Excision pathways for keratinocyte cancers diagnosed by teledermatology: a retrospective review
Conclusion This study reports prompt excision of KCs by general practitioners after an e-referral and a teledermatology response.PMID:38546776 | DOI:10.1071/HC23098 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: J P Tirado-Perez A Oakley R Gansel Source Type: research

Are patients with type 2 diabetes in the Waikato District provided with adequate education and support in primary care to self-manage their condition? A qualitative study
This study aims to explore patients' the provision of education and delivery of care to patients at the time of diagnosis, which is a crucial time in the disease trajectory. Methods Participants were recruited from a Māori health provider in the Waikato District, and diagnosed with T2D after January 2020. Patients were texted a link to opt into a survey (larger study) and then registered interest by providing contact details for an interview (current study). Semi-structured interviews were conducted and were audio recorded, transcribed, and thematically analysed. Results In total, 11 participants aged 19-65 years complete...
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Rebekah Crosswell Kimberley Norman Shemana Cassim Valentina Papa Rawiri Keenan Ryan Paul Lynne Chepulis Source Type: research

Primary care clinicians should proactively take up latest AI-based technology: Yes
J Prim Health Care. 2024 Mar;16(1):105-107. doi: 10.1071/HC24035.NO ABSTRACTPMID:38546778 | DOI:10.1071/HC24035 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Chester Holt-Quick Source Type: research

Primary care clinicians should proactively take up latest AI-based technology: No
J Prim Health Care. 2024 Mar;16(1):108-109. doi: 10.1071/HC24033.NO ABSTRACTPMID:38546779 | DOI:10.1071/HC24033 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Luke Bradford Source Type: research

Carbohydrate intake in T2DM
J Prim Health Care. 2024 Mar;16(1):103-104. doi: 10.1071/HC24042.NO ABSTRACTPMID:38546780 | DOI:10.1071/HC24042 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Rosemary M Hall Source Type: research

Do decision aids improve clinical practice?
J Prim Health Care. 2024 Mar;16(1):110-111. doi: 10.1071/HC24043.NO ABSTRACTPMID:38546781 | DOI:10.1071/HC24043 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Vanessa Jordan Source Type: research

Doing the 'bread and butter' of general practice well in uncertain times
J Prim Health Care. 2024 Mar;16(1):1-3. doi: 10.1071/HC24044.NO ABSTRACTPMID:38546782 | DOI:10.1071/HC24044 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Tim Stokes Felicity Goodyear-Smith Source Type: research

De-prescribing in primary care: the clinical, ethical and psychological considerations
J Prim Health Care. 2024 Mar;16(1):96-98. doi: 10.1071/HC23118.NO ABSTRACTPMID:38546783 | DOI:10.1071/HC23118 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Waseem Jerjes Daniel Harding Source Type: research

Ashwagandha
J Prim Health Care. 2024 Mar;16(1):112-114. doi: 10.1071/HC23172.NO ABSTRACTPMID:38546784 | DOI:10.1071/HC23172 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Xin Yi Lim Joanne Barnes Source Type: research

Patient perceptions of barriers to attending annual diabetes review and foot assessment in general practice: a qualitative study
Discussion We identified several barriers to attendance, some of which are potentially modifiable. Addressing modifiable barriers and incorporating suggestions made by participants may improve access to the ADR and reduce non-attendance. Further participatory action research could explore these insights in ways that facilitate tino rangatiratanga (self-determination) and palpable action.PMID:38546785 | DOI:10.1071/HC23081 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: William Ju Ibrahim S Al-Busaidi Helen Lunt Ben Hudson Source Type: research

'I think we just do it once and leave it …' The collection and utility of family health history in general practice in Aotearoa New Zealand: a qualitative study
This study aimed to explore current practices in relation to the ascertainment of family health history, with a view towards precision medicine. Methods Semi-structured interviews were conducted with 10 GPs recruited from one urban area of NZ. The interviews were subjected to a thematic analysis. Results Family health history information was used to varying degrees in four areas - risk ascertainment, patient engagement with a diagnosis, social context and building relationships. Patient cultural considerations were rarely mentioned. Reliability of information provided by patients, resource constraints, context driven consu...
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: R Jefferies P Wilcox K Paringatai M Stubbe R Grainger A Dowell S K Filoche Source Type: research

Perceptions of the effectiveness of using patient encounter data as an education and reflection tool in general practice training
Discussion ReCEnT can prompt self-reflection among registrars, leading to changes in clinical practice, learning approaches and training plans. Reaching its potential as an assessment for learning (as opposed to an assessment of learning) requires effective engagement between registrars, their supervisors and MEs.PMID:38546767 | DOI:10.1071/HC22158 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Linda Klein Michael Bentley Dominica Moad Alison Fielding Amanda Tapley Mieke van Driel Andrew Davey Ben Mundy Kristen FitzGerald Jennifer Taylor Racheal Norris Elizabeth Holliday Parker Magin Source Type: research

Determinants of cancer screenings participation in Queensland: a scoping review
Discussion The I-Change model is a valuable tool in mapping the current determinants of cancer screening participation programs. Further research may be needed to fully understand the barriers and facilitators of cancer screening programs.PMID:38546768 | DOI:10.1071/HC23012 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Paraniala Silas C Lui Kamal Singh Tam Nguyen Brian Kurth Thuc Phan Ashleigh Nelson Renata Danisevska Tony De Ambrosis Source Type: research

Improving access to dermatology specialist care: review of a dermatologist- and general practitioner-integrated clinic model
This study presents an innovative model of integrated dermatology service delivery. Kauri HealthCare (KHC) is a general practice serving around 19 000 patients in Palmerston North, New Zealand. A 'mini clinic' is provided by an on-site dermatologist that is available for patients of KHC. Referring practitioners are required to attend with the patient to present their case and seek dermatologist input. This allows for patients to receive a specialist opinion, as well as for the referrer to receive practical and academic teaching, record findings, and arrange any further investigations, follow-up, or management. Aim To descr...
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Neakiry Kivi Louise Reiche Tanira Kingi Christina Elder Alex Semprini Source Type: research

Utilisation of in-consultation supervisor assistance in general practice training and personal cost to trainees: a cross-sectional study
Discussion Contrary to expected utility models of help-seeking, trainees may not consider personal discomfort or impression management to be important enough, compared to patient safety and other considerations, to influence decisions regarding in-consultation help-seeking. Clinical supervisors should, nevertheless, consider the potential personal costs to trainees and maintain trainee self-esteem and confidence by providing in-consultation assistance in front of patients as comfortably and effectively as possible.PMID:38546770 | DOI:10.1071/HC23044 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Nancy Sturman Amanda Tapley Elizabeth Holliday Alison Fielding Andrew Davey Mieke van Driel Jean Ball Kristen FitzGerald Neil Spike Parker Magin Source Type: research