After the first wave: What effects did the COVID-19 measures have on regular care and how can general practitioners respond to this?
Authors: van Weert H PMID: 32787601 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 15, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

SERIES: eHealth in primary care. Part 3: eHealth education in primary care.
CONCLUSION: Vocational and CPD training in General Practice needs to build on eHealth capabilities now. We strongly advise the incorporation of eHealth education into vocational training and CPD activities, rather than providing it as a separate single module. How learning goals and activities take shape and how competencies are evaluated clearly requires further practice, evaluation and study. PMID: 32757859 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 13, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Improving the quality of antibiotic prescribing through an educational intervention delivered through the out-of-hours general practice service in Ireland.
CONCLUSION: Our intervention implemented in the OOH GP service categorised antibiotics into red prescriptions and green (firstline) prescriptions, which was recorded through an electronic pop-up message, resulted in an absolute reduction of 27% in red prescriptions and more than 23% in co-amoxyclav prescriptions. PMID: 32757866 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 13, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Lessons learned from the approach to the COVID-19 pandemic in urban primary health care centres in Barcelona, Spain.
Authors: Muñoz MA, López-Grau M PMID: 32715802 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 29, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Cancer screening and follow-up in general practice: A French nationwide cross-sectional study.
CONCLUSION: Around 5% of French general practice consultations include cancer screening or follow-up. Socio-economical inequalities demand further research. PMID: 32674614 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 19, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Challenges, priorities and tasks for the generalists at the time of COVID-19 pandemic.
Authors: Lionis C, Petelos E PMID: 32674618 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 19, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Family medicine departments and healthcare centres during COVID-19 pandemic in Turkey.
Authors: Sahin MK, Sahin G PMID: 32674624 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 19, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Communication between Dutch community nurses and general practitioners lacks structure: An explorative mixed methods study ‚ÄČ.
CONCLUSION: This exploratory study of actual community nurse-doctor telephone conversations in primary care identified communication structure and nurse self-confidence towards general practitioners as key targets for the improvement of interprofessional communication, which may increase the effectiveness of community nurse-general practitioner collaboration. PMID: 32648497 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 12, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Resilience in family caregivers of patients diagnosed with advanced cancer - unravelling the process of bouncing back from difficult experiences, a hermeneutic review.
CONCLUSION: To address flaws in conceptualisation and the resulting gaps in knowledge, we suggest a definition and a theoretical framework that are suited to allow heterogeneity in the field, but enables the development of sound interventions, as well as facilitate the interpretation of intervention effectiveness. PMID: 32631110 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 9, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Feasibility of implementing a preventive physical exercise programme recommended by general practitioners in cardiovascular risk patients: A pre-post comparison study.
Conclusion: Implementation of a government-supported PE programme for the general population recruited in the primary care setting and recommended by healthcare professionals is feasible, and was associated with health benefits, mainly improvements in physical fitness. PMID: 32441167 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 24, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

The first pelvic examination: A rite of passage for the women. A qualitative study about French women.
Conclusion: Women requested for a general practitioner or a gynaecologist with a deeper understanding of a woman's experience to perform their first pelvic examination. We propose practical recommendations: the following 3 phases for the consultation: before the pelvic examination where the women and the practitioners may get to know one another; during the examination, which would involve the technical aspects and the associated procedures; and after the examination, where the patients and the practitioners review the experience and discuss prevention. PMID: 32401073 [PubMed - as supplied by publisher] (Source: Europe...
Source: European Journal of General Practice - May 14, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Editors' choice: The four most valued articles published in the European Journal of General Practice in 2019.
Authors: Stoffers J, Editorial Board of the European Journal of General Practice PMID: 32401084 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 14, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Family medicine in times of 'COVID-19': A generalists' voice.
Authors: de Sutter A, Llor C, Maier M, Mallen C, Tatsioni A, van Weert H, Windak A, Stoffers J, Editorial Board, Jelle Stoffers, Editor-in-Chief, the European Journal of General Practice PMID: 32349550 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 1, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Serological testing for Lyme Borreliosis in general practice: A qualitative study among Dutch general practitioners.
Conclusion: Both diagnosis and ruling out of disseminated Lyme Borreliosis can be difficult for general practitioners. General practitioners use serological tests to reassure patients and rule out Lyme Borreliosis, thereby deviating from the national guideline. Interpretation of test results in these cases can be difficult. PMID: 32157944 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 12, 2020 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

GPs who volunteer to be first responders for out-of-hospital cardiac arrest: A qualitative study.
Conclusion: GPs volunteer to provide early OHCA emergency care because of their relationship to the community. Care provided is complex and includes both resuscitation and end-of-life care. PMID: 31686571 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 8, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Information campaigns and trained triagists may support patients in making an appropriate choice between GP and emergency department.
Authors: Philips H, Verhoeven V, Morreel S, Colliers A, Remmen R, Coenen S, Van Royen P PMID: 31663392 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 1, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

SERIES: eHealth in primary care. Part 2: Exploring the ethical implications of its application in primary care practice.
Conclusion: Our analysis is an essential first step towards setting up a dedicated ethics research agenda that should be examined in parallel to the development and implementation of eHealth. The ultimate goal is to inspire the development of practice-specific ethical recommendations. PMID: 31663394 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 1, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Importance of the GP-patient relationship.
Authors: Henninger S, Spencer B, Pasche O PMID: 31663404 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 1, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Acute lower respiratory tract infections: Symptoms, findings and management in Danish general practice.
Conclusion: Danish healthcare professionals are highly influenced by symptoms, signs and CRP tests when diagnosing patients with acute LRTIs in general practice. PMID: 31650886 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - October 29, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Prevalence of frailty among community-dwelling elderly persons in Spain and factors associated with it.
Conclusion: In this population of community-dwelling persons aged 70 years and over, the prevalence of frailty was 26%. Factors correlated with frailty were female sex, comorbidity, poorer self-perceived lifestyle and health status, and dissatisfaction with the domestic environment. PMID: 31637940 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - October 23, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Teaching the health advocacy role in family medicine: Trial and error.
Authors: Decat P, Demirören M, De Sutter A PMID: 31617418 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - October 18, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Childhood fever: Parental paracetamol administration after consulting out-of-hours general practice.
Conclusion: Most children who consulted out-of-hours general practice for fever and common infections received paracetamol at home during their illness episode, regardless of a painful condition being present. Paracetamol administration increased with age. PMID: 31617769 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - October 18, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Dementia in Hungary: General practitioners' routines and perspectives regarding early recognition.
Conclusions: Hungarian GPs were aware of the benefits of early recognition, but the shortage of consultation time in primary care was found to be a major constraint on efficient case-finding. PMID: 31601132 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - October 13, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

SERIES: eHealth in primary care. Part 1: Concepts, conditions and challenges.
Authors: van der Kleij RMJJ, Kasteleyn MJ, Meijer E, Bonten TN, Houwink IJF, Teichert M, van Luenen S, Vedanthan R, Evers A, Car J, Pinnock H, Chavannes NH Abstract KEY MESSAGES eHealth should support the transition towards personalized medicine, self-management and shared decisions in primary care. Several conditions need to be met to ensure that eHealth applications are safe, evidence-based and of high quality. Innovative but valid research methodology-e.g. adaptive (action research) designs-is a prerequisite for ongoing success and sustainability of eHealth. Primary care is challenged to provide high quality, ac...
Source: European Journal of General Practice - October 12, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

A qualitative study examining everyday frailty management strategies adopted by Polish stakeholders.
Conclusion: Raising awareness of the malleability of frailty amongst health and social care professionals is critical. Further, information provision and personal support should be essential elements of health interventions aimed at older adults and family caregivers. Interventions to support resilience building in older adults should also be framed within a model of fostering self-efficacy. KEY MESSAGES Stakeholders suggested that frailty should be viewed as a dynamic process with opportunities for treatment and improvement. Stakeholders believed that even frail older adults would benefit from engaging in meaningful but e...
Source: European Journal of General Practice - October 9, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Clinical factors, C-reactive protein point of care test and chest X-ray in patients with pneumonia: A survey in primary care.
Conclusion: In patients with an acute lower respiratory tract infection, GPs report that CRP results affect their behaviour regarding the request of a chest X-ray in patients with lower respiratory tract infection and therefore research is needed to substantiate the use of these diagnostic tools for this purpose. PMID: 31455104 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 30, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaints.
Conclusion: Three out of four patients with a knee trauma in general practice reported return to sports at three months follow-up. A combination of patient/trauma characteristics and knee complaints predicted no return to sports, whereas MR findings had no additive value.   Trial registration: Dutch trial registration: registration number: NTR3689. registration date: 7 November 2012. PMID: 31431084 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 24, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Laypersons' perception of common cold and influenza prevention-a qualitative study in Austria, Belgium and Croatia.
Conclusion: The perception of health risk of contracting influenza and a primary healthcare physicians' recommendation played an important role in shaping participants' decisions towards vaccination. Primary healthcare physicians are invited to assess and if necessary adjust inappropriate prevention behaviour through their everyday patient consultations as well as add to the knowledge about influenza severity and influenza vaccination benefits to their patients. PMID: 31431093 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 24, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

What should selective cardiometabolic prevention programmes in European primary care look like? A consensus-based design by the SPIMEU group.
Conclusion: The final set of statements represents the key characteristics of selective CMD prevention and can serve as a guide for implementing selective prevention actions in European primary care. PMID: 31411091 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 16, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Pertussis diagnostic practices of general practitioners in the Netherlands: A survey study.
Conclusion: In contrast to national guidelines, our results suggest that GPs report to test for pertussis mainly based on clinical symptoms rather than based on protecting vulnerable groups at risk. PMID: 31407603 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 14, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study.
Conclusion: Our study elucidated mechanisms and the contextual factors by which an MHT in general practice improves staff morale. KEY MESSAGES An MHT improves staff morale in a CHC, through nurturing recognition, through altering staff members' attitudes and through ensuring role clarity. Pitfalls are inefficient time management and poor communication. Policymakers should stimulate interprofessional collaboration in primary mental health. PMID: 31373254 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 4, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Primary care healthcare policy implementation in the Eastern Mediterranean region; experiences of six countries: Part II.
Conclusion: Priorities should be focused on: developing PHC model in Eastern Mediterranean region with advocacy for community-based PHC to policymakers; capacity building for strengthening PHC-oriented health systems with FP specialty training and restrict practising to fully trained FPs; engage communities to improve understanding of PHC; adopt quality and accreditation policies for better services; validation of the referral and follow-up process; and, develop public-private partnership mechanisms to enhance PHC for UHC. PMID: 31368386 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 3, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Prescription of psychotropic medication in patients with type two diabetes mellitus: A multi-practice study from Ireland.
Authors: Keating P, O'Connor R, O'Doherty J, Hannigan A, Cullen W, Hickey L, Harnett A, Meagher D, O'Regan A Abstract Background: Comorbid anxiety and depression and type two diabetes mellitus (T2DM) are commonly managed by General Practitioners (GPs). Objectives: To investigate the proportion of people with T2DM who are prescribed either antidepressant or benzodiazepine medications in general practice; to compare people with T2DM that have a prescription with those that do not in terms of patient characteristics, glycaemic control and healthcare utilization. Methods: Anonymized data was collected by GPs and senior...
Source: European Journal of General Practice - July 25, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Why do Danish junior doctors choose general practice as their future specialty? Results of a mixed-methods survey.
Conclusion: Several factors that might positively affect the choice of general practice were identified. These factors may hold the potential to guide recruitment strategies for general practice. PMID: 31339386 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 25, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Right bundle branch block: Prevalence, incidence, and cardiovascular morbidity and mortality in the general population.
Conclusion: In this general population cohort with no CV disease, 8% had RBBB, with a higher prevalence among men and elderly patients. Although all-cause mortality and CVE tended to increase in the presence of cRBBB, only BFB showed a statistically significant association with cRBBB. Patients with iRBBB who progressed to cRBBB had a higher incidence of CVE. We detected no effect of iRBBB on morbidity and mortality. PMID: 31339387 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 25, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Making guidelines, research and scientific papers as simple as possible.
Authors: Llor C PMID: 31290346 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 13, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Poor or fair self-rated health is associated with depressive symptoms and impaired perceived physical health: A cross-sectional study in a primary care population at risk for type 2 diabetes and cardiovascular disease.
Conclusion: Poor SRH is associated with depressive symptoms and impaired perceived physical health. Assessing SRH might be useful for detecting possible depressive symptoms in patients in CV risk management and diabetes care. PMID: 31280603 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 11, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Deciding whether to consult the GP or an emergency department: A qualitative study of patient reasoning in Switzerland.
Conclusion: Our study showed that when patients are confronted with what they perceive as a medical emergency, the quality of the relationship with the GP, in particular the continuity of care provided, seem to be the major reasons why they consult their GP rather than an ED. PMID: 31272245 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 7, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Diagnostic errors reported in primary healthcare and emergency departments: A retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden.
Conclusion: Our findings show that the most frequently missed diagnoses among reported harm were cancers in primary care and fractures in the emergency departments. PMID: 31257959 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 3, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Factors associated with the identification of child mental health problems in primary care-a systematic review.
Conclusion: MHP identification varied substantially between studies and PCPs and was related to several child, family and practice factors. Future studies should systematically investigate factors associated with MHP identification by PCPs and specifically in children with an increased risk of MHPs according to mental health assessment tools. PMID: 31246106 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - June 28, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Personalized medicine-a tradition in general practice!
Authors: Maier M PMID: 31032696 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 1, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

At what stage in the undergraduate curriculum is it best to train in family medicine? A study from two medical schools in Spain.
CONCLUSION: There were no significant differences between CAMF scores at the end of undergraduate training. Only the score on the speciality exam predicts FM choice: the higher the score, the lower the probability of choosing FM. PMID: 30938250 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - April 4, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Transitional safety incidents as reported by patients and healthcare professionals in the Netherlands: A descriptive study.
CONCLUSION: Reported TSIs typically concerned informational discontinuity. One third caused harm to the patient. Patients report different TSIs than healthcare professionals, suggesting a different view. PMID: 30924697 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 30, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

When sex meets age: Family physicians' perspectives about sexual dysfunction among older men and women: A qualitative study from Israel.
CONCLUSION: Men and women were seen as having different motivations for engaging in sex and different needs from physicians. PMID: 30848972 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 9, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Impact of non-drug therapies on asthma control: A systematic review of the literature.
CONCLUSION: Twenty-six interventions were effective in asthma control. Simultaneously combining several action plans, each focusing on different aspects of asthma management, seems most likely to be effective. PMID: 30849253 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 9, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

European primary care research and a national general practice research agenda.
Authors: Stoffers J PMID: 30794047 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - February 23, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Assessment of health literacy in the adult population registered to family medicine physicians in the Republic of Srpska, Bosnia and Herzegovina.
CONCLUSION: In this study performed in two primary healthcare centres in the Republic of Srpska, Bosnia and Herzegovina, low health literacy was associated with low level of education, older age, living in a rural area, and having more chronic diseases. PMID: 30794048 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - February 23, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Research agenda in family medicine-should we adopt the Dutch approach?
Authors: Vinker S, Ungan M PMID: 30722713 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - February 7, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Mandatory vaccination of infants in France: Is that the way forward?
Authors: Partouche H, Gilberg S, Renard V, Saint-Lary O Abstract In this opinion paper, the authors argue that the extension of mandatory immunization of infants up to two years of age from three diseases (diphtheria, tetanus, poliomyelitis) to 11 diseases, introduced in France in January 2018, is not a sustainable response to the challenge of controlling vaccine-preventable diseases. In France in 2017, infant immunization coverage (IC) rates were sufficiently high or increasing (hepatitis B), except for measles, mumps and rubella (MMR) and meningococcus C disease. Even if vaccination obligation makes it possible t...
Source: European Journal of General Practice - January 24, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Strategies to improve research capacity across European general practice: The views of members of EGPRN and Wonca Europe.
CONCLUSION: Members of the GP research community see the clear need for both national and international primary care research networks to facilitate appropriate RCB interventions. These interventions should be multifaceted, responding to needs at different levels and tailored to the context where they are to be implemented. PMID: 30607993 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - January 6, 2019 Category: Primary Care Tags: Eur J Gen Pract Source Type: research