Health seeking behaviour among Lebanese population: A highlight on seeking care from pharmacists
CONCLUSION: Our study showed that a significant proportion of the Lebanese population seek a diagnosis from pharmacists and a significant proportion of them have a misconception about the role of pharmacists in the Lebanese healthcare system.PMID:33944640 | DOI:10.1080/13814788.2021.1917541 (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 4, 2021 Category: Primary Care Authors: Rabih Soubra Sani Hlais Nadine Houmani Lina Ghandour Reda El Haj Hassan Mohammed Joujou Issam Shaarani Source Type: research

Barriers in screening for dementia in elderly migrants in primary care and the use of the Rowland Universal Dementia Assessment Scale. A mixed cross-sectional and qualitative study
CONCLUSION: GPs find screening for dementia in migrant patients a challenging act, mainly due to language barriers. GPs are not confident enough with the appropriate screening strategies and tools adjusted to the needs of migrant patients. Abbreviations: GP: general practitioner; RUDAS: Rowland Universal Dementia Assessment Scale; MMSE: Mini Mental State Examination.PMID:33928835 | DOI:10.1080/13814788.2021.1913116 (Source: European Journal of General Practice)
Source: European Journal of General Practice - April 30, 2021 Category: Primary Care Authors: Birgitte Schoenmakers Tom Robben Source Type: research

A multi-perspective exploration of the understanding of patient complaints and their potential for patient safety improvement in general practice
CONCLUSION: There is a lot to be learned about how individuals experience complaints, however, this study adds to existing knowledge. The findings from this study can be used to tackle challenges facing complaints management in general practice, including the barriers to complaining for patients and the negative impacts of complaints on the staff, and can also help to build on positive aspects of complaints such as the desire for systemic change among interested parties.PMID:33904345 | DOI:10.1080/13814788.2021.1900109 (Source: European Journal of General Practice)
Source: European Journal of General Practice - April 27, 2021 Category: Primary Care Authors: Emily O'Dowd Sinead Lydon Paul O'Connor Source Type: research

Attitudes, behaviours and strategies towards obesity patients in primary care: A qualitative interview study with general practitioners in Germany
CONCLUSION: Depending on which (proto-)type a patient visits, different focuses and strategies are pursued for obesity management and doctor-patient communication. This results in different perspectives and chances of success about therapeutic measures.PMID:33749477 | PMC:PMC7993392 | DOI:10.1080/13814788.2021.1898582 (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 22, 2021 Category: Primary Care Authors: Julian Wangler Michael Jansky Source Type: research

Attitudes, behaviours and strategies towards obesity patients in primary care: A qualitative interview study with general practitioners in Germany
CONCLUSION: Depending on which (proto-)type a patient visits, different focuses and strategies are pursued for obesity management and doctor-patient communication. This results in different perspectives and chances of success about therapeutic measures.PMID:33749477 | DOI:10.1080/13814788.2021.1898582 (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 22, 2021 Category: Primary Care Authors: Julian Wangler Michael Jansky Source Type: research

Views of Dutch general practitioners about premenstrual symptoms: A qualitative interview study
CONCLUSION: GPs considered physiological changes and personal sensitivity as aetiological factors. We recommend more training to improve GPs knowledge and more insight into the burden of women with PMS. A symptom diary is an essential diagnostic tool for GPs.PMID:33729076 | DOI:10.1080/13814788.2021.1889505 (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 17, 2021 Category: Primary Care Authors: Marijke S Labots-Vogelesang Doreth A M Teunissen Vivianne Kranenburg Antoine L M Lagro-Janssen Source Type: research

A qualitative study of parental views of HPV vaccination in Ireland.
CONCLUSION: This study suggests that significant parental concerns remain to the HPV vaccine. More comprehensive information on the research surrounding this vaccine's safety profile is required. GP's may play a pivotal role in HPV vaccination going forward. PMID: 33496212 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - January 28, 2021 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

C-reactive protein influences the doctor's degree of suspicion of pneumonia in primary care: a prospective observational study.
CONCLUSION: Our results indicate that CRP testing highly influences the physician's degree of suspicion of pneumonia in primary care and that it seems to be of most value when not sure of the diagnosis. PMID: 33399009 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - January 6, 2021 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Adverse events of targeted therapies reported by patients with cancer treated in primary care.
The objective of this study was to describe the AE frequency and severity as reported by patients with cancer who received TT in ambulatory settings. A second objective was to describe the role of the general practitioner (GP) in the management of AEs. METHODS: All patients who started TT at a French Regional Cancer Centre in 2017-2018 were eligible for this 12-month prospective study. A self-administered questionnaire was distributed at inclusion and returned after three months. In the questionnaire, patients listed all AEs that occurred during this period and rated their severity. Occurrence and severity were compare...
Source: European Journal of General Practice - January 6, 2021 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Availability of point-of-care culture and microscopy in general practice - does it lead to more appropriate use of antibiotics in patients with suspected urinary tract infection?
CONCLUSION: Availability of POC culture marginally increased appropriate treatment while waiting for the result from the microbiological laboratory. Practices should adopt a strategy where they either perform culture within the practice or send urine for culture at the microbiological laboratory. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov NCT02698332. PMID: 33356665 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - December 30, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Optimising individual and community involvement in health decision-making in general practice consultations and primary care settings: A way forward.
Authors: MacFarlane AE Abstract The World Health Organisation Alma-Ata Declaration on Primary Healthcare, and the more recent Astana Declaration from the Global Conference on Primary Healthcare, emphasise the involvement of individuals and communities in health decision-making about their individual health care, service delivery and policy development. Increasingly, health funding agencies and academic publishers like the BMJ require Public and Patient Involvement in health research. These imperatives cover health decision-making about different issues in different settings. In this position paper, I argue that ind...
Source: European Journal of General Practice - December 20, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Identifying multimorbid patients with high care needs - A study based on electronic medical record data.
CONCLUSION: Among multimorbid populations various 'high need' groups exist. Patients with high needs for general practice care can be identified by their previous use of general practice care. To identify frequent ED visitors and persons with unplanned hospitalisations, additional information is needed. PMID: 33337928 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - December 20, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Academic general practice/family medicine in times of COVID-19 - Perspective of WONCA Europe.
This article focuses on the academic challenges for the discipline, mainly in the field of education, research, and quality assurance. The efforts of the European Region of the World Organisation of National Colleges, Academies, and Academic Associations of General Practitioners/Family Physicians (WONCA Europe) to support academic sustainability of the discipline in the time of pandemic are presented. Medical education was affected by the pandemic, threatening both its productivity and quality. Emerging new educational methods might be promising, but the results of their rapid implementation remain uncertain. A relatively ...
Source: European Journal of General Practice - December 20, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study.
CONCLUSION: MetS and CVD risk factors were encountered at high frequencies in the studied population of primary care patients in Crete. PMID: 33320035 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - December 17, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Vitamin D status in the adult population of Bursa-Turkey.
Authors: GöktaƟ O, Ersoy C, Ercan I, Can FE Abstract BACKGROUND: Vitamin D, along with parathyroid hormone (PTH) and calcitonin, is an important hormone that affects bone and calcium metabolism. OBJECTIVES: To evaluate the vitamin D status and its seasonal variation in the adult population of Bursa. METHODS: Since there is not enough information about vitamin D levels, 25 OH vitamin D levels were analysed retrospectively from the records of 11,734 adult subjects (9142 women, 2592 men) admitted to 24 family health centres located in different districts of Bursa between 1 December 2017 and 30 November 2...
Source: European Journal of General Practice - December 10, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Why concerns about vitamin D deficiency should not lead to over testing and overtreatment.
Authors: Carbonell-Abella C PMID: 33292032 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - December 10, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Research in the time of COVID.
Authors: Mallen C PMID: 33107360 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - October 28, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Implementation of Primary Palliative Care in five Belgian regions: A qualitative study on early identification of palliative care needs by general practitioners.
CONCLUSION: Palliative care frameworks which help GPs to deliver 'tailor-made' care have more chance to be adopted than strict protocols. GPs should be given education for bad news breaking. Palliative care and advance care planning practices differ locally: guideline dissemination plans should respect these local differences. PMID: 33078644 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - October 21, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research