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

Re-thinking performance assessment for primary care: Opinion of the expert panel on effective ways of investing in health.
CONCLUSION: The identified characteristics and criteria for development of a primary care performance assessment system provides a starting point for strengthening the coherence of assessment frameworks across countries and exchanging best practices. PMID: 30539675 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - December 14, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Clinical leadership and integrated primary care: A systematic literature review.
CONCLUSION: Good quality research on clinical leadership in integrated primary care is scarce. More profound knowledge is needed about leadership skills, required for integrated-care implementation, and leadership support aimed at developing these skills. PMID: 30474447 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 28, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Development of a research agenda for general practice based on knowledge gaps identified in Dutch guidelines and input from 48 stakeholders.
CONCLUSION: The process resulted in a widely supported National Research Agenda for General Practice. We encourage both researchers and funding organizations to use this agenda to focus their research on the most relevant issues in general practice and to generate new evidence for the next generation of guidelines and the future of general practice. PMID: 30474455 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 28, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Cross-cultural translation and validation of the 'gut feelings' questionnaire into Spanish and Catalan.
CONCLUSION: Spanish and Catalan versions of the GFQ were obtained. Both have been cross-culturally adapted and showed good structural properties. PMID: 30394147 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 7, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Training GPs to improve their management of work-related problems: results of a cluster randomized controlled trial.
CONCLUSION: Training GPs did not improve patients' work-related self-efficacy or GPs' registration of work-related problems and occupation. PMID: 30394151 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 7, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Reasons why self-referring patients attend the emergency department during daytime differ among socioeconomic groups: A survey from Flanders.
CONCLUSION: We found sociodemographic differences in motives why self-referring patients in Flanders opt for the ED during daytime hours. In general, self-referring patients attend the ED because they perceive their condition as urgent and think they may need advanced diagnostic testing. PMID: 30375251 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 2, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Promoting equity for a better quality of care for all Europeans.
Authors: Windak A PMID: 30375255 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 2, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Developments in euthanasia practice in the Netherlands: Balancing professional responsibility and the patient's autonomy.
We describe important relevant developments and look into the role and the meaning of two dimensions of the concept of 'patient autonomy' regarding end-of-life decisions, in particular, the euthanasia request. We claim that the concept of autonomy 'as a right,' which can be distinguished from autonomy 'as an ideal,' narrows the physician's window of opportunity to offer end-of-life care other than euthanasia. PMID: 30381970 [PubMed - as supplied by publisher] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 2, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Perceived safety climate in Irish primary care settings-a comparison with Scotland and England.
CONCLUSION: Irish SC data are largely similar to those of England and Scotland. The perceived potential for workload to negatively impact upon safety emerged within each country. In Ireland, GP principals perceive this as a greater threat than practice administrators do. PMID: 30381979 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - November 2, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach.
CONCLUSION: The different views of GPs on how to diagnose and monitor CD could be a basis for further research to improve CD detection rate and CD care. PMID: 30277085 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - October 4, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Mental Health in Primary Care.
Authors: PMID: 30257111 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - September 28, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Emergency anaphylaxis protocols: A cross-sectional analysis of general practice surgeries and pharmacies in both the urban and rural setting in Ireland.
Authors: O'Brien H, Mc Conaghy D, Brennan D, Meaney S Abstract BACKGROUND: The incidence of anaphylaxis appears to be increasing worldwide with cases in the community outnumbering those in the hospital setting. General practice (GP) surgeries and pharmacies, based in the community, are often the first point of contact for many patients suffering from anaphylaxis. OBJECTIVES: To determine if studied GP surgeries and pharmacies have an anaphylaxis protocol on site and have access to an anaphylaxis kit; to explore GP's and pharmacists' personal experiences with management of anaphylaxis. METHODS: A cross-secti...
Source: European Journal of General Practice - September 28, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Family physicians' views on their role in the management of childhood obesity: a mixed methods study from Turkey.
CONCLUSION: Although FPs recognize primary healthcare as an appropriate setting for managing CO, they have concerns about being involved in the treatment. PMID: 30257121 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - September 28, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Audiovisual aids in primary healthcare settings' waiting rooms. A systematic review.
CONCLUSION: Audiovisual aids broadcasting messages using screens (TVs, computers, tablets, and smartphones with Bluetooth® pairing) probably enhance patients' knowledge. A change in health behaviour remains controversial. PMID: 30132369 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 23, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Potential value of patient record review to assess and improve patient safety in general practice: A systematic review.
CONCLUSION: This review suggests that PRR may be a promising means of proactively identifying patient safety incidents and informing improvements. PMID: 30112925 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 17, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Influence of patient characteristics on preventive service delivery and general practitioners' preventive performance indicators: A study in patients with hypertension or diabetes mellitus from Hungary.
CONCLUSION: These findings emphasize that PHC performance indicators have to be evaluated concerning patient characteristics. PMID: 30070151 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - August 3, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

General practitioners' needs for support after the suicide of patient: A qualitative study.
CONCLUSION: Slovenian GPs did not have any formal support system at the time of the research, but they would appreciate such a possibility. PMID: 30052086 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - July 30, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Experiences of general practitioners participating in oncology meetings with specialists to support GP-led survivorship care; an interview study from the Netherlands.
CONCLUSION: The oncology meetings fulfil the need for information and communication. Close cooperation between GPs and oncology specialists appears to be an essential factor for GPs to value GP-led survivorship care positively. PMID: 29952234 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - June 30, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Principles of patient and public involvement in primary care research, applied to mental health research. A keynote paper from the EGPRN Autumn Conference 2017 in Dublin.
Authors: Howe A Abstract Clinical research relies on patients being willing to participate in research projects, and making this possible for patients with mental health problems can be a particular challenge. In the modern era, many countries have seen a movement to give a stronger voice to patients both in choices around their care and in how research is conducted. How to achieve effective patient and public involvement (PPI) and to make the patients real partners in this effort is itself a subject of research evaluation. This opinion piece-based on a keynote lecture given at the European General Practice Researc...
Source: European Journal of General Practice - June 1, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Intensity of previous teaching but not diagnostic skills influences stigmatization of patients with substance use disorder by general practice residents. A vignette study among French final-year residents in general practice.
CONCLUSION: Residents in general practice had a good capacity to diagnose SUD correctly but on average expressed negative attitudes toward people with SUD. More SUD teaching seems to help in reducing stigmatizing attitudes. PMID: 29792534 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 25, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Partial adoption of 'minimal core curriculum' in undergraduate teaching of family medicine: A cross-sectional study among Central and South-Eastern European medical schools.
CONCLUSION: Despite familiarity with EURACT's MCC among medical schools in the former Yugoslavia region, significant variation in curricula content exists, and no curriculum covered all MCC themes. PMID: 29730960 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 10, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Delayed diagnosis of a case of Zenker's diverticulum. What may happen when a family physician does not visit his family physician.
CONCLUSION: This case demonstrates once more the importance of history taking and follow-up in medical care. Attentive listening by a family physician could have probably prevented the delay of service in this case. PMID: 29726737 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 8, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

The promise of eHealth for primary care: opportunities for service delivery, patient-doctor communication, self-management, shared decision making and research.
Authors: Stoffers J PMID: 29577773 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 28, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Being in control of Parkinson's disease: A qualitative study of community-dwelling patients' coping with changes in care.
CONCLUSION: Community-dwelling PD patients seem to be able to cope with the care changes they face. Offering education to facilitate their anticipation and initiation of changes in care and their ability to act independently, can contribute to patients' wellbeing. GPs can play a role in this. PMID: 29569501 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 25, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Previous antibiotic exposure and antibiotic resistance of commensal Staphylococcus aureus in Spanish primary care.
CONCLUSION: Although no causal inference is possible, an association was observed between previous antibiotic dispensation and isolation of resistant organisms in community-dwelling individuals, mainly between packages of penicillin and penicillin-resistant staphylococci. PMID: 29542385 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 18, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

More counselling for end-of-life decisions by GPs with own advance directives: A postal survey among German general practitioners.
CONCLUSION: The study confirmed that nearly all German GPs surveyed provide counselling on ADs. Physicians with ADs counsel more frequently than those without such documents. PMID: 29547013 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - March 18, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research