive bladder in Hong Kong
Conclusion: The sampled doctors’ treatment provision experiences revealed a general lack of knowledge about OAB among primary care doctors in Hong Kong. Furthermore, the negative stereotype of and lack of trust in private practice doctors created tension between the doctors and patients. This lack of mutual trust was particularly unfavourable for the doctors to provide long-term treatment and support to patients with OAB. The embedded distrust of private practice doctors also affected the prescribing behaviour of the doctors, who prescribed medication only to satisfy patient demands, which may lead to antibiotic abus...
Source: BMC Family Practice - October 30, 2015 Category: Primary Care Authors: Judy Siu Source Type: research

Reasons for encounter in young people consulting a family doctor in the French speaking part of Switzerland: a cross sectional study
Conclusions: This is the first study describing reasons for encounter as stated by young people themselves in primary care in Switzerland. These findings provide useful guidance for family doctors training and health service planning in Europe.Trial registrationAustralian New Zealand Clinical Trials Registry, ACTRN12608000432314. (Source: BMC Family Practice)
Source: BMC Family Practice - October 30, 2015 Category: Primary Care Authors: Anne MeynardBarbara BroersDanièle LefebvreFrançoise NarringDagmar Haller Source Type: research

The effect of electronic medical record system use on communication between pharmacists and prescribers
Conclusion: The implementation of an EMR in an academic family medicine clinic had a significant effect on the volume of communication between pharmacists and prescribers. The amount of clarification requests and incorrect dosing communications decreased after EMR implementation. This suggests that EMRs improve prescribing safety. The increased amount of refills accepted and new prescription requests post EMR implementation suggests that the EMR is capable of changing prescription patterns. (Source: BMC Family Practice)
Source: BMC Family Practice - October 28, 2015 Category: Primary Care Authors: Alexander SingerRoberto Duarte Fernandez Source Type: research

Developing ‘high impact’ guideline-based quality indicators for UK primary care: a multi-stage consensus process
Conclusions: We have demonstrated a rigorous and transparent methodology to develop a set of high impact, evidence-based QIs for primary care from clinical guideline recommendations. While the development process was successful in developing a limited set of QIs, it remains challenging to derive robust new QIs from clinical guidelines in the absence of established systems for routine, structured recording of clinical care. (Source: BMC Family Practice)
Source: BMC Family Practice - October 28, 2015 Category: Primary Care Authors: Bruno RushforthTim StokesElizabeth AndrewsThomas WillisRosemary McEachanSimon FaulknerRobbie Foy Source Type: research

Contacts with out-of-hours primary care for nonurgent problems: patients’ beliefs or deficiencies in healthcare?
Conclusion: Motives for contacting a GP cooperative are mostly patient-related, but also deficiencies in access to general practice may partly explain medically unnecessary use. Efforts to change the use of GP cooperatives should focus on education of subgroups with an increased likelihood of contact for medically unnecessary problems. Improvement of access to daytime primary care may also decrease use of the GP cooperative. (Source: BMC Family Practice)
Source: BMC Family Practice - October 28, 2015 Category: Primary Care Authors: Ellen KeizerMarleen SmitsYvonne PetersLinda HuibersPaul GiesenMichel Wensing Source Type: research

Attitudes of Dutch general practitioners towards vaccinating the elderly: less is more?
Conclusions: A positive attitude towards implementing additional vaccinations is not apparent. Achieving the most health benefits seems to be the most important consideration of Dutch GPs regarding vaccinating older adults. Questions regarding the usefulness of vaccinating older adults should be taken into consideration. More research is necessary to confirm the results among a wider range of Dutch GPs. (Source: BMC Family Practice)
Source: BMC Family Practice - October 28, 2015 Category: Primary Care Authors: Renske EilersPaul KrabbeHester de Melker Source Type: research

Could it be colorectal cancer? General practitioners’ use of the faecal occult blood test and decision making – a qualitative study
Conclusions: Listening carefully to the patient’s history was essential. The iFOBT was frequently used as support, but there were considerable variations in the interpretation and handling of the results. The diagnostic process can be described as navigating uncertain waters with safety margins, while striving to keep the patient’s best interests in mind. The iFOBT may be useful as a diagnostic aid in primary care, but more research and evidence-based guidelines are needed. (Source: BMC Family Practice)
Source: BMC Family Practice - October 26, 2015 Category: Primary Care Authors: Cecilia HögbergEva SamuelssonMikael LiljaEva Fhärm Source Type: research

Appropriateness of colonoscopy requests according to EPAGE-II in the Spanish region of Catalonia
Conclusions: Appropriateness of colonoscopy requests in our setting shows a suitable situation in accordance with recognized standards. General practitioners contribute positively to this appropriateness level. It is necessary to provide physicians with simple and updated guidelines, which stress recommendations for avoiding colonoscopy requests in the most prevalent conditions in PC. (Source: BMC Family Practice)
Source: BMC Family Practice - October 26, 2015 Category: Primary Care Authors: M. Marzo-CastillejoJ. AlmedaJJ MascortO. CunilleraR. SaladichR. NietoP. PiñeiroM. LlagosteraFX. CanteroM. SegarraD. Puente Source Type: research

Effectiveness of motivational interviewing in patients with dyslipidemia: a randomized cluster trial
The objective this study was to assess the efficacy of a multifactorial intervention based on Motivational Interviewing performed by general practitioners to enhance lipid levels in patients with dyslipidemia, as compared to standard care. Methods: A multicenter, controlled, randomized, cluster, two-parallel arm trial with a 12-month follow-up conducted in 25 community health centers of the Spanish. 38 GPs and 227 primary care patients with uncontrolled dyslipidemia were included in the trial. GPs performed an intervention based either on Motivational Interviewing (MI) or standard practice. Lipid levels were measured, and ...
Source: BMC Family Practice - October 24, 2015 Category: Primary Care Authors: Julia Bóveda-FontánNieves Barragán-BrunManuel Campiñez-NavarroLuís Pérula-de TorresJosep Bosch-FontcubertaRemedios Martín-ÁlvarezJuan Arbonies-OrtizJesús Novo-RodríguezMargarita Criado-LarumbeJose Fernández-GarcíaEnrique Martín-RioboóCollabo Source Type: research

Studies of the symptom dyspnoea: A systematic review
Background: To deal with patients suffering from dyspnoea, it is crucial for general practitioners to know the prevalences of different diseases causing dyspnoea in the respective area and season, the likelihood of avoidable life-threatening conditions and of worsening or recovery from disease.AimAim of our project was to conduct a systematic review of symptom-evaluating studies on the prevalence, aetiology, and prognosis of dyspnoea as presented to GPs in a primary care setting. Methods: We did a systematic review of symptom-evaluating studies on dyspnoea in primary care. For this we included all studies investigating the...
Source: BMC Family Practice - October 24, 2015 Category: Primary Care Authors: Annika ViniolDominik BeidatschThomas FreseMilena BergmannPaula GrevenrathLaura SchmidtSonja SchwarmJörg HaasenritterStefan BösnerAnnette Becker Source Type: research