The value of prostate cancer support groups: a pilot study of primary physicians' perspectives
Conclusions: Findings suggest PPs highly valued the role and potential benefits of PCSGs. Information provision and an educational role were perceived as key benefits amid the need to improve local and provincial marketing of PCSGs. The potential for web-based PCSGs to help in the support of PCa patients was also recognized. (Source: BMC Family Practice)
Source: BMC Family Practice - March 28, 2014 Category: Primary Care Authors: Bernard GarrettJohn OliffeJoan BottorffMichael McKenzieChristina HanJohn Ogrodniczuk Source Type: research

Impact of multimorbidity: acute morbidity, area of residency and use of health services across the life span in a region of south Europe
Background: Concurrent diseases, multiple pathologies and multimorbidity patterns are topics of increased interest as the world's population ages. To explore the impact of multimorbidity on affected patients and the consequences for health services, we designed a study to describe multimorbidity by sex and life-stage in a large population sample and to assess the association with acute morbidity, area of residency and use of health services. Methods: A cross-sectional study was conducted in Catalonia (Spain). Participants were 1,749,710 patients aged 19+ years (251 primary care teams). Primary outcome: Multimorbidity (>...
Source: BMC Family Practice - March 26, 2014 Category: Primary Care Authors: Quintí Foguet-BoreuConcepció ViolanAlbert Roso-LlorachTeresa Rodríguez-BlancoMariona Pons-ViguésMiguel Muñoz-PérezEnriqueta Pujol-RiberaJose Valderas Source Type: research

Intervention to improve social and family support for caregivers of dependent patients: ICIAS study protocol
DiscussionIf the intervention intended to improve social and family support is effective in reducing the burden on primary informal caregivers of dependent patients, this model can be readily applied throughout usual PHCT clinical practice.Trial registration: Clinical trials registrar: NCT02065427 (Source: BMC Family Practice)
Source: BMC Family Practice - March 25, 2014 Category: Primary Care Authors: Magdalena MurphyJosep Bonet-SimóEsther BaenaGemma PrietoEva BellerinoFrancesc SoléMontserrat RubioIlona KrierPascuala TorresSonia Mimoso Source Type: research

The evolution of nursing in Australian general practice: a comparative analysis of workforce surveys ten years on
This study aimed to describe the current demographic and employment characteristics of Australian nurses working in general practice and explore trends in their role over time. Methods: In the nascence of the expansion of the role of nurses in Australian general practice (2003-2004) a national survey was undertaken to describe nurse demographics, clinical roles and competencies. This survey was repeated in 2009-2010 and comparative analysis of the datasets undertaken to explore workforce changes over time. Results: Two hundred eighty four nurses employed in general practice completed the first survey (2003/04) and 235 comp...
Source: BMC Family Practice - March 25, 2014 Category: Primary Care Authors: Elizabeth HalcombYenna SalamonsonPatricia DavidsonRajneesh KaurSamantha Young Source Type: research

General practitioner teachers¿ job satisfaction and their medical students' wish to join the field ¿ a correlational study
Conclusions: Medical students’ perception of their GP teachers’ job satisfaction positively affect their wish to become GPs, and their satisfaction with their internships adds to this. Enhancing the positive aspects of GP work, such as recognition, and improving negative ones, such as administrative duties, are necessary to attract medical students into the GP field. (Source: BMC Family Practice)
Source: BMC Family Practice - March 24, 2014 Category: Primary Care Authors: Damian MeliAngie NgSarah SingerPeter FreyMireille Schaufelberger Source Type: research

General practitioner teachers' job satisfaction and their medical students' wish to join the field - a correlational study
Conclusions: Medical students' perception of their GP teachers' job satisfaction positively affect their wish to become GPs, and their satisfaction with their internships adds to this. Enhancing the positive aspects of GP work, such as recognition, and improving negative ones, such as administrative duties, are necessary to attract medical students into the GP field. (Source: BMC Family Practice)
Source: BMC Family Practice - March 24, 2014 Category: Primary Care Authors: Damian MeliAngie NgSarah SingerPeter FreyMireille Schaufelberger Source Type: research

Management of chest pain: a prospective study from Norwegian out-of-hours primary care
Conclusions: Patients with chest pain presenting at out-of-hours services in Norway are investigated for acute heart disease, but less than half are admitted to hospital for probable acute coronary syndrome, and only a minority is given emergency treatment for acute coronary syndrome. A wide variety of other diagnoses are suggested by the doctors for patients presenting with chest pain. Deciding the appropriate level of response for such patients is a difficult task, and both over- and under-triage probably occur in out-of-hours primary care. (Source: BMC Family Practice)
Source: BMC Family Practice - March 24, 2014 Category: Primary Care Authors: Robert BurmanErik ZakariassenSteinar Hunskaar Source Type: research

Comparison of patient experiences of the osteoarthritis consultation with GP attitudes and beliefs to OA: a narrative review
Conclusions: The nature of negative talk and discussions around management within the consultation have emerged as areas for future research. The findings are limited by generic limitations of interview research; to further understanding of the OA consultation alternative methodology such as direct observation may be necessary. (Source: BMC Family Practice)
Source: BMC Family Practice - March 19, 2014 Category: Primary Care Authors: Zoe PaskinsTom SandersAndrew Hassell Source Type: research

Efficacy of Ambroxol lozenges for pharyngitis: a meta-analysis
The objective is to examine the efficacy and safety of ambroxol for the relief of pain associated with acute uncomplicated sore throat. Methods: A systematic review of the literature and meta-analysis. Selection criteria consisted of randomized controlled trials which compared ambroxol to placebo or any other treatment for sore throat. Two reviewers independently assessed for relevance, inclusion, and risk of bias. Weighted mean differences (WMDs) were calculated and are reported with corresponding 95% confidence intervals (CIs).Results and conclusionFrom 14 potentially relevant citations, five trials reported in three pub...
Source: BMC Family Practice - March 13, 2014 Category: Primary Care Authors: Jean-François ChenotPeter WeberTim Friede Source Type: research

Overcoming the barriers to the diagnosis and management of chronic fatigue syndrome/ME in primary care: a meta synthesis of qualitative studies
Conclusions: In order to address barriers to the diagnosis and management of CFS/ME in primary care, the limitations of the biomedical model needs to be recognised. A more flexible bio-psychosocial approach is recommended where medical school training aims to equip practitioners with the skills needed to understand, support and manage patients and provide a pathway to refer for specialist input. (Source: BMC Family Practice)
Source: BMC Family Practice - March 7, 2014 Category: Primary Care Authors: Kerin BaylissMark GoodallAnna ChisholmBeth FordhamCarolyn Chew-GrahamLisa RisteLouise FisherKarina LovellSarah PetersAlison Wearden Source Type: research

Telemonitoring can assist in managing cardiovascular disease in primary care: a systematic review of systematic reviews
Conclusion: Telemonitoring has the potential to enhance primary care management of CVD by improving patient outcomes and reducing health costs. However, further research needs to explore the specific elements of telemonitoring interventions to determine the relative value of the various elements. Additionally, the ways in which telemonitoring care improves health outcomes needs to be further explored to understand the nature of these interventions. (Source: BMC Family Practice)
Source: BMC Family Practice - March 7, 2014 Category: Primary Care Authors: Renee PurcellSusan McInnesElizabeth Halcomb Source Type: research

Predictors of ICS/LABA prescribing in COPD patients: a study from general practice
Background: A combination of inhaled corticosteroid and long-acting beta2 agonist (ICS/LABA) is used frequently to treat chronic obstructive pulmonary disease (COPD) patients. The aim of the study was to determine whether prescribing ICS/LABA to COPD patients in primary care in 2009/10 was within the GOLD guidelines and whether and to what degree patient characteristics were associated with prescription of these drugs by GPs. Methods: This was a cross-sectional study in seven Norwegian GP practices. Patients registered with a diagnosis of asthma or COPD in the previous five years were included. Results: Among the 376 patie...
Source: BMC Family Practice - March 5, 2014 Category: Primary Care Authors: Elin DrivenesAnders ØstremHasse Melbye Source Type: research

Stories and metaphors in the sensemaking of multiple primary health care organizational identities
Conclusions: In order to support primary care reforms in complex institutional fields, this study proposes that decision-makers undertake a journey in which they recognize both the need to capitalize existing meaningful and legitimated organizational identities, as well as the necessity for collective leadership in the management of multiple organizational identities over time. (Source: BMC Family Practice)
Source: BMC Family Practice - March 4, 2014 Category: Primary Care Authors: Charo RodríguezEmmanuelle Bélanger Source Type: research

Agreement between self-reported and general practitioner-reported chronic conditions among multimorbid patients in primary care - results of the MultiCare cohort study
Conclusions: For multimorbidity research, the knowledge of diseases with high disagreement levels between the patients' perceived illnesses and their physicians' reports is important. The analysis shows that different patient characteristics have an impact on the agreement. Findings from this study should be included in the development of clinical guidelines for multimorbidity aiming to optimize health care. Further research is needed to identify more reasons for disagreement and their consequences in health care.Trial registration: ISRCTN89818205. (Source: BMC Family Practice)
Source: BMC Family Practice - March 1, 2014 Category: Primary Care Authors: Heike HansenIngmar SchäferGerhard SchönSteffi Riedel-HellerJochen GensichenSiegfried WeyererJuliana PetersenHans-Helmut KönigHorst BickelAngela FuchsSusanne HöfelsBirgitt WieseKarl WegscheiderHendrik van den BusscheMartin Scherer Source Type: research

Family medicine model in Turkey: a qualitative assessment from the perspectives of primary care workers
Conclusions: According to our findings, FPs have a limited role as the first point of contact and in giving longitudinal, comprehensive, and coordinated care. The family medicine model in Turkey is unable to provide a suitable structure to integrate health care services. (Source: BMC Family Practice)
Source: BMC Family Practice - February 27, 2014 Category: Primary Care Authors: Zeliha ÖcekMeltem Çiçeklio¿luUmmahan YücelRaziye Özdemir Source Type: research

Family Medicine model in Turkey: a qualitatative assessment from the perspectives of primary care w
Conclusions: According to our findings, FPs have a limited role as the first point of contact and in giving longitudinal, comprehensive, and coordinated care. The family medicine model in Turkey is unable to provide a suitable structure to integrate health care services. (Source: BMC Family Practice)
Source: BMC Family Practice - February 27, 2014 Category: Primary Care Authors: Zeliha ÖcekMeltem Çiçeklio¿luUmmahan YücelRaziye Özdemir Source Type: research

Patients understanding of depression associated with chronic physical illness: a qualitative study
Conclusions: People with chronic illness do not necessarily regard depression as an easily defined illness, especially outside of the context of their life stories. Efforts to engage patients with chronic illness in the detection and management of depression may need further tailoring to accommodate beliefs about how people view themselves, responsibility and negative views of treatment. (Source: BMC Family Practice)
Source: BMC Family Practice - February 20, 2014 Category: Primary Care Authors: Sarah AldersonRobbie FoyLiz GlidewellAllan House Source Type: research

Health care professionals¿ perceptions towards lifelong learning in palliative care for general practitioners: a focus group study
Conclusions: The effectiveness of undergraduate education might be enhanced by adding practical experience. Providers of continuing medical education should look to organize interactive, practice-based and interprofessional sessions. Therefore, teachers need to be trained to run small group discussions. In order to optimize workplace learning, health care professionals should be trained to monitor each other’s practice and to provide effective feedback. Further research is needed to clarify which aspects of interprofessional teamwork (e.g. professional hierarchy, agreements on tasks and responsibilities) influence th...
Source: BMC Family Practice - February 19, 2014 Category: Primary Care Authors: Peter PypeLinda SymonsJohan WensBart Van den EyndenAnn StesMyriam Deveugele Source Type: research

Implementing guidelines for depression on antidepressant prescribing in general practice: a quasi-experimental evaluation
Conclusions: An implementation program using stepped care principles for the allocation of depression interventions resulted in reduced antidepressant prescription rates in general practice. GPs can change prescribing behaviour within the context of a QIC. (Source: BMC Family Practice)
Source: BMC Family Practice - February 19, 2014 Category: Primary Care Authors: Gerdien FranxJochanan HuyserJan KoetsenruijterChristina van der Feltz-CornelisPeter VerhaakRichard GrolMichel Wensing Source Type: research

Health care professionals' perceptions towards lifelong learning in palliative care for general practitioners: a focus group study
Conclusions: The effectiveness of undergraduate education might be enhanced by adding practical experience. Providers of continuing medical education should look to organize interactive, practice-based and interprofessional sessions. Therefore, teachers need to be trained to run small group discussions. In order to optimize workplace learning, health care professionals should be trained to monitor each other's practice and to provide effective feedback. Further research is needed to clarify which aspects of interprofessional teamwork (e.g. professional hierarchy, agreements on tasks and responsibilities) influence the effe...
Source: BMC Family Practice - February 19, 2014 Category: Primary Care Authors: Peter PypeLinda SymonsJohan WensBart Van den EyndenAnn StesMyriam Deveugele Source Type: research

Irrational prescribing of over-the-counter (OTC) medicines in general practice: testing the feasibility of an educational intervention among physicians in five European countries
Conclusions: Evidence from this intervention will help determine the most relevant variables and estimate the parameters required to design a larger study aimed at assessing the effectiveness of such educational interventions. In addition, it could also help inform health policy makers and decision makers regarding the management of behavioural changes in the prescribing patterns of physicians in Mediterranean Europe, particularly in Southern European countries. (Source: BMC Family Practice)
Source: BMC Family Practice - February 17, 2014 Category: Primary Care Authors: Christos LionisElena PetelosSue SheaGeorgia BagiartakiIoanna TsiligianniApostolos KamekisVasiliki TsiantouMaria PapadakakiAthina TatsioniJoanna MoschandreasAristoula SaridakiAntonios BertsiasTomas FaresjöÅshild FaresjöLuc MartinezDominic AgiusYesim Unc Source Type: research

Understanding ¿revolving door¿ patients in general practice: a qualitative study
Conclusions: We utilise the ‘sensitising concepts’ of legitimacy by drawing on literature about ‘good and bad’ patients and ‘dirty work designations.’ We relate these to the core work of general practice and explore the role that medical and moral schemas have in how health service professionals understand and work with ‘revolving door’ patients. We suggest this may have wider relevance for the problem doctor patient relationship literature. (Source: BMC Family Practice)
Source: BMC Family Practice - February 13, 2014 Category: Primary Care Authors: Andrea WilliamsonKenneth MullenPhilip Wilson Source Type: research

Triggering change in diabetes care delivery in general practice: a qualitative evaluation approach using the clinical microsystem framework
Conclusion: In designing and redesigning health care, the clinical microsystems approach offers a pathway for the effective uptake of innovation in Australian primary health care; a means of integrating structure, process and outcomes of a care framework for reviewing improvements in the health care delivery process and could lead to improvements in patient health outcomes. (Source: BMC Family Practice)
Source: BMC Family Practice - February 13, 2014 Category: Primary Care Authors: Tina JanamianLisa CrosslandClaire JacksonJenny Morcom Source Type: research

Understanding "revolving door" patients in general practice: a qualitative study
Conclusions: We utilise the 'sensitising concepts' of legitimacy by drawing on literature about 'good and bad' patients and 'dirty work designations.' We relate these to the core work of general practice and explore the role that medical and moral schemas have in how health service professionals understand and work with 'revolving door' patients. We suggest this may have wider relevance for the problem doctor patient relationship literature. (Source: BMC Family Practice)
Source: BMC Family Practice - February 13, 2014 Category: Primary Care Authors: Andrea WilliamsonKenneth MullenPhilip Wilson Source Type: research

Skin lesions suspected of malignancy: an increasing burden on general practice
Background: Skin cancer is believed to impose a heavy burden on healthcare services, but the burden of skin lesions suspected of malignancy on primary healthcare has never been evaluated. Therefore the aim of this study was to determine the demand for care in general practice due to these suspected skin lesions (i.e. lesions that are suspected of malignancy by either the patient or the GP). Methods: Registry study based on data (2001-2010) from the Registration Network Groningen. This is a general practice registration network in the northern part of the Netherlands with an average annual population of approximately 30,000...
Source: BMC Family Practice - February 12, 2014 Category: Primary Care Authors: Cecile KoelinkBoudewijn KollenFeikje GroenhofKlaas van der MeerWouter van der Heide Source Type: research

Detection and management of depression in adult primary care patients in Hong Kong: a cross-sectional survey conducted by a primary care practice-based research network
Conclusion: About one in ten primary care patients screen positive for depression, of which doctors diagnose depression in approximately one in four. At greatest risk for depression are patients with a past history of depression, who are unemployed, or who have multiple illnesses. Patients most likely to receive a diagnosis of depression by a doctor are those with a past history of depression or who have severe symptoms of depression. Chinese patients are half as likely to be diagnosed with depression as non-Chinese patients. Over half of all patients diagnosed with depression are treated with medications. (Source: BMC Family Practice)
Source: BMC Family Practice - February 12, 2014 Category: Primary Care Authors: Weng Yee ChinKit ChanCindy LamSamuel WongDaniel FongYvonne LoTai Pong LamBilly Chiu Source Type: research

An education programme to increase general practitioners¿ awareness of their patients¿ employment: design of a cluster randomised controlled trial
DiscussionWe investigate a training to increase work awareness among GPs, improve their skills in managing work related problems and structurally register work related data in the EMR. We think this study will make a contribution to better health care for workers by motivating GPs to appreciate their specific needs. It will also add to our knowledge of the complex relationship between gender, work and health.Trial registrationTrial registration number: NTR3475 (Source: BMC Family Practice)
Source: BMC Family Practice - February 7, 2014 Category: Primary Care Authors: Kees de KockRomy SteenbeekPeter BuijsPeter LucassenJ KnottnerusAntoine Lagro-Janssen Source Type: research

An education programme to increase general practitioners' awareness of their patients' employment: design of a cluster randomised controlled trial
DiscussionWe investigate a training to increase work awareness among GPs, improve their skills in managing work related problems and structurally register work related data in the EMR. We think this study will make a contribution to better health care for workers by motivating GPs to appreciate their specific needs. It will also add to our knowledge of the complex relationship between gender, work and health.Trial registration: Trial registration number: NTR3475 (Source: BMC Family Practice)
Source: BMC Family Practice - February 7, 2014 Category: Primary Care Authors: Kees de KockRomy SteenbeekPeter BuijsPeter LucassenJ KnottnerusAntoine Lagro-Janssen Source Type: research

Cost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy
Conclusions: This study provides strong support for the promotion of a policy of screening and brief interventions throughout Italy, although policy makers should be aware of the resource implications of different implementation options. (Source: BMC Family Practice)
Source: BMC Family Practice - February 6, 2014 Category: Primary Care Authors: Colin AngusEmanuele ScafatoSilvia GhiriniAleksandra TorbicaFrancesca FerrePierluigi StruzzoRobin PurshouseAlan Brennan Source Type: research

"Seeing a doctor is just like having a date": a qualitative study on doctor shopping among overactive bladder patients in Hong Kong
Conclusions: Overactive bladder is a chronic bladder condition with very limited treatment outcome. Although patients with overactive bladder often require specialty urology treatment, it is usually beneficial for the patients to receive continuous, coordinated, comprehensive, and patient-centered support from their primary care providers. Primary care doctors' understanding on patients with overactive bladder with empathetic attitudes is important to reduce the motivations of doctor shopping behavior among these patients. (Source: BMC Family Practice)
Source: BMC Family Practice - February 6, 2014 Category: Primary Care Authors: Judy Yuen-man Siu Source Type: research

Nurse-led telecoaching of people with type 2 diabetes in primary care: rationale, design and baseline data of a randomized controlled trial
DiscussionThe study will enhance our understanding of the potential of telehealth in diabetes management in Belgium. Research on the clinical effectiveness and the cost-effectiveness is essential to support policy makers in future reimbursement and implementation decisions.Trial registration: Belgian number: B322201213625. ClinicalTrials.gov Identifier: NCT01612520 (Source: BMC Family Practice)
Source: BMC Family Practice - February 4, 2014 Category: Primary Care Authors: Irina OdnoletkovaGeert GoderisFrank NobelsBert AertgeertsLieven AnnemansDirk Ramaekers Source Type: research

A qualitative study of CVD management and dietary changes: problems of `too much¿ and `contradictory¿ information
Conclusion: Patients will seek out, or come into contact with information which contradicts advice from their GPs. The volume of information may lead them to resort to old and familiar habits. GPs play a valuable role in highlighting key take-home messages and reliable external sources of information. The findings have implications for GP practice given that lifestyle changes are a cost- and clinically-effective means of managing CVD. (Source: BMC Family Practice)
Source: BMC Family Practice - February 4, 2014 Category: Primary Care Authors: Samantha MeyerJohn CoveneyPaul Ward Source Type: research

Primary care quality improvement from a practice facilitator¿s perspective
Conclusions: The consensus on redesigning and transforming primary care in North America and around the world is rapidly growing. Practice facilitation has been pivotal in materializing the transformation in the way primary care practices deliver care. This study provides an exclusive insight into facilitator approaches which will assist the design and implementation of small- and large-scale facilitation interventions. (Source: BMC Family Practice)
Source: BMC Family Practice - February 3, 2014 Category: Primary Care Authors: Clare LiddyValeriya BlazhkoMolly DingwallJatinderpreet SinghWilliam Hogg Source Type: research

What is the impact of primary care model type on specialist referral rates? A cross-sectional study
Conclusions: Primary care model is significantly associated with referral rate. On a study population level, these differences equate to 111,059 and 37,391 fewer referrals by fee-for-service versus CAP-NI and CAP-I, respectively - a difference of $22.3 million in initial referral appointment costs. Whether a lower rate of referral is more appropriate or not is not known and requires further investigation. Physician remuneration and team structure likely account for the differences; however, further investigation is also required to better understand whether other organizational factors associated with primary care model al...
Source: BMC Family Practice - February 3, 2014 Category: Primary Care Authors: Clare LiddyJatinderpreet SinghRyan KellySimone DahrougeMonica TaljaardJamie Younger Source Type: research

Primary care quality improvement from a practice facilitator's perspective
Conclusions: The consensus on redesigning and transforming primary care in North America and around the world is rapidly growing. Practice facilitation has been pivotal in materializing the transformation in the way primary care practices deliver care. This study provides an exclusive insight into facilitator approaches which will assist the design and implementation of small- and large-scale facilitation interventions. (Source: BMC Family Practice)
Source: BMC Family Practice - February 3, 2014 Category: Primary Care Authors: Clare LiddyValeriya BlazhkoMolly DingwallJatinderpreet SinghWilliam Hogg Source Type: research

Smoking cessation advice recorded during pregnancy in United Kingdom primary care
Conclusion: Recorded delivery of smoking cessation advice for pregnant smokers in primary care has increased with some fluctuation over the years, especially after the implementation of the QOF, and varies with maternal characteristics. (Source: BMC Family Practice)
Source: BMC Family Practice - February 1, 2014 Category: Primary Care Authors: Bethany HardyLisa SzatkowskiLaila TataTim ColemanNafeesa Dhalwani Source Type: research

Roles and relationships between health professionals involved in insulin initiation for people with type 2 diabetes in the general practice setting: a qualitative study drawing on relational coordination theory
Conclusions: This study has shown that insulin initiation is generally recognised as acceptable in general practice. The role of the DNE and practice nurse in this space and improved communication and relationships between health professionals across organisations and levels of care are factors which need to be addressed to support this clinical work. Relational coordination provides a useful framework for exploring these issues. (Source: BMC Family Practice)
Source: BMC Family Practice - January 31, 2014 Category: Primary Care Authors: Jo-Anne Manski-NankervisJohn FurlerIrene BlackberryDoris YoungDavid O¿NealElizabeth Patterson Source Type: research

The development of a guideline implementability tool (GUIDE-IT): a qualitative study of family physician perspectives
Conclusions: Our study identified facilitators and barriers of guideline implementability from the perspective of community and academic family physicians that will be used to build our GUIDE-IT prototype. Our findings build on current knowledge by showing that family physicians perceive guideline uptake mostly according to factors that are in the control of guideline developers. (Source: BMC Family Practice)
Source: BMC Family Practice - January 29, 2014 Category: Primary Care Authors: Monika KastnerElizabeth EsteyLeigh HaydenAnanda ChatterjeeAgnieska GrudniewiczIan GrahamOnil Bhattacharyya Source Type: research

Annual acknowledgement of manuscript reviewers
Contributing reviewersThe editors of BMC Family Practice would like to thank all of our reviewers who have contributed to the journal in Volume 14 (2013). (Source: BMC Family Practice)
Source: BMC Family Practice - January 29, 2014 Category: Primary Care Authors: Magdalena Morawska Source Type: research

Development of the PRE-HIT instrument: patient readiness to engage in health information technology
Conclusion: The Patient Readiness to Engage in Health Internet Technology (PRE-HIT) instrument has good psychometric properties and will be an aid to researchers investigating technology-based health interventions. Future work will examine predictive validity. (Source: BMC Family Practice)
Source: BMC Family Practice - January 28, 2014 Category: Primary Care Authors: Richelle KoopmanGregory PetroskiShannon CanfieldJulie StuppyDavid Mehr Source Type: research

Waiting to see the specialist: patient and provider characteristics of wait times from primary to specialty care
Conclusions: Actual wait times for a referral from a FP to seeing a specialist physician are longer than those reported by physician surveys. Wait times from primary to specialty care need to be included in the calculation of surgical and diagnostic wait time benchmarks in Canada. (Source: BMC Family Practice)
Source: BMC Family Practice - January 25, 2014 Category: Primary Care Authors: Liisa JaakkimainenKaren TuJan BarnsleyErin SalkeldHong LuRichard GlazierLiisa Jaakkimainen Source Type: research

To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice
Background: General practice is stressful and burnout is common among family physicians. A growing body of evidence suggests that the way physicians relate to their patients could be linked to burnout. The goal of this study was to examine how patterns of empathy explained physicians' burnout. Methods: We surveyed 294 French general practitioners (response rate 39%), measured burnout, empathic concern (EC) and perspective taking (PT) using self-reported questionnaires, and modeled burnout levels and frequencies with EC, PT and their interaction in linear and logistic regression analyses. Results: Multivariate linear models...
Source: BMC Family Practice - January 23, 2014 Category: Primary Care Authors: Martin LamotheEmilie BoujutFranck ZenasniSerge Sultan Source Type: research

PaTz groups for primary palliative care: reinventing cooperation between general practitioners and district nurses in palliative care: an evaluation study combining data from focus groups and a questionnaire
Conclusions: PaTz is successful in enhancing collaboration in primary palliative care and easy to implement. Participants felt it improved continuity of care and knowledge on palliative care. Further research is needed to investigate whether patient and carer outcomes improve. (Source: BMC Family Practice)
Source: BMC Family Practice - January 20, 2014 Category: Primary Care Authors: Annicka van der PlasMartijn HagensH PasmanBart SchweitzerMarij DuijstersBregje Onwuteaka-Philipsen Source Type: research

A qualitative comparison of primary care clinicians¿ and their patients¿ perspectives on achieving depression care: implications for improving outcomes
Conclusions: Improving processes and outcomes in primary care may demand heightened ability to understand and measure the patients' experiences, expectations and preferences as they receive primary care. Future research would investigate a potential mismatch between clinicians' and patients' perceptions of the effects of stigma on achieving care for depression, and on whether time spent discussing depression during the clinical visit improves outcomes. Improving care and outcomes for chronic disorders such as depression may require primary care clinicians to understand and support their patients' unique 'therapeutic spaces...
Source: BMC Family Practice - January 15, 2014 Category: Primary Care Authors: Robert KeeleyDavid WestBrandon TuttPaul Nutting Source Type: research

Reducing drug related deaths: a pre-implementation assessment of knowledge,barriers and enablers for naloxone distribution through general practice
Background: The Scottish Naloxone Programme aims to reduce Scotland’s high number of drug-related deaths (DRDs) caused by opiate overdose. It is currently implemented through specialist drug services but General Practitioners (GPs) are likely to have contact with drug using patients and their families and are therefore in an ideal position to direct them to naloxone schemes, or provide it themselves. This research gathered baseline data on GP’s knowledge of and willingness to be involved in DRD prevention, including naloxone administration, prior to the implementation of primary care based delivery. Methods: Mi...
Source: BMC Family Practice - January 15, 2014 Category: Primary Care Authors: Catriona MathesonChristiane Pflanz-SinclairLorna AucottPhilip WilsonRichard WatsonStephen MalloyElinor DickieAndrew McAuley Source Type: research

A qualitative comparison of primary care clinicians' and their patients' perspectives on achieving depression care: implications for improving outcomes
Conclusions: Improving processes and outcomes in primary care may demand heightened ability to understand and measure the patients' experiences, expectations and preferences as they receive primary care. Future research would investigate a potential mismatch between clinicians' and patients' perceptions of the effects of stigma on achieving care for depression, and on whether time spent discussing depression during the clinical visit improves outcomes. Improving care and outcomes for chronic disorders such as depression may require primary care clinicians to understand and support their patients' unique 'therapeutic spaces...
Source: BMC Family Practice - January 15, 2014 Category: Primary Care Authors: Robert KeeleyDavid WestBrandon TuttPaul Nutting Source Type: research

Reducing drug related deaths: a pre-implementation assessment of knowledge, barriers and enablers for naloxone distribution through general practice
Background: The Scottish Naloxone Programme aims to reduce Scotland's high number of drug-related deaths (DRDs) caused by opiate overdose. It is currently implemented through specialist drug services but General Practitioners (GPs) are likely to have contact with drug using patients and their families and are therefore in an ideal position to direct them to naloxone schemes, or provide it themselves. This research gathered baseline data on GP's knowledge of and willingness to be involved in DRD prevention, including naloxone administration prior to the implementation of primary care based delivery. Methods: Mixed methods w...
Source: BMC Family Practice - January 15, 2014 Category: Primary Care Authors: Catriona MathesonChristiane Pflanz-SinclairLorna AucottPhilip WilsonRichard WatsonStephen MalloyElinor DickieAndrew McAuley Source Type: research

Physical activity assessment in practice: a mixed methods study of GPPAQ use in primary care
Conclusions: GPs and nurses reported that the GPPAQ itself was an easy tool with which to assess PA levels in general practice and feasible to use in a range of electronic record systems but integration within routine practice is constrained by time and complex consultations. Further exploration of ways to facilitate PA promotion into practice is needed. (Source: BMC Family Practice)
Source: BMC Family Practice - January 15, 2014 Category: Primary Care Authors: Neil HeronMark TullyMichelle McKinleyMargaret Cupples Source Type: research

Practice nurse involvement in primary care depression management: an observational cost-effectiveness analysis
Conclusions: Classification of patients' depressive state was feasible, but time consuming, using the classification framework proposed. Further validation of the framework is required. Unlike the analyses of diabetes and obesity management, no significant differences in the proportion of depression-free days or health service costs were found between the alternative levels of practice nurse involvement. (Source: BMC Family Practice)
Source: BMC Family Practice - January 14, 2014 Category: Primary Care Authors: Jodi GrayHossein Haji Ali AfzaliJustin BeilbyChristine HoltonDavid BanhamJonathan Karnon Source Type: research

Are lower urinary tract symptoms in men associated with cardiovascular diseases in a primary care population: a registry study
Background: Although lower urinary tract symptoms (LUTS) seem to be related to cardiovascular disease (CVD) in men, it is unclear whether this relationship is unbiased. In order to investigate this relationship, we used longitudinal data for establishing the possible predictive value of LUTS for the development of CVD in a primary care population. Methods: We performed a registry study using data from the Registration Network Groningen (RNG). All data from men aged 50 years and older during the study period from 1 January 1998 up to 31 December 2008 were collected. Cox proportional hazard regression analysis was used to de...
Source: BMC Family Practice - January 14, 2014 Category: Primary Care Authors: Inge BouwmanBoudewijn KollenKlaas van der MeerRien NijmanWouter van der Heide Source Type: research