Inhaled corticosteroids and the risk of type 2 diabetes among Swedish COPD patients.
This study reports the association of ICS use and the risk of type 2 diabetes mellitus (T2DM) in Swedish patients with COPD using data from real-world, primary care settings. A total of 7078 patients with COPD were included in this analysis and the 5-year cumulative incidence rate per 100,000 person years was 1506.9. The yearly incidence rate per 100,000 person years ranged from 850 to 1919. Use of ICS especially at a high dose in patients with COPD was related to an increased risk of T2DM. PMID: 33082331 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - October 20, 2020 Category: Primary Care Authors: Ställberg B, Janson C, Lisspers K, Johansson G, Gutzwiller FS, Mezzi K, Bjerregaard BK, Kejs AMT, Jorgensen L, Larsson K Tags: NPJ Prim Care Respir Med Source Type: research

Publisher Correction: Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study.
Abstract An amendment to this paper has been published and can be accessed via a link at the top of the paper. PMID: 33082358 [PubMed] (Source: Primary Care)
Source: Primary Care - October 20, 2020 Category: Primary Care Authors: Brakema EA, van Gemert FA, Williams S, Sooronbaev T, Emilov B, Mademilov M, Tabyshova A, Le An P, Quynh NN, Hong LHTC, Dang TN, van der Kleij RMJJ, Chavannes NH, de Jong C, FRESH AIR collaborators Tags: NPJ Prim Care Respir Med Source Type: research

Review: Type 2 diabetes in Latin America and the Caribbean: Regional and country comparison on prevalence, trends, costs and expanded prevention.
CONCLUSION: Effective and preventive multidisciplinary policies should be implemented in Latin America and the Caribbean to decrease the high burden of type 2 diabetes. PMID: 33077379 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - October 16, 2020 Category: Primary Care Authors: Gallardo-Rincón H, Cantoral A, Arrieta A, Espinal C, Magnus MH, Palacios C, Tapia-Conyer R Tags: Prim Care Diabetes Source Type: research

The use of a direct bronchial challenge test in primary care to diagnose asthma.
Abstract Many asthmatics in primary care have mild symptoms and lack airflow obstruction. If variable expiratory airflow limitation cannot be determined by spirometry or peak expiratory flow, despite a history of respiratory symptoms, a positive bronchial challenge test (BCT) can confirm the diagnosis of asthma. However, BCT is traditionally performed in secondary care. In this observational real-life study, we retrospectively analyze 5-year data of a primary care diagnostic center carrying out BCT by histamine provocation. In total, 998 primary care patients aged ≥16 years underwent BCT, without any adverse ev...
Source: Primary Care - October 16, 2020 Category: Primary Care Authors: Bins JE, Metting EI, Muilwijk-Kroes JB, Kocks JWH, In 't Veen JCCM Tags: NPJ Prim Care Respir Med Source Type: research

Monitoring of inhaler use at home with a smartphone video application in a pilot study.
Abstract Inhalation therapy is the basis of the pharmacological management of asthma and COPD. Most patients are trained on the correct use of inhalers by health professionals but after that do patients continue to take them correctly at home remains largely unknown. Video recording of the inhalation technique using a smartphone can be used to evaluate the inhaler technique at home. Through this pilot study, we aimed to understand whether inhaler training given to patients in the outpatient clinic translates into good inhalation practices at home by a video application platform using a smartphone. We recruited 70 ...
Source: Primary Care - October 16, 2020 Category: Primary Care Authors: Dhadge N, Shevade M, Kale N, Narke G, Pathak D, Barne M, Madas S, Salvi S Tags: NPJ Prim Care Respir Med Source Type: research

A flexible protocol for a systematic review of remote patient monitoring.
DISCUSSION: This flexible protocol specifies the production of different possible types of reviews of RPM. It is anticipated that the results of the review will inform the development of effective RPM programs to the most appropriate chronic disease groups. PMID: 33054872 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - October 15, 2020 Category: Primary Care Authors: Muller AE, Berg RC Tags: Prim Health Care Res Dev Source Type: research

Experiences of self-management support in patients with diabetes and multimorbidity: a qualitative study in Norwegian general practice.
lme L Abstract AIM: The purpose of this study was to explore how patients with diabetes and multimorbidity experience self-management support by general practitioners (GPs), nurses and medical secretaries in Norwegian general practice. BACKGROUND: Self-management support is recognised as an important strategy to improve the autonomy and well-being of patients with long-term conditions. Collaborating healthcare professionals (cHCPs), such as nurses and medical secretaries, may have an important role in the provision of self-management support. No previous study has explored how patients with diabetes and multi...
Source: Primary Care - October 15, 2020 Category: Primary Care Authors: Sørensen M, Groven KS, Gjelsvik B, Almendingen K, Garnweidner-Holme L Tags: Prim Health Care Res Dev Source Type: research

Patient outcomes following GPs' educations about COPD: a cluster randomized controlled trial.
In conclusion, neither of the used CME methods was superior than the other regarding patient outcomes. CME's primary value may lay in improving GPs' adherence to guidelines, which should lead to long-term positive changes in patient health. PMID: 33060615 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - October 15, 2020 Category: Primary Care Authors: Sandelowsky H, Krakau I, Modin S, Ställberg B, Johansson SE, Nager A Tags: NPJ Prim Care Respir Med Source Type: research

Building family medicine into the primary health care system in India through under-graduate and post-graduate education.
PMID: 33053317 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - October 14, 2020 Category: Primary Care Authors: Mf Rahman S, Brown JB, David KV, Valliere Y Tags: Educ Prim Care Source Type: research

Fostering excellence in medical education career pathways.
Abstract High quality medical education requires committed and skilled educators, researchers, and leaders. Capacity building for future educationalists is fundamental in the pursuit of excellence in medical education. Medical education as a discipline is undervalued, underfunded, and often badmouthed. In order to pave the way to excellence, we must lay down the correct career pathways and foster a supportive climate in our speciality. In order to attract and support tomorrow's educationalists we argue that we need to champion the field, develop integrated clinical and educational training programmes, and promote ...
Source: Primary Care - October 14, 2020 Category: Primary Care Authors: Rees E, Guckian J, Fleming S Tags: Educ Prim Care Source Type: research

Evidence-based early stage type 2 diabetes follow-up in Belgian primary care practices: Impact of multi-professional teams and care protocols.
CONCLUSION: Practices providing multidisciplinary diabetes care, in collaboration with practice nurses, and with diabetes care based on self-developed protocols achieved a more comprehensive follow-up. PMID: 33060036 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - October 12, 2020 Category: Primary Care Authors: Matthys E, Van Bogaert P, Blommaert S, Verdonck L, Remmen R Tags: Prim Care Diabetes Source Type: research

Effect of community mental health care programs in Australia: a systematic review.
Abstract Although numerous studies have examined the effects of community-based mental health care programs in Australia, no synthesis of this literature exists. This systematic review of peer-reviewed and grey literature described the types of community-based mental health care programs delivered and evaluated in Australia in the past 20 years, and evaluated their impact in improving outcomes for those with a serious mental illness (SMI). Articles were included if they evaluated the extent to which the programs delivered in Australia improved individual outcomes, including hospitalisations, psychiatric symptoms, ...
Source: Primary Care - October 12, 2020 Category: Primary Care Authors: O'Donnell R, Savaglio M, Vicary D, Skouteris H Tags: Aust J Prim Health Source Type: research

Realigning the provider payment system for primary health care: a pilot study in a rural county of Zhejiang Province, China.
Abstract AIM: This work aimed to evaluate a pre/post-reform pilot study from 2015 to 2018 in a rural county of Zhejiang Province, China to realign the provider payment system for primary health care (PHC). METHODS: Data were extracted from the National Health Financial Annual Reports for the 21 township health centers (THCs) in Shengzhou County. An information system was designed for the reform. Differences among independent groups were assessed using Kruskal-Wallis H-test. Dunn's post hoc test was used for multiple comparisons. Differences between paired groups were tested by Wilcoxon signed-rank test. Two-tailed P
Source: Primary Care - October 9, 2020 Category: Primary Care Authors: Pu X, Huang T, Wang X, Gu Y Tags: Prim Health Care Res Dev Source Type: research

Towards an understanding of GPs' viewpoint on diagnosing postnatal depression in general practice: a small-scale realist evaluation.
CONCLUSION: GPs use a variety of strategies to support patient disclosure and acceptance of their condition. The complexity of GP-patient contexts may influence the clinical thought process. We address some of the gaps in existing literature by exploring postnatal depression diagnosis in primary care and provide tentative explanations to suggest what works, for whom and in what contexts. PMID: 33032675 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - October 9, 2020 Category: Primary Care Authors: Sriranjan AN, Abrams R, Wong G, Park S Tags: Prim Health Care Res Dev Source Type: research

Pragmatic trial on inhaled corticosteroid withdrawal in patients with COPD in general practice.
Abstract The therapeutic value of inhaled corticosteroids (ICSs) for COPD is limited. In published RCTs, ICS could be withdrawn in COPD patients without increasing exacerbation risk when bronchodilator treatment is optimized. Here we report on the feasibility and risks of ICS withdrawal in Dutch general practice for COPD patients without an indication for ICSs. In our pragmatic trial, general practitioners decided autonomously which of their COPD patients on ICS treatment could stop this, how this was done, and whether additional bronchodilator therapy was needed. We recruited 62 COPD patients (58 analysed) who we...
Source: Primary Care - October 9, 2020 Category: Primary Care Authors: van den Bemt L, van den Nieuwenhof L, Rutjes A, van der Meer V, Stege G, Wensing M, Teichert M, Schermer T Tags: NPJ Prim Care Respir Med Source Type: research

Psychological therapies for the treatment of depression in chronic obstructive pulmonary disease.
PMID: 33019959 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - October 6, 2020 Category: Primary Care Authors: Trivedi D Tags: Prim Health Care Res Dev Source Type: research

Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study.
Abstract Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget ...
Source: Primary Care - October 6, 2020 Category: Primary Care Authors: Brakema EA, van Gemert FA, Williams S, Sooronbaev T, Emilov B, Mademilov M, Tabyshova A, An PL, Quynh NN, Hong LHTC, Dang TN, van der Kleij RMJJ, Chavannes NH, de Jong C, FRESH AIR collaborators Tags: NPJ Prim Care Respir Med Source Type: research

Staying Out of the Way: Perceptions of Digital Non-Emergency Medical Transportation Services, Barriers, and Access to Care Among Young Black Male Survivors of Firearm Violence.
Abstract With a reduction in primary barriers to healthcare access as a result of the Affordable Care Act, there is an increased need to address secondary barriers faced by low-income young Black male survivors of violent injury. While transportation is often characterized as a barrier for individuals with chronic disease and disability, it also acts as a significant barrier in accessing cognitive behavioral therapy and mentoring services through hospital-based violence intervention programs (HVIPs). These services address the traumatic stress associated with surviving gun violence. Although there are many challen...
Source: Primary Care - October 6, 2020 Category: Primary Care Authors: Richardson JB, Wical W, Kottage N, Galloway N, Bullock C Tags: J Prim Prev Source Type: research

Health care practitioners' views of the support women, partners, and the couple relationship require for birth trauma: current practice and potential improvements.
CONCLUSIONS: Practitioners indicate that some women, partners, and the couple as a unit require support with birth trauma and that barriers exist to accessing effective support. The support that is currently provided often conflicts with practitioners' perception of what is most effective. Practitioners indicate a need to improve the identification of parents who need support with birth trauma, and more suitable services to support them. PMID: 33004100 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - October 1, 2020 Category: Primary Care Authors: Delicate A, Ayers S, McMullen S Tags: Prim Health Care Res Dev Source Type: research

Prim Care; +116 new citations
116 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: Prim Care These pubmed results were generated on 2020/09/29PubMed comprises more than millions of citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites. (Source: Primary Care)
Source: Primary Care - September 30, 2020 Category: Primary Care Tags: Report Source Type: research

Whose role is it? Primary care and the provision of emotional support for women experiencing miscarriage: a pilot qualitative Australian study.
Abstract Miscarriage can cause significant psychological morbidity. Women frequently report dissatisfaction with healthcare professionals' support following miscarriage. This pilot study aimed to explore the views and practices of GPs in providing emotional support to women experiencing miscarriage. Eight GPs participated in semi-structured interviews. GPs considered women's physical care their top priority at the time of miscarriage; however, acknowledged miscarriage could result in significant emotional sequelae. Most GPs felt it was their role to provide emotional support, including expressing empathy, listenin...
Source: Primary Care - September 24, 2020 Category: Primary Care Authors: Sumarno V, Temple-Smith MJ, Bilardi JE Tags: Aust J Prim Health Source Type: research

Does point-of-care testing in general practice for leucocyte and differential count change use of antimicrobial medicines? A pilot study.
Abstract Diagnostic uncertainty when considering prescription of antimicrobials ('antibiotics') in primary care contributes to the major problem of microbial resistance. We conducted a feasibility evaluation of rapid testing for leucocyte and differential count in two urban general practices, surveying the GPs online and interviewing them. GPs reported that the machines were easy to use, the test results influenced their care and they would adopt the system if costs were off-set. Feasibility, acceptability and perceived benefit justify a randomised trial to test the effect on antibiotic prescribing rates and quali...
Source: Primary Care - September 24, 2020 Category: Primary Care Authors: Frank O, Stocks N, Del Mar C Tags: Aust J Prim Health Source Type: research

The Medical Treatment Planning and Decisions Act 2016: what is the role for allied health professionals?
This study demonstrated that knowledge of the fundamental legislative changes are evident among allied health professionals which provides a foundation for successful development of advance care planning post implementation of the new Act. PMID: 32972511 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - September 24, 2020 Category: Primary Care Authors: Borthwick A, Higgs P Tags: Aust J Prim Health Source Type: research

Delivering medical education for future healthcare needs: a community-focused challenge - medical students' perspective.
PMID: 32972268 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - September 23, 2020 Category: Primary Care Authors: Chohan N, Nicolaou C, Loucaidou MI Tags: Educ Prim Care Source Type: research

General practitioners' knowledge of leg ulcer treatment in primary healthcare: an interview study.
CONCLUSIONS: The study shows that the GPs working in primary healthcare are aware of the need for ongoing competence development concerning leg ulceration. They describe their current knowledge of leg ulcer treatment as insufficient and point to the lack of relevant courses that are adapted for their level of knowledge and the limited opportunities for clinical training. PMID: 32967749 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - September 23, 2020 Category: Primary Care Authors: Friman A, Wiegleb Edström D, Ebbeskog B, Edelbring S Tags: Prim Health Care Res Dev Source Type: research

The interaction effect between gender and profession in posttraumatic growth among hospital personnel.
CONCLUSIONS: Our findings suggest implications for research and practice namely exploring PTG among nurses and physicians would benefit from applying interaction effect of gender and profession. For practice, advocating PTG within the health care organization is needed to be tailored with gender and professional sensitivity. PMID: 32967750 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - September 23, 2020 Category: Primary Care Authors: Hamama-Raz Y, Ben-Ezra M, Bibi H, Swarka M, Gelernter R, Abu-Kishk I Tags: Prim Health Care Res Dev Source Type: research

Factors influencing trends in opioid prescribing for older people: a scoping review.
CONCLUSIONS: A large number of context-dependent factors appeared to influence opioid prescribing for chronic pain management in older adults, but the findings were inconsistent. There is a gap in the literature relating to the UK healthcare system; the prescriber and the patient perspective; and within the context of multi-morbidity and treatment burden. PMID: 32967751 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - September 23, 2020 Category: Primary Care Authors: Mikelyte R, Abrahamson V, Hill E, Wilson PM Tags: Prim Health Care Res Dev Source Type: research

The experience of general practitioners with Very Brief Advice in the treatment of tobacco addiction.
In this study, we investigated the opinions and experiences of GPs with VBA in their routine care in two rounds of telephone interviews with 19 GPs. The interviews were recorded and transcribed and subsequently analysed with NVivo12. We observed that the GPs had a very positive experience with using VBA. They found the method to be efficient as to the time involved, patient-friendly and easy to implement. PMID: 32968065 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - September 22, 2020 Category: Primary Care Authors: van Schayck OCP, Bindels L, Nijs A, van Engelen B, van den Bosch A, Muller IS, Spigt M Tags: NPJ Prim Care Respir Med Source Type: research

Program description and implementation findings of MyCare: enhancing community mental health care in Tasmania, Australia.
This study describes the implementation strategy underpinning a community-based mental health program that was successful in facilitating program uptake. We encourage other researchers to not only report on implementation findings, which may help avoid replication failure, but also to apply these innovative implementation processes (i.e. address the tension for change and ensure the program is evidence informed and that sufficient resources are available for implementation) within mental health programs to aid successful uptake. PMID: 32961106 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - September 22, 2020 Category: Primary Care Authors: O'Donnell R, Ayton D, Pizzirani B, Savaglio M, Fast D, Vicary D, Skouteris H Tags: Aust J Prim Health Source Type: research

The role of CARDPC in response to COVID-19 in primary care in China.
PMID: 32948773 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - September 17, 2020 Category: Primary Care Authors: Pan Z, Yang T, Chi C, Wang C Tags: NPJ Prim Care Respir Med Source Type: research

Holding a mirror up to nature: the role of medical humanities in postgraduate primary care training.
This article recommends the provision of both increased informal and formal engagement with the medical humanities within postgraduate primary care training, providing practical tips for GP educators looking to integrate the humanities within pre-existing tutorials. PMID: 32926808 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - September 13, 2020 Category: Primary Care Authors: Finn GM, Brown MEL, Laughey W Tags: Educ Prim Care Source Type: research

Factors influencing the recruitment and retention of registered nurses in adult community nursing services: an integrative literature review.
CONCLUSION: The review identified context-dependent factors that influence adult community nurses' retention with limited generalisability. There is a lack of data on factors influencing recruitment into adult community nursing; further research is needed to explore factors affiliated to community nursing recruitment. PMID: 32912372 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - September 10, 2020 Category: Primary Care Authors: Chamanga E, Dyson J, Loke J, McKeown E Tags: Prim Health Care Res Dev Source Type: research

Implementation of perinatal collaborative care: a health services approach to perinatal depression care.
Abstract AIM: Our objective was to integrate lessons learned from perinatal collaborative care programs across the United States, recognizing the diversity of practice settings and patient populations, to provide guidance on successful implementation. BACKGROUND: Collaborative care is a health services delivery system that integrates behavioral health care into primary care. While efficacious, effectiveness requires rigorous attention to implementation to ensure adherence to the core evidence base. METHODS: Implementation strategies are divided into three pragmatic stages: preparation, program launch, an...
Source: Primary Care - September 9, 2020 Category: Primary Care Authors: Miller ES, Jensen R, Hoffman MC, Osborne LM, McEvoy K, Grote N, Moses-Kolko EL Tags: Prim Health Care Res Dev Source Type: research

Medicine on the margins: learning opportunities for undergraduates within inclusion health.
Abstract Marginalised groups, including the homeless, refugees and asylum seekers, often experience extremely poor health and present unique challenges to health systems. Undergraduate medical placements with specialist primary care services for these groups can be an insightful learning opportunity within 'inclusion health', a field committed to improving health of these populations. The aim of this project was to showcase organisations for students to gain further exposure and evaluate students' elective experiences at a specialist primary care service for marginalised groups. Students created a mind map to iden...
Source: Primary Care - September 9, 2020 Category: Primary Care Authors: Sharman M, Clark E, Gure-Klinke H, Player E, Clarry C Tags: Educ Prim Care Source Type: research

Introducing primary care research teaching in Ukraine: description and evaluation of the 'ABC' research methods course.
Abstract Ukraine has a developing and expanding system of general practice, but only a rudimentary academic primary care system and no research skills training for general practitioners (GPs). We designed and evaluated a transnational primary care research skills course for Ukrainian GPs. The ABC course is series of three 2-day workshops, designed to teach the basics of primary care research to early-career Ukrainian GPs. It was delivered by Ukrainian and British experts, using innovative, interactive teaching methods. Evaluation measures included participants' assessment of their research abilities, and changes i...
Source: Primary Care - September 9, 2020 Category: Primary Care Authors: Harris M, Kolesnyk A, Taylor G, Kolesnyk P Tags: Educ Prim Care Source Type: research

Comparing health status between patients with COPD in primary, secondary and tertiary care.
In this study, we compare health status between COPD patients treated in three different care levels in the Netherlands and assess determinants that influence their health status. We applied the Nijmegen Clinical Screening Instrument to measure eight health status subdomains in primary (n = 289), secondary (n = 184) and tertiary care (n = 433) COPD patient cohorts. Proportions of patients with severe problems in ≥3 subdomains are 47% in primary, 71% in secondary and 94% in tertiary care. Corrected for patient characteristics, differences between the care levels are statistically...
Source: Primary Care - September 7, 2020 Category: Primary Care Authors: de Klein MM, Peters JB, van 't Hul AJ, Akkermans RP, In 't Veen JC, Vercoulen JH, Bischoff EW, Schermer TR Tags: NPJ Prim Care Respir Med Source Type: research

Practice nurses and providing preconception care to women in Australia: a qualitative study.
Abstract The aims of this study were to explore women's and health professionals' perspectives of preconception care and whether expanding the role of practice nurses (PNs) to provide preconception care is acceptable. In a descriptive qualitative approach, 23 semistructured interviews and three focus groups were conducted with women (n=14), PNs (n=8), GPs (n=10) and practice managers (n=2) in the state of Victoria, Australia, between September and December 2019. An inductive process of thematic analysis identified five themes and 12 subthemes. Women and health professionals viewed preconception to be when a woman ...
Source: Primary Care - September 7, 2020 Category: Primary Care Authors: Walker R, Kandel P, Hill B, Hills S, Dunbar J, Skouteris H Tags: Aust J Prim Health Source Type: research

Not all who wander are lost: evaluation of the Hull York medical school longitudinal integrated clerkship.
Abstract Longitudinal integrated clerkships (LICs) are increasingly available within the United Kingdom, but gaps in knowledge remain regarding their efficacy and the influence of local context. In 2019-20, the Hull York Medical School ran a pilot LIC for 6 fourth-year medical students. This work describes the longitudinal qualitative programme evaluation. LIC students participated in two focus groups, one after four months, and another at the end of the programme. In total, 16 faculty were also interviewed regarding their experiences in developing, implementing and running the LIC. Students' GP supervisors were d...
Source: Primary Care - September 7, 2020 Category: Primary Care Authors: Brown MEL, Crampton PES, Anderson K, Finn GM Tags: Educ Prim Care Source Type: research

An evaluation of a new practice-based small group learning (PBSGL) initiative in Wales.
Abstract In 2018, a new practice-based small group learning (PBSGL) pilot initiative was launched in Wales to promote interprofessional learning among different primary care professionals. The aim of this study was to evaluate the initiative in order to identify its strengths and areas for improvement. Data were collected through focus groups with PBSGL groups in Wales and analysed thematically. Participants generally held positive views of PBSGL and were impressed with the variety and overall relevance of the learning materials, although concern was raised about the relevance of all learning materials to the Wels...
Source: Primary Care - September 6, 2020 Category: Primary Care Authors: Bartlett S, Bullock AD, Hodgson K Tags: Educ Prim Care Source Type: research

Increased Tdap and Influenza Vaccination Acquisition Among Patients Participating in Group Prenatal Care.
Abstract CenteringPregnancy, an alternative to traditional prenatal care, offers additional time between clinicians and patients with the goal of increasing knowledge, understanding, and autonomy in pregnant participants. We investigated whether these women would be more likely to receive recommended Tdap and influenza vaccinations relative to others who received one-on-one traditional prenatal care. Our study employed a retrospective chart review of all women who participated in CenteringPregnancy group care compared to a group of matched women who received only traditional prenatal care at a large, quaterna...
Source: Primary Care - September 4, 2020 Category: Primary Care Authors: Roussos-Ross D, Prieto A, Goodin A, Watson AK, Bright MA Tags: J Prim Prev Source Type: research

Comparison of glucagons like peptide-1 receptor agonists and dipeptidyl peptide-4 inhibitors regarding cardiovascular safety and mortality in type 2 diabetes mellitus: A network meta-analysis.
CONCLUSION: These data indicate that SGLT-2is is more beneficial to MACE and all-cause mortality in T2DM patients than DPP-4is. PMID: 32888896 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - August 31, 2020 Category: Primary Care Authors: Hu J, Chen L Tags: Prim Care Diabetes Source Type: research

Coded diagnoses from general practice electronic health records are a feasible and valid alternative to self-report to define diabetes cases in research.
CONCLUSIONS: ICPC-coded diagnoses of DM from general practice electronic health records are a feasible and valid alternative to self-reported diagnoses of DM. PMID: 32888897 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - August 31, 2020 Category: Primary Care Authors: de Boer AW, Blom JW, de Waal MWM, Rippe RCA, de Koning EJP, Jazet IM, Rosendaal FR, den Heijer M, Numans ME, de Mutsert R Tags: Prim Care Diabetes Source Type: research

Challenges in early diagnosis of cancer: the fast track.
PMID: 32791936 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - August 15, 2020 Category: Primary Care Authors: Holtedahl K Tags: Scand J Prim Health Care Source Type: research

A Nordic initiative for a more personal and accurate diagnostic pathway for prostate cancer.
l;nberg H PMID: 32791937 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - August 15, 2020 Category: Primary Care Authors: Kjosavik SR, Sørensen KD, Hotakainen K, Grönberg H Tags: Scand J Prim Health Care Source Type: research

Establishing and Maintaining a Vaccine-Positive Practice Culture.
Abstract A vaccine-positive practice culture encourages immunization against vaccine-preventable diseases by supporting policies and practices that reduce barriers and improve efficacy for vaccine delivery. Key components of a vaccine-positive practice include a well-trained, knowledgeable, collaborative health care practice team; access to immunizations in the practice; and a vaccine practice champion. Leveraging these encourages a provaccine environment and fosters productive dialogue, even among vaccine-hesitant patients/parents. PMID: 32718438 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - July 29, 2020 Category: Primary Care Authors: Resic AA Tags: Prim Care Source Type: research

Creating a Sustainable Vaccine Delivery Practice.
Abstract Providing vaccines places a significant logistical and financial burden on an office but is important in providing care to patients. Start the process by finding a vaccine champion, choosing a primary and backup vaccine coordinator, and creating a team in the office to promote and administer vaccines. Follow best practices when storing and monitoring vaccines. Create office policies for ordering vaccines in a fiscally sound manner, accepting deliveries, and managing inventory. Have backup processes in place to avoid preventable errors when administering vaccines. In addition, bill vaccine administration c...
Source: Primary Care - July 29, 2020 Category: Primary Care Authors: Loehr J Tags: Prim Care Source Type: research

Communicating About Immunizations.
Abstract A significant minority of patients and parents are vaccine hesitant, defined as having the desire to delay or defer immunizations despite easy access to vaccines. Vaccine hesitancy exists along a spectrum, from patients who are concerned but willing to accept the recommended vaccine schedule to those who wish to use a delayed schedule to those who refuse vaccines altogether. A strong recommendation in favor of a vaccine is the most important reason a patient or parent accepts the immunization. Structural changes, such as removing personal and religious exemptions for vaccines required for attending school...
Source: Primary Care - July 29, 2020 Category: Primary Care Authors: Loehr J Tags: Prim Care Source Type: research

Vaccine Safety.
Abstract The details of vaccine development, licensing, and monitoring have never been more important and relevant to the health care conversation in the United States. The potential exists for a preventive medicine such as a vaccine to cause harm, and physicians and patients need to understand the real balance of risks and benefits of immunization. Vaccines given in the United States undergo rigorous testing before licensure as well as extensive postlicensure safety monitoring. PMID: 32718441 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - July 29, 2020 Category: Primary Care Authors: Morris L, Swofford S Tags: Prim Care Source Type: research

Vaccinating in Pregnancy: Opportunities and Challenges.
Abstract The continuum of preconception, antenatal period, fourth trimester, and interconception period are a critical time for comprehensive care to advance maternal-child health and deliver family-centered care. Immunizations are a key component of this care delivery; however, there are intricacies around indications of vaccinations during this key period. Both active immunity to the individual receiving the vaccine as well as passive immunity passed to the fetus during pregnancy highlight the benefits of this care. Understanding the indications and benefits of vaccine administration during this continuum is cri...
Source: Primary Care - July 29, 2020 Category: Primary Care Authors: Schieber A, O'Gurek D Tags: Prim Care Source Type: research

Improving Immunization Coverage in Special Populations.
Abstract This highlights the key recommendations for immunization in the setting of chronic disease, children and adults with special needs, and health care providers. Immunization is an effective strategy to reduce the burden of suffering and cost of care from chronic disease. Standard child and adolescent and adult immunization schedules identify categories of high-risk conditions and chronic diseases. Clinicians need to develop systems to evaluate patients' risk factors and tailor immunization recommendations to their individual needs. Patients with intellectual disabilities, neurologic and neurodevelopmental d...
Source: Primary Care - July 29, 2020 Category: Primary Care Authors: Stephens MM, Kavanaugh E Tags: Prim Care Source Type: research