A qualitative study on clinicians¿ perceptions about the implementation of a population risk stratification tool in primary care practice of the Basque Health Service
Conclusions: Lessons from the implementation process under study point at the need to frame the implementation of a new PRS tool within a wider strategy encouraging PC clinicians to orientate their daily practice towards a population health approach. The PRS tool could also improve the perceived utility by its potential adopters, by bringing it closer to the clinicians’ needs and practice, and allowing it to become context-sensitive. This would require clinicians being involved from the earliest phases of conceptualisation, design and implementation of the new tool, and mounting efforts to improve communication betwe...
Source: BMC Family Practice - September 8, 2014 Category: Primary Care Authors: Regina ArceAmaia De OrmijanaJuan OruetaMarie-Pierre GagnonRoberto Nuño-Solinís Source Type: research

Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management
Conclusions: The care of people with chronic disease is the 'challenge of the century'. Co-location of practitioners may improve access to services and equipment that aid chronic disease management. (Source: BMC Family Practice)
Source: BMC Family Practice - September 2, 2014 Category: Primary Care Authors: Juliet Rumball-SmithWalter WodchisAnna KonéTim KenealyJan BarnsleyToni Ashton Source Type: research

Do primary care physicians coordinate ambulatory care for chronic disease patients in Canada?
Conclusion: The findings suggest that the current primary care system in Manitoba may not adequately support coordination of ambulatory care. Ambulatory visits to a primary care provider who is not the patient's regular provider may represent a lost opportunity for coordination and continuity of care, and may affect the quality of care patients receive. Primary care renewal initiatives in this province should address this challenge to service provision. (Source: BMC Family Practice)
Source: BMC Family Practice - August 30, 2014 Category: Primary Care Authors: Alan KatzPatricia MartensDan ChateauBodgan BogdanovicIna Koseva Source Type: research

The safety and efficacy of the tetanus vaccine intramuscularly versus subcutaneously in anticoagulated patients: a randomized clinical trial
We present a prospective, double blinded, clinical trial comparing two groups of patients with oral anticoagulants: one group was administered tetanus-diphtheria vaccine by intramuscular injection, while the other was administered the same vaccine by subcutaneous injection. Allocation to each group was randomized and the duration of the study was six years.Study population: all patients treated with oral anticoagulants, who had been administered with at least one dose of vaccine, at 15 Health Centres in Vigo (Spain), and who agreed to participate in the study. The sample size was 115 patients in each group. The main variab...
Source: BMC Family Practice - August 28, 2014 Category: Primary Care Authors: Fernando Lago-DeibeMaria-Victoria Martín-MiguelCarmen Velicia-PeñasIsabel Gómez-SerranillosManuela Fontanillo-Fontanillo Source Type: research

Comparative performance information plays no role in the referral behaviour of GPs
Conclusion: Decisions about referrals to hospital care are not based on CPI exchanges during GP consultations. As a gatekeeper, the GP is in a good position to guide patients through the enormous amount of quality information that is available. Nevertheless, it is unclear how and whether the GP's role in using information about quality of care in the referral process can grow, as patients hardly ever initiate a discussion based on CPI, though they seem to be increasingly more critical about differences in quality of care. Future research should address the conditions needed to support GPs' ability and willingness to use CP...
Source: BMC Family Practice - August 27, 2014 Category: Primary Care Authors: Nicole KetelaarMarjan FaberGlyn ElwynGert WestertJozé Braspenning Source Type: research

Prostate-specific antigen (PSA) screening and follow-up investigations in M¿ori and non-M¿ori men in New Zealand
Conclusions: Maori men were half as likely to be screened compared to non-Maori men. This probably explains the lower reported incidence of prostate cancer for Maori men. Practice characteristics had a major influence on screening rates. Large variation in screening behaviour among practices and differences in follow-up investigations for men with an elevated PSA result seems to reflect the uncertainty among GPs regarding PSA screening and management. (Source: BMC Family Practice)
Source: BMC Family Practice - August 26, 2014 Category: Primary Care Authors: Zuzana ObertováNina ScottCharis BrownFraser HodgsonAlistair StewartMichael HolmesRoss Lawrenson Source Type: research

Engaging GPs in insulin therapy initiation: a qualitative study evaluating a support program in the Belgian context
Conclusion: The study shows that the transition of insulin initiation from secondary care to the primary care setting is a challenge. Although a support program addressing known barriers to insulin initiation was provided, a substantial number of GPs were reluctant to engage in this aspect of care. Important issues for future program development are: an interdisciplinary approach to job clarification, a dynamic approach to the integration of expertise in primary care and feedback on protocol adherence.Trial registration: ClinicalTrials.gov Identifier:NCT00824499 (Source: BMC Family Practice)
Source: BMC Family Practice - August 21, 2014 Category: Primary Care Authors: Patricia SunaertSara WillemsLuc FeyenHilde BastiaensJan De MaeseneerLut JenkinsFrank NobelsEmmanuel SamynMarie VandekerckhoveJohan WensAn De Sutter Source Type: research

What core primary health care services should be available to Australians living in rural and remote communities?
Conclusion: This study identifies a basket of PHC services that consumers in rural and remote communities can expect to access. It provides rigorously derived evidence that will contribute to a more systematic approach to PHC service planning and availability and will assist policy makers in the allocation of scarce resources necessary to improve the health outcomes of residents of rural and remote areas. (Source: BMC Family Practice)
Source: BMC Family Practice - August 21, 2014 Category: Primary Care Authors: Susan ThomasJohn WakermanJohn Humphreys Source Type: research

Practice guidelines in the context of primary care, learning and usability in the physicians¿ decision-making process ¿ a qualitative study
Conclusions: Decision-making in primary care is a dual process that involves use of intuitive and analytic thinking in a balanced way in order to provide high quality care. Key aspects of effective learning in this clinical decision-making process were: contextualized dialogue, which was based on the GPs’ own experiences, feedback on own results and easy access to short guidelines perceived as trustworthy. (Source: BMC Family Practice)
Source: BMC Family Practice - August 20, 2014 Category: Primary Care Authors: Maria IngemanssonPia Bastholm-RahmnerAnna Kiessling Source Type: research

Drug prescription by telephone consultation in Danish out-of-hours primary care: a population-based study of frequency and associations with clinical severity and diagnosis
Conclusion: One in five of all telephone consultations involved drug prescription; antibiotics constituted half of these prescriptions. Drug prescription by telephone was less likely to be offered in cases involving 'severe' reason for encounter or children. This study calls for further studies of drug prescriptions issued via out-of-hours primary care telephone consultations. (Source: BMC Family Practice)
Source: BMC Family Practice - August 20, 2014 Category: Primary Care Authors: Grete MothLinda HuibersMorten ChristensenPeter Vedsted Source Type: research

Perceived quality of life in chronic obstructive pulmonary disease patients: a cross-sectional study in primary care on the role of illness perceptions
Conclusions: Patients who experience fewer symptoms attributed to COPD, who have a better understanding of the disease, who experience less impact of COPD in daily life, who experience better treatment control and who have less of an emotional response have better HRQoL. This study indicates that the HRQoL of COPD patients is associated with illness perceptions as well as with the severity of dyspnoea as experienced by patients. Airflow limitation measures or comorbidities do not add to the explanation of HRQoL. The results of this study provide starting points for the development of interventions focusing on illness perce...
Source: BMC Family Practice - August 3, 2014 Category: Primary Care Authors: Saskia WeldamJan-Willem LammersMonique HeijmansMarieke Schuurmans Source Type: research

Identifying competencies required for medication prescribing for general practice residents: a nominal group technique study
Conclusion: The study results suggest a need for developing general practice residents' communication skills regarding medication prescribing. (Source: BMC Family Practice)
Source: BMC Family Practice - August 1, 2014 Category: Primary Care Authors: Jean-Pascal FournierBrigitte EscourrouJulie DupouyMichel BismuthJordan BirebentRachel SimmonsJean-Christophe PoutrainStéphane Oustric Source Type: research

The association of metabolic syndrome and its factors with gallstone disease
Background: To investigate the association between metabolic syndrome, including its factors, and gallstone disease (GSD) in a Taiwanese population. Methods: We conducted a cross-sectional study during 2011 ~ 2012. A total of 12050 subjects who completed a questionnaire and underwent physical examination, laboratory tests and abdominal ultrasonography formed the study population. Results: The prevalences of metabolic syndrome and gallstone disease were 24.09% and 6.16%. In an age- and sex-adjusted logistic regression model, metabolic syndrome was associated with gallstone disease (OR = 1.61; P
Source: BMC Family Practice - July 29, 2014 Category: Primary Care Authors: I-Ching LinYu-Wen YangMei-Feng WuYi-Hui YehJenn-Chang LiouYing-Li LinChih-Hsiang Chiang Source Type: research

Feasibility of a GP delivered skin cancer prevention intervention in Australia
Conclusions: A brief opportunistic skin cancer prevention intervention in general practice is feasible and acceptable. Further research in this setting with a more intensive intervention would be justified. (Source: BMC Family Practice)
Source: BMC Family Practice - July 28, 2014 Category: Primary Care Authors: Kylie VuongLyndal TrevenaBillie BonevskiBruce Armstrong Source Type: research

Patient and professional attitudes towards research in general practice: the RepR qualitative study
Conclusions: Although the role of GPs in research is perceived differently by the various protagonists, research in general practice has an undisputed legitimacy in France. Solutions for overcoming the identified barriers include research networks with appropriate resources and training and scientifically sound collaborative research projects, as already implemented in leading countries. (Source: BMC Family Practice)
Source: BMC Family Practice - July 21, 2014 Category: Primary Care Authors: Jean-Sébastien CadwalladerJean-Pierre LebeauEvelyne LasserreLaurent Letrilliart Source Type: research

Effectiveness of an intervention designed to optimize statins use: a primary prevention randomized clinical trial
The objective of this project is to develop an intervention with general practitioners (GPs) and evaluate its impact on prescription adequacy of cholesterol-lowering drugs in primary prevention of cardiovascular disease and in controlling the costs associated with this disease. Methods: This nonblinded, cluster-randomized clinical trial analyzes data from primary care electronic medical records (eCAP) and other databases. Inclusion criteria are patients aged 35 to 74 years with no known cardiovascular disease and a new prescription for cholesterol-lowering drugs during the 2-year study period. Dependent variables include t...
Source: BMC Family Practice - July 15, 2014 Category: Primary Care Authors: Mireia FàbregasIrene BergesFrancesc FinaEduardo HermosillaErmengol ComaLeonardo MéndezManuel MedinaSebastià CaleroElena SerranoRosa MorrosMònica MonteagudoBonaventura Bolíbar Source Type: research

Developing a scale to measure family dynamics related to long-term care, and testing that scale in a multicenter cross-sectional study
Conclusions: We developed a scale that enables physicians to assess the dynamics of families with a patient and a family caregiver. The scale's scores are reliable and the results of validation testing were generally good. This scale holds promise as a tool both for research and for primary-care practice. (Source: BMC Family Practice)
Source: BMC Family Practice - July 10, 2014 Category: Primary Care Authors: Tesshu KusabaKotaro SatoYoshinori MatsuiSatoshi MatsudaTakashi AndoKen SakushimaTakafumi WakitaShingo FukumaShunichi Fukuhara Source Type: research

`No need to worry¿: an exploration of general practitioners¿ reassuring strategies
Conclusions: GPs described a wealth of reassuring strategies, which make a valuable contribution to the current literature on doctor-patient communication. This detailed description may provide practicing GPs with new tools and can inform future studies exploring the effectiveness of reassurance strategies. (Source: BMC Family Practice)
Source: BMC Family Practice - July 7, 2014 Category: Primary Care Authors: Esther GiroldiWemke VeldhuijzenCarolien LeijtenDionne WelterTrudy van der WeijdenJean MurisCees van der Vleuten Source Type: research

'No need to worry': an exploration of general practitioners' reassuring strategies
Conclusions: GPs described a wealth of reassuring strategies, which make a valuable contribution to the current literature on doctor-patient communication. This detailed description may provide practicing GPs with new tools and can inform future studies exploring the effectiveness of reassurance strategies. (Source: BMC Family Practice)
Source: BMC Family Practice - July 7, 2014 Category: Primary Care Authors: Esther GiroldiWemke VeldhuijzenCarolien LeijtenDionne WelterTrudy van der WeijdenJean MurisCees van der Vleuten Source Type: research

Implementing cardiometabolic health checks in general practice: a qualitative process evaluation
Conclusions: A number of fundamental issues may arise when GPs organize a systematic screening programme in their practice. These issues are related to the preparation of the involved staff, the importance of integration with everyday clinical practice, the approach of healthy patients and the provision of adequate follow-up programmes. The identified challenges and recommendations can be taken into account during future screening programmes. (Source: BMC Family Practice)
Source: BMC Family Practice - July 6, 2014 Category: Primary Care Authors: Merijn GodefrooijMark SpigtWim van der MinneGeorgette JurrissenGeert-Jan DinantAndré Knottnerus Source Type: research

Prevalence and predictors of resistant hypertension in a primary care setting: a cross-sectional study
We examined the control of blood pressure in a randomly selected sample of patients with hypertension in a primary care clinic. Demographic data, blood pressure and anti-hypertensive drug use were captured from patient records at the end of 2007. Resistant hypertension is defined as failure to achieve target blood pressure of
Source: BMC Family Practice - July 5, 2014 Category: Primary Care Authors: Yook ChiaSiew Ching Source Type: research

A qualitative study on primary health care professionals¿ perceptions of mental health, suicidal problems and help-seeking among young people in Nicaragua
Conclusion: PHC doctors and nurses in Nicaragua felt that providing skilled mental health services to young people was a priority for them but they also identified a number of barriers to be able to do so. They discussed ways to improve young people’s willingness to share sensitive issues with them and suggested ways to make PHC more appreciated by young people. (Source: BMC Family Practice)
Source: BMC Family Practice - July 2, 2014 Category: Primary Care Authors: Claudia Obando MedinaGunnar KullgrenKjerstin Dahlblom Source Type: research

A qualitative study on primary health care professionals' perceptions of mental health, suicidal problems and help-seeking among young people in Nicaragua
Conclusion: PHC doctors and nurses in Nicaragua felt that providing skilled mental health services to young people was a priority for them but they also identified a number of barriers to be able to do so. They discussed ways to improve young people's willingness to share sensitive issues with them and suggested ways to make PHC more appreciated by young people. (Source: BMC Family Practice)
Source: BMC Family Practice - July 2, 2014 Category: Primary Care Authors: Claudia Obando MedinaGunnar KullgrenKjerstin Dahlblom Source Type: research

The concept and definition of therapeutic inertia in hypertension in primary care: a qualitative systematic review
Conclusions: Our data analysis revealed a major lack of conceptualization of therapeutic inertia in hypertension and important discrepancies regarding its possible causes, mechanisms and outcomes. The concept should be split in two parts: appropriate inaction and inappropriate inertia. The development of consensual and operational definitions relying on empirical data and the exploration of the intimate mechanisms that underlie these behaviors are now needed. (Source: BMC Family Practice)
Source: BMC Family Practice - July 2, 2014 Category: Primary Care Authors: Jean-Pierre LebeauJean-Sébastien CadwalladerIsabelle Aubin-AugerAlain MercierThomas PasquetEmmanuel RuschKristin HendrickxEtienne Vermeire Source Type: research

Perceptions of quality in primary health care: perspectives of patients and professionals based on focus group discussions
Conclusions: This study shows perceptions and views of patients in interaction with PHC and opinion of professionals working in PHC. It serves as source of criteria with relevance to everyday practice and experience. The criteria mentioned by patients and by health care professionals which were considered determining factors of the quality in primary care were quite similar among the investigated countries. However, the perception and the level of tolerance regarding some of the criteria differed among EUprimecare countries. Among these dissimilar criteria we especially note the gate-keeping role of GPs, the importance of ...
Source: BMC Family Practice - June 28, 2014 Category: Primary Care Authors: Renata PappIlona BorbasEva DobosMaren BredehorstLina JarusevicieneVehko TuulikkiSandor Balogh Source Type: research

The views of general practitioners and practice nurses towards the barriers and facilitators of proactive, internet-based chlamydia screening for reaching young heterosexual men
Conclusions: Awareness of key barriers and facilitators, such as confidentiality, practicality and socio-cultural influences, will inform the development of an Internet-based approach to screening. However, this approach may have its limits in terms of being able to tackle wider social and cultural barriers, along with shifts in young people's and health professionals' attitudes towards screening. Nevertheless, employing innovative efforts as part of a multi-faceted approach is required to ensure effective interventions reach the policy agenda. (Source: BMC Family Practice)
Source: BMC Family Practice - June 27, 2014 Category: Primary Care Authors: Karen LorimerSusan MartinLisa McDaid Source Type: research

People with multiple unhealthy lifestyles are less likely to consult primary healthcare
Conclusion: To optimise the prevention of lifestyle-related diseases, interventions for positive behavioural change need to incorporate non-primary healthcare settings in order to reach people with multiple unhealthy lifestyles. (Source: BMC Family Practice)
Source: BMC Family Practice - June 26, 2014 Category: Primary Care Authors: Xiaoqi FengFederico GirosiIan McRae Source Type: research

The views of key leaders in South Africa on implementation of family medicine: critical role in the district health system
Conclusions: Family physicians were seen as critical to the district health system in South Africa despite difficulties around their precise role. Whilst their role was dominated by filling gaps at district hospitals to reduce referrals it extended to clinical governance and developing community-oriented primary care - a tall order, requiring strong teamwork. Innovative team-based service delivery is possible despite human resource challenges, but requires family physicians to proactively develop team-based models of care, reform education and advocate for clearer policy, based on the views of these respondents. (Source: BMC Family Practice)
Source: BMC Family Practice - June 25, 2014 Category: Primary Care Authors: Shabir MoosaBob MashAnselme DereseWim Peersman Source Type: research

Depression diagnosis and treatment amongst multimorbid patients: a thematic analysis
Conclusions: Functional and social role losses present a clear context in which GPs should raise the subject of mood, with the situational attribution of depression suggesting that psychotherapy, which is rarely offered, should be prioritised in these circumstances. (Source: BMC Family Practice)
Source: BMC Family Practice - June 19, 2014 Category: Primary Care Authors: Melinda StannersChristopher BartonSepehr ShakibHelen Winefield Source Type: research

Quality of cardiovascular disease care in Ontario¿s primary care practices: a cross sectional study examining differences in guideline adherence by patient sex
Conclusions: Sex disparities exist in the quality of cardiovascular care in Canadian primary care practices, which tend to favour men. Women with PVD have a particularly high risk of not receiving appropriate medications. Our findings indicate that improvements in care delivery should be made to address these issues, particularly with regard to the prescribing of recommended medications for women, and preventive measures for men. (Source: BMC Family Practice)
Source: BMC Family Practice - June 18, 2014 Category: Primary Care Authors: Kiyuri NaickerClare LiddyJatinderpreet SinghMonica TaljaardWilliam Hogg Source Type: research

Quality of cardiovascular disease care in Ontario's primary care practices: a cross sectional study examining differences in guideline adherence by patient sex
Conclusions: Sex disparities exist in the quality of cardiovascular care in Canadian primary care practices, which tend to favour men. Women with PVD have a particularly high risk of not receiving appropriate medications. Our findings indicate that improvements in care delivery should be made to address these issues, particularly with regard to the prescribing of recommended medications for women, and preventive measures for men. (Source: BMC Family Practice)
Source: BMC Family Practice - June 18, 2014 Category: Primary Care Authors: Kiyuri NaickerClare LiddyJatinderpreet SinghMonica TaljaardWilliam Hogg Source Type: research

Prostate specific antigen testing is associated with men¿s psychological and physical health and their healthcare utilisation in a nationally representative sample: a cross-sectional study
Conclusions: Men’s psychological and physical health and their healthcare utilisation are associated with PSA testing in primary care. The association between poorer psychological health, in particular sub-threshold depression, and reduced likelihood of PSA testing in primary care requires further investigation. These findings may have wider implications for other cancer screening. (Source: BMC Family Practice)
Source: BMC Family Practice - June 17, 2014 Category: Primary Care Authors: Evelyn FlahavanFrances DrummondKathleen BennettThomas BarronLinda Sharp Source Type: research

Interventions aimed at increasing the level of physical activity by including organised follow-up: a systematic review of effect
Conclusions: The results of this systematic review indicate considerable uncertainty concerning effects of organised follow-up during 10-14 weeks on physical activity. Major methodological problems concerning the measurement of physical activity are discussed.Trial registration: Systematic review registration: PROSPERO CRD42011001598. (Source: BMC Family Practice)
Source: BMC Family Practice - June 17, 2014 Category: Primary Care Authors: Eva DenisonGunn VistVigdis UnderlandRigmor Berg Source Type: research

Prostate specific antigen testing is associated with men's psychological and physical health and their healthcare utilisation in a nationally representative sample: a cross-sectional study
Conclusions: Men's psychological and physical health and their healthcare utilisation are associated with PSA testing in primary care. The association between poorer psychological health, in particular sub-threshold depression, and reduced likelihood of PSA testing in primary care requires further investigation. These findings may have wider implications for other cancer screening. (Source: BMC Family Practice)
Source: BMC Family Practice - June 17, 2014 Category: Primary Care Authors: Evelyn FlahavanFrances DrummondKathleen BennettThomas BarronLinda Sharp Source Type: research

Development of a survey instrument to investigate the primary care factors related to differences in cancer diagnosis between international jurisdictions
Conclusions: The vignettes could also be used as educational resources. This study is likely to impact on healthcare policy and practice in participating countries. (Source: BMC Family Practice)
Source: BMC Family Practice - June 17, 2014 Category: Primary Care Authors: Peter RoseWillie HamiltonKate AlderseyAndriana BarisicMartin DawesCatherine FootEva GrunfeldNigel HartRichard NealMarie PirottaJeffrey SislerHans ThulesiusPeter VedstedJane YoungGreg Rubin Source Type: research

What factors determine Belgian general practitioners¿ approaches to detecting and managing substance abuse? A qualitative study based on the I-Change Model
Conclusions: Motivational factors, including subjective beliefs not supported by the literature, were central in deciding whether to manage cases of substance abuse. A lack of theoretical knowledge and training were secondary to personal attitudes and motivation. Personal development, emotional health, self-awareness, and self-care should be taught to and fostered among GPs to help them maintain a patient-centred focus. Health authorities should support collaborative care. (Source: BMC Family Practice)
Source: BMC Family Practice - June 14, 2014 Category: Primary Care Authors: Frederic KettererLinda SymonsMarie-Claire LambrechtsPhilippe MairiauxLode GodderisLieve PeremansRoy RemmenMarc Vanmeerbeek Source Type: research

What factors determine Belgian general practitioners' approaches to detecting and managing substance abuse? A qualitative study based on the I-Change Model
Conclusions: Motivational factors, including subjective beliefs not supported by the literature, were central in deciding whether to manage cases of substance abuse. A lack of theoretical knowledge and training were secondary to personal attitudes and motivation. Personal development, emotional health, self-awareness, and self-care should be taught to and fostered among GPs to help them maintain a patient-centred focus. Health authorities should support collaborative care. (Source: BMC Family Practice)
Source: BMC Family Practice - June 14, 2014 Category: Primary Care Authors: Frederic KettererLinda SymonsMarie-Claire LambrechtsPhilippe MairiauxLode GodderisLieve PeremansRoy RemmenMarc Vanmeerbeek Source Type: research

Patterns of physical co-/multi-morbidity among patients with serious mental illness: a London borough-based cross-sectional study
Conclusions: SMI patients are at an elevated risk of a range of physical health conditions than non-SMI patients but they do not appear to experience a different pattern of co-/multimorbidity among those conditions considered. Socio-demographic differences between the two groups account for some of the excess in morbidity and known health risk factors are likely to mediate the association. Further work to examine a wider range of conditions and health risk factors would help determine the extent of excess mortality attributable to these factors. (Source: BMC Family Practice)
Source: BMC Family Practice - June 11, 2014 Category: Primary Care Authors: Charlotte WoodheadMark AshworthPeter SchofieldMax Henderson Source Type: research

Use of home remedies: a cross-sectional survey of patients in Germany
Conclusions: These results provide an initial overview on the use of home remedies from the patient's perspective in a German context. Bearing in mind the high use of home remedies that was reported by patients in the study, it is highly likely that GPs in Germany may need to advise patients on their use of home remedies during consultations. To this end, given the scarcity of reliable information on home remedies, further research is needed. (Source: BMC Family Practice)
Source: BMC Family Practice - June 11, 2014 Category: Primary Care Authors: Lisa ParisiusBeate Stock-SchröerSarah BergerKatja HermannStefanie Joos Source Type: research

Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study
Background: Ultrasound imaging (US) is considered an accurate and widely available method to diagnose subacromial disorders. Yet, the frequency of the specific US-diagnosed shoulder disorders of patients with shoulder pain referred from general practice is unknown. We set out to determine the frequency of specific US-diagnosed shoulder disorders in daily practice in these patients and to investigate if the disorders detected differ between specific subgroups based on age and duration of pain. Methods: A predefined selection of 240 ultrasound reports of patients with shoulder pain (20 reports for each month in 2011) from a ...
Source: BMC Family Practice - June 10, 2014 Category: Primary Care Authors: Ramon OttenheijmInge van¿t KloosterLaurens StarmansKurt VanderdoodRob de BieGeert-Jan DinantJochen Cals Source Type: research

The diagnostic accuracy of the MyDiagnostick to detect atrial fibrillation in primary care
Conclusion: The MyDiagnostick is an easy-to-use device that showed a good diagnostic accuracy with a high sensitivity and specificity for atrial fibrillation in a convenience sample in primary care. Future research is needed to determine the place of the MyDiagnostick in possible screening or case-finding strategies for atrial fibrillation. (Source: BMC Family Practice)
Source: BMC Family Practice - June 9, 2014 Category: Primary Care Authors: Bert VaesSilke StalpaertKaren TavernierBritt ThaelsDaphne LapeireWilfried MullensJan Degryse Source Type: research

Chronic-disease patients and their use of out-of-hours primary health care: a cross-sectional study
Conclusions: A third of the patients randomly sampled by their OOH call had one or more of the five selected chronic diseases (i.e. chronic lung disease, heart disease, diabetes, psychiatric disease, or cancer). Patients with chronic disease were more often managed by OOH GPs than other patients. (Source: BMC Family Practice)
Source: BMC Family Practice - June 9, 2014 Category: Primary Care Authors: Lone FlarupGrete MothMorten ChristensenMogens VestergaardFrede OlesenPeter Vedsted Source Type: research

The National Cancer Institute¿s Health Information National Trends Survey [HINTS]: a national cross-sectional analysis of talking to your doctor and other healthcare providers for health information
Conclusions: Patients who seek their doctor or healthcare provider first for health information rather than other sources of information represent a unique population. Doctors or healthcare providers remain an important resource for these patients during recent needs, despite the wide use of the Internet as a source of health information. (Source: BMC Family Practice)
Source: BMC Family Practice - June 6, 2014 Category: Primary Care Authors: Julie VolkmanTana LugerKimberly HarveyTimothy HoganStephanie ShimadaDaniel AmanteD McInnesHua FengThomas Houston Source Type: research

The National Cancer Institute's Health Information National Trends Survey [HINTS]: a national cross-sectional analysis of talking to your doctor and other healthcare providers for health information
Conclusions: Patients who seek their doctor or healthcare provider first for health information rather than other sources of information represent a unique population. Doctors or healthcare providers remain an important resource for these patients during recent needs, despite the wide use of the Internet as a source of health information. (Source: BMC Family Practice)
Source: BMC Family Practice - June 6, 2014 Category: Primary Care Authors: Julie VolkmanTana LugerKimberly HarveyTimothy HoganStephanie ShimadaDaniel AmanteD McInnesHua FengThomas Houston Source Type: research

Tools for measuring patient safety in primary care settings using the RAND/UCLA appropriateness method
Conclusions: We developed and tested tools that can lead to interventions to improve safety outcomes in general practice. This paper reports the first attempt to systematically develop a patient safety toolkit for general practice, which has the potential to improve safety, cost effectiveness and patient experience, in any healthcare system. (Source: BMC Family Practice)
Source: BMC Family Practice - June 5, 2014 Category: Primary Care Authors: Brian BellRachel SpencerAnthony AveryStephen Campbell Source Type: research

Identifying patients with medically unexplained physical symptoms in electronic medical records in primary care: a validation study
Conclusions: The EMR screening method to identify patients with MUPS has a high specificity. However, many potential MUPS patients will be missed. Before using this method as a screening instrument for selecting patients who might benefit from structured care, its sensitivity needs to be improved while maintaining its specificity. (Source: BMC Family Practice)
Source: BMC Family Practice - June 5, 2014 Category: Primary Care Authors: Madelon den BoeftJohannes van der WoudenTrudie Rydell-LexmondNiek de WitHenriëtte van der HorstMattijs Numans Source Type: research

Communicating cardiovascular disease risk: an interview study of General Practitioners¿ use of absolute risk within tailored communication strategies
Conclusions: This study demonstrated how GPs use three different communication strategies to address the issue of CVD risk, depending on their perception of patient risk, motivation and anxiety. Absolute risk played a different role within each strategy. Providing GPs with alternative ways of explaining absolute risk, in order to achieve different communication aims, may improve their use of absolute CVD risk assessment in practice. (Source: BMC Family Practice)
Source: BMC Family Practice - May 29, 2014 Category: Primary Care Authors: Carissa BonnerJesse JansenShannon McKinnLes IrwigJenny DoustPaul GlasziouKirsten McCaffery Source Type: research

Communicating cardiovascular disease risk: an interview study of General Practitioners' use of absolute risk within tailored communication strategies
Conclusions: This study demonstrated how GPs use three different communication strategies to address the issue of CVD risk, depending on their perception of patient risk, motivation and anxiety. Absolute risk played a different role within each strategy. Providing GPs with alternative ways of explaining absolute risk, in order to achieve different communication aims, may improve their use of absolute CVD risk assessment in practice. (Source: BMC Family Practice)
Source: BMC Family Practice - May 29, 2014 Category: Primary Care Authors: Carissa BonnerJesse JansenShannon McKinnLes IrwigJenny DoustPaul GlasziouKirsten McCaffery Source Type: research

Patients with persistent medically unexplained physical symptoms: a descriptive study from Norwegian general practice
Conclusion: A consultation prevalence rate of 3% implies that patients with persistent MUPS are common in general practice. Our study disclosed heterogeneity among the patients such as differences in employment status, which emphasizes the importance of personalized focus rather than unsubstantiated stereotyping of "MUPS patients" as a group. (Source: BMC Family Practice)
Source: BMC Family Practice - May 29, 2014 Category: Primary Care Authors: Aase AamlandKirsti MalterudErik Werner Source Type: research

Complex consultations in primary care: a tool for assessing the range of health problems and issues addressed in general practice consultations
A new rating tool can assess communication between the GPs and patients to quantify the number and type of problems encountered, especially in multi-morbidity consultations, and allow reliable comparisons across studies. (Source: BMC Family Practice)
Source: BMC Family Practice - May 27, 2014 Category: Primary Care Authors: Sunita ProcterKate StewartDavid ReevesLeah BowenSarah PurdyMatthew RiddChris Salisbury Source Type: research