The experience of nurse anaesthetists in assessing postoperative pain in orthopaedic patients.
Conclusion Skills related to observing the behaviour and experience of pain in different individuals are needed to ensure an understanding of patients' pain, as well as the patients' ability to estimate their pain, where the intensity of the pain varies in different patients. Further studies are needed to examine the way health professionals assess pain, depending on the patients' ability to transform their pain from a subjective feeling into an objective numeric grade. The way individuals assess their pain differently and the way the resulting knowledge and experience of postoperative care may help nurses and other health...
Source: Primary Care - April 4, 2019 Category: Primary Care Authors: Krupić F, Grbić K, Bišćević M, Jašarević M, Čustović S, Mukka SS Tags: Med Glas (Zenica) Source Type: research

Improving health care through GP learning groups.
ig;k L, Lind KM PMID: 30929583 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - April 1, 2019 Category: Primary Care Authors: Kristian Kjær N, Grønbæk L, Lind KM Tags: Educ Prim Care Source Type: research

100 notable names from general practice.
PMID: 30929612 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - April 1, 2019 Category: Primary Care Authors: Cunningham D Tags: Educ Prim Care Source Type: research

The impact of integrated disease management in high-risk COPD patients in primary care.
Abstract Patients with chronic obstructive pulmonary disease (COPD) have a reduced quality of life (QoL) and exacerbations that drive health service utilization (HSU). A majority of patients with COPD are managed in primary care. Our objective was to evaluate an integrated disease management, self-management, and structured follow-up intervention (IDM) for high-risk patients with COPD in primary care. This was a one-year multi-center randomized controlled trial. High-risk, exacerbation-prone COPD patients were randomized to IDM provided by a certified respiratory educator and physician, or usual physician care. ID...
Source: Primary Care - March 28, 2019 Category: Primary Care Authors: Ferrone M, Masciantonio MG, Malus N, Stitt L, O'Callahan T, Roberts Z, Johnson L, Samson J, Durocher L, Ferrari M, Reilly M, Griffiths K, Licskai CJ, Primary Care Innovation Collaborative Tags: NPJ Prim Care Respir Med Source Type: research

Patient reported outcomes for preschool children with recurrent wheeze.
Abstract Children with preschool wheeze regularly attend UK emergency departments. There is no international consensus on any specific personalised management approach. This paper describes the first attempt to co-design patient-centred outcomes with families. Preschool wheezers' parents participated in semi-structured interviews and focus-group discussions to air their concerns and identify potential additional support. Fifty-seven families participated in these interviews. From these, themes were defined through qualitative content analysis. Parental experience was mapped to the patient pathway and seven importa...
Source: Primary Care - March 26, 2019 Category: Primary Care Authors: Heidi M, Emily K, Benjamin H, Michael C, Robert K, Mitch B, Chris G, Mando W, Andrew B Tags: NPJ Prim Care Respir Med Source Type: research

Our culturally complex world.
PMID: 30897347 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - March 21, 2019 Category: Primary Care Authors: Wass V Tags: Educ Prim Care Source Type: research

Factors influencing self-management in patients with type 2 diabetes in general practice: a qualitative study.
Abstract Many Australian adults with type 2 diabetes mellitus (T2DM) do not follow recommended self-management behaviours that could prevent or delay complications. This exploratory study aimed to investigate the factors influencing self-management of T2DM in general practice. Semi-structured qualitative interviews were conducted with patients with T2DM (n = 10) and their GPs (n = 4) and practice nurses (n = 3) in a low socioeconomic area of Sydney, New South Wales, Australia. The interviews were analysed thematically using the socio-ecological model as a framework for coding. Additional themes were derived induct...
Source: Primary Care - March 20, 2019 Category: Primary Care Authors: Dao J, Spooner C, Lo W, Harris MF Tags: Aust J Prim Health Source Type: research

Recently-qualified general practitioners' perceptions and experiences of General Practice Specialty Training (GPST) in deprived areas of NHS Scotland - a qualitative study.
This study aimed to identify the perceptions and experiences of recently-qualified GPs who had trained in DAPs. A grounded theory approach was used with 14 GPs interviewed in focus groups and in-depth interviews. Six themes were identified: allocation to training practices in deprived areas and anxieties about working there, positive training experiences, attributes of trainers, consultation differences, preferences for large practice teams and health centres, and future career plans. GPs were very positive about their training experiences in DAPs and appreciated their trainer and training practice. One concern was of the ...
Source: Primary Care - March 19, 2019 Category: Primary Care Authors: Cunningham D, Yeoman L Tags: Educ Prim Care Source Type: research

The complexities of mental health in a Young Offender Institution: reflections from a medical student project.
PMID: 30871420 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - March 15, 2019 Category: Primary Care Authors: Boyd H, Oakeshott P Tags: Educ Prim Care Source Type: research

Prescribing physical activity as a preventive measure for middle-aged Australians with dementia risk factors.
Abstract Dementia is increasing in Australia in line with population ageing and is expected to peak by mid-century. The development of common forms of dementia, including Alzheimer's disease, is associated with lifestyle-related risk factors that are prevalent among middle-aged Australians, including obesity, hypertension, high cholesterol, diabetes and depression. These risk factors can be significantly ameliorated through regular participation in moderate aerobic physical activity (PA). Current national and international guidelines recommend at least 150 min of aerobic PA per week for achieving health protective...
Source: Primary Care - March 15, 2019 Category: Primary Care Authors: Annear M, Lucas P, Wilkinson T, Shimizu Y Tags: Aust J Prim Health Source Type: research

Cause and incidence of injuries experienced by children in remote Cape York Indigenous communities.
This study aimed to investigate: (1) the causes of injury to children within three remote Indigenous communities of Cape York, Australia; (2) differences between communities; and (3) if strengthening of alcohol restrictions reduced the incidence of injury. An injury profile for children aged 0-14 years was constructed for the period 1 January 2006 to 31 December 2011 using clinical file audit data from Primary Health Care Clinics located in each community. Children aged
Source: Primary Care - March 12, 2019 Category: Primary Care Authors: West C, Fitts MS, Rouen C, Muller R, Clough AR Tags: Aust J Prim Health Source Type: research

Increasing use of general practice management and team care arrangements over time in New South Wales, Australia.
Abstract The number of older people living with chronic health conditions is increasing in Australia. The Chronic Disease Management (CDM) items program was introduced to the Medicare Benefits Schedule (MBS) to encourage a more structured approach to managing patients with chronic conditions. Initial uptake was slow and recent research has suggested that uptake is decreasing. This paper examines: person MBS CDM claims in NSW between 2006 and 2014 - using baseline survey data (2006-09) from the Sax Institute's 45 and Up Study linked to MBS and Death Registry data (2006-14) - and MBS CDM claims per 100000 population...
Source: Primary Care - March 12, 2019 Category: Primary Care Authors: Welberry H, Barr ML, Comino EJ, Harris-Roxas BF, Harris E, Harris MF Tags: Aust J Prim Health Source Type: research

A bioactive exopolysaccharide from marine bacteria Alteromonas sp. PRIM-28 and its role in cell proliferation and wound healing in vitro.
This study reports an EPS produced by a marine bacterium identified as Alteromonas sp. PRIM-28 for its bioactivities. The EPS was characterised using standard methods and tested for its bioactivities using in vitro models. EPS-A28 is an anionic heteropolysaccharide with a molecular weight of 780 kDa and exists as triple helical structure in aqueous solution. Monosaccharide composition is mannuronic acid, glucose and N-acetyl glucosamine repeating units in the ratio 1:3.67:0.93. The FT-IR spectra showed the presence of sulphate, phosphate and uronic acid residues. The thermal analysis showed partial degradation of the EPS...
Source: Primary Care - March 7, 2019 Category: Primary Care Authors: Sahana TG, Rekha PD Tags: Int J Biol Macromol Source Type: research

Sleep duration is a significant predictor of cardiac autonomic neuropathy in type 2 diabetes mellitus.
Abstract AIM: To investigate the association between sleep quality outcomes and measures of cardiac autonomic function and to assess the predictive ability of sleep quality outcomes for cardiac autonomic neuropathy (CAN) in type 2 diabetes mellitus (T2DM). METHODS: Fifty patients with T2DM (age, 51.3±7.01years; glycemic control, 8.4±1.65%) completed the study. Patients were diagnosed for CAN using the standard clinical autonomic test battery and were also assessed for heart rate variability (HRV) under resting conditions. Sleep quality was examined using the Pittsburg Sleep Quality Index (PSQI)....
Source: Primary Care - March 5, 2019 Category: Primary Care Authors: Bhati P, Hussain ME Tags: Prim Care Diabetes Source Type: research

COPD's early origins in low-and-middle income countries: what are the implications of a false start?
Abstract PMID: 30837469 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - March 5, 2019 Category: Primary Care Authors: Brakema EA, van Gemert FA, van der Kleij RMJJ, Salvi S, Puhan M, Chavannes NH, FRESH AIR collaborators Tags: NPJ Prim Care Respir Med Source Type: research

Lifestyle Changes for Disease Prevention.
Abstract In primary care, physicians have the opportunity to address preventative causes of morbidity and mortality. Primary care physicians have a distinct opportunity to provide counseling regarding lifestyle changes and disease prevention in a variety of settings, both during the treatment of acute illnesses and with wellness examinations. Questions from patients regarding specific recommendations and interventions are common. In this article, we address barriers to and tools to encourage lifestyle changes in the areas of smoking cessation, weight loss, physical activity, mental health, and substance abuse/misu...
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Petrides J, Collins P, Kowalski A, Sepede J, Vermeulen M Tags: Prim Care Source Type: research

Cervical Cancer and Its Precursors: A Preventative Approach to Screening, Diagnosis, and Management.
Abstract Cervical cancer affects the cells lining the cervix, most commonly occurring in the cells of the transformation zone. Screening for cervical cancer looks to detect preinvasive disease, allowing for intervention before invasive disease develops. an assessment of individual risk factors, Selection of screening method depends on patient age, her screening history and results, and resources available. Screening has resulted in well-documented declines in cervical cancer incidence and mortality in the United States. Guidelines continue to evolve as new data emerge. Although cervical cancer prevention strategie...
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Stumbar SE, Stevens M, Feld Z Tags: Prim Care Source Type: research

Prescription of Aspirin and Statins in Primary Prevention.
This article reviews randomized evidence to provide guidance to primary care providers regarding the use of adjunctive drug therapies. PMID: 30704653 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Hennekens CH, Schuttenberg N, Pfeffer MA Tags: Prim Care Source Type: research

Colorectal Cancer Screening.
This article focuses on programmatic and opportunistic colorectal cancer screening. The pathogenesis and risk factors for colon cancer are discussed. Specific screening tests, screening in high-risk groups, and surveillance recommendations are reviewed. Important considerations for office practice, including improving screening implementation and cost issues, are addressed. PMID: 30704654 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Geneve N, Kairys D, Bean B, Provost T, Mathew R, Taheri N Tags: Prim Care Source Type: research

Prostate Cancer Screening: Shared Decision-Making for Screening and Treatment.
This article evaluates issues in current prostate cancer pathologic patterns, epidemiology, and screening. PMID: 30704655 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Blackwelder R, Chessman A Tags: Prim Care Source Type: research

Update on Osteoporosis.
Abstract Osteoporosis is often a silent disease that reveals itself at the time of a fracture. Assessing risk factors and applying appropriate screening guidelines in the population at risk can potentially decrease the looming high disease burden in the United States. FRAX is a validated tool that can be used to determine 10-year fracture risk to assist in medical decision making. Bone mineral density testing of the hip or spine using DEXA can be used alone or in combination with FRAX to determine patients' risk for fracture and determine if patients are candidates for treatment of osteoporosis. PMID: 3070465...
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Yedavally-Yellayi S, Ho AM, Patalinghug EM Tags: Prim Care Source Type: research

Prevention of Hypertension Related to Cardiovascular Disease.
Abstract Hypertension, among the common conditions encountered in primary care, is known to have a causal link with cardiovascular disease. With new thresholds for diagnosing hypertension, its prevalence is expected to increase. Currently, a high percentage of patients have suboptimal or inadequately controlled blood pressure, thus placing them at risk for cardiovascular disease. Among the best strategies for improved outcomes are inclusion of the patient in decision-making as well as provision of individualized treatment plans. PMID: 30704658 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Perumareddi P Tags: Prim Care Source Type: research

The Screening and Prevention of Diabetes Mellitus.
This article reviews the screening guidelines and prevention strategies for type 2 diabetes mellitus and discusses the risks and benefits of screening. PMID: 30704659 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Martinez LC, Sherling D, Holley A Tags: Prim Care Source Type: research

Immunizations.
Abstract Vaccination is one of the most effective preventative health measures in modern times. It has positively affected the incidence and prevalence of a myriad of diseases, as well as improved both their morbidity and mortality. It is essential that health care providers understand the value of this intervention, promote comprehensive immunization coverage within their community, and recognize the underlying principles that guide decisions regarding vaccination. Factors important to consider before immunization administration include the type of vaccination, its recommended timing and intervals, and the presen...
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Wilde BB, Park DJ Tags: Prim Care Source Type: research

Pediatric Screening: Development, Anemia, and Lead.
Abstract Screening and prevention are important components of general pediatric health care. Infants and young children should be screened for iron deficiency anemia, lead poisoning, and developmental disorders as essential parts of the well-child visit. Developmental and behavioral screening early in childhood is necessary to identify developmental delays and facilitate timely treatment. Lead screening is recommended for at-risk pediatric patients to treat children with elevated lead levels. Infants and children are also at risk for iron deficiency anemia and must be screened appropriately. Familiarization with p...
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Wood SK, Sperling R Tags: Prim Care Source Type: research

Geriatrics Screening and Assessment.
Abstract Geriatric screening and assessment allows clinicians to care for older patients in an efficient, patient-centered manner. This framework includes standard screening questions that may trigger the use of standard geriatric assessment tools and/or other interventions. Additionally, it serves to complement the history and physical examination, and is critical for maximizing the health, function, safety, and quality of life of older patients. PMID: 30704662 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Sehgal M, Hidlebaugh E, Checketts MG, Reyes B Tags: Prim Care Source Type: research

Breast Cancer Screening: Why Can't Everyone Agree?
Abstract Screening mammography and evolving treatments have improved mortality over the last 25 years. However, breast cancer remains the second leading cause of cancer-related mortality for women in the United States. There are several contradictory recommendations regarding breast cancer screening. Familiarity with these recommendations will allow physicians to counsel their patients and ensure well-informed shared decision making. PMID: 30704663 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Jordan V, Khan M, Prill D Tags: Prim Care Source Type: research

Prevention into Practice, Practicing Prevention.
PMID: 30704664 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Heidelbaugh JJ Tags: Prim Care Source Type: research

Perspectives on Prevention and Screening.
PMID: 30704665 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - February 3, 2019 Category: Primary Care Authors: Drowos JL Tags: Prim Care Source Type: research

Requirements for implementing online information material for patients with low back pain in general practice: an interview study.
CONCLUSION: When designing health IT applications for patients with LBP in general practice it is important to include both patients and GPs in the design process. GPs would be more willing to recommend a HIT application that: applies content in line with frequently used recommendations; targets patients; supports patients' self-management; and supports the patients' needs. KEY POINTS Online information is currently applied in general practice to some patients with low back pain Online information cannot replace the GP, but can rather be a bonding tool between the patient and the GP It is important to address both GP and p...
Source: Primary Care - January 31, 2019 Category: Primary Care Authors: Hjelmager DM, Vinther LD, Poulsen SH, Pedersen LS, Jensen MB, Riis A Tags: Scand J Prim Health Care Source Type: research

Dilemmas of medical overuse in general practice - A focus group study.
CONCLUSIONS: Our study indicates that GPs in Norway experience a strong pressure to discover any instance of disease and to meet patients' demands for investigations. One way of preventing the harm that accrues from overtesting is openly sharing uncertainty and fallibility with patients and colleagues. PMID: 30700201 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - January 31, 2019 Category: Primary Care Authors: Opdal PØ, Meland E, Hjörleifsson S Tags: Scand J Prim Health Care Source Type: research

Can the COPD web be used to promote self-management in patients with COPD in swedish primary care: a controlled pragmatic pilot trial with 3 month- and 12 month follow-up.
Abstract OBJECTIVE: Evaluate the feasibility of the COPD Web and its study design and study procedures and to increase the understanding of the potential effect of the tool in order to provide guidance for a future large scale trial. DESIGN: Parallel-group controlled pragmatic pilot trial. SUBJECTS: There was a total of 83 patients with COPD (mean age 70 ± 8 years with a forced expiratory volume in first second percent predicted of 60 ± 17%). The intervention group (n = 43) was introduced to and had access to the COPD Web in addition to usual care, ...
Source: Primary Care - January 31, 2019 Category: Primary Care Authors: Nyberg A, Tistad M, Wadell K Tags: Scand J Prim Health Care Source Type: research

Engagement of primary care practice in Australia: learnings from a diabetes care project.
This article outlines a case study on contributing factors to insufficient participant recruitment through general practice for an evidence-based diabetes care pilot project. Key stakeholder semi-structured interviews and focus groups were undertaken at cessation of the pilot project. Participants (15 GPs, five practice nurses, eight diabetes educators) were healthcare providers engaged in patient recruitment. Through descriptive analysis, common themes were identified. Four major themes were identified: (1) low perceived need for intervention; (2) communication of intervention problematic; (3) translation of research into...
Source: Primary Care - January 30, 2019 Category: Primary Care Authors: Ogrin R, Aylen T, Rice T, Audehm R, Appannah A Tags: Aust J Prim Health Source Type: research

A mixed-methods retrospective study: 10 years of diabetic retinopathy screening in urban Aboriginal and Torres Strait Islander primary care.
Abstract This research applies a mixed-method approach to retrospectively study the history of diabetic retinopathy (DR) screening in an urban Aboriginal and Torres Strait Islander general practice. Data from administrative practice software and publications were extracted and presented as a timeline data visualisation to staff, in six focus groups. Eighteen key staff from the Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care (CoE) were purposively recruited. The main outcome measures were retrospective administrative practice data, publications and staff interpr...
Source: Primary Care - January 30, 2019 Category: Primary Care Authors: Villalba C, Askew D, Jaiprakash A, Donovan J, Roberts J, Russell A, Crawford R, Hayman N Tags: Aust J Prim Health Source Type: research

Inquiry into short-term learning on Japanese rural islands: a qualitative study.
CONCLUSION: This study shows that a short-term learning experience on rural islands in Japan may help medical students understand specific rural resources and their importance, the interconnections among the inhabitants, and the competency of primary care physicians. PMID: 30698505 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - January 30, 2019 Category: Primary Care Authors: Ohta R, Kamiyama Y, Makishi T Tags: Educ Prim Care Source Type: research

Sampling of urine for diagnosing urinary tract infection in general practice - First-void or mid-stream urine?
Conclusion/Implication: MSU samples should be used in general practice for optimal accuracy of POC tests. Analysis can be delayed up to four hours. Key points Point-of-care tests (dipstick testing, microscopy and culture) for diagnosing urinary tract infection performed on mid-stream urine samples are significantly more accurate than when performed on first-void urine samples. Delay of analysis up to four hours did not decrease the accuracy of any of the point-of-care tests. Point-of-care culture was more accurate than dipstick and microscopy both when performed on mid-stream urine and first-void urine The main contaminant...
Source: Primary Care - January 28, 2019 Category: Primary Care Authors: Pernille H, Lars B, Marjukka M, Volkert S, Anne H Tags: Scand J Prim Health Care Source Type: research

Unsanctioned techniques for having sickness certificates accepted: a qualitative exploration and description of the strategies used by Swedish general practitioners.
CONCLUSIONS: The findings imply that the informal and unsanctioned techniques are complex and ambiguous. They are used intentionally and covertly. The study also suggests that, while the consolidation of SSIA's gatekeeping role may have resolved some sickness absence issues, a consequence may be that GPs develop unsanctioned techniques to ensure compliance. PMID: 30689481 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - January 28, 2019 Category: Primary Care Authors: Shutzberg M Tags: Scand J Prim Health Care Source Type: research

Diagnosing depression in primary care: a Rasch analysis of the major depression inventory.
CONCLUSION: Despite some minor problems with its measurement structure, the MDI seems to be a valid instrument for identification of depression among adults in primary care. The results support screening for depression based on core symptoms and dichotomization of items according to diagnostic procedure. Key points The Major Depression Inventory (MDI) is widely used for screening, diagnosis and monitoring of depression in general practice. This study demonstrates misfit of items 9 and 10 to the Rasch model and a need to modify the scoring system The findings support screening for depression based on core symptoms and dicho...
Source: Primary Care - January 28, 2019 Category: Primary Care Authors: Christensen KS, Oernboel E, Nielsen MG, Bech P Tags: Scand J Prim Health Care Source Type: research

Determinants of sickness absence rate among Finnish municipal employees.
CONCLUSION: According to our results, chronic diseases, self-perceived work ability and length of years in education are the most important determinants of the rate of sickness absence. This implies that among working-aged people the treatment of chronic medical conditions is also worth prioritizing, not only to prevent complications, but also to avoid sickness absences. KEY POINTS Various sociodemographic, health- and work- related risk factors have been shown to influence sickness absence. The study aimed to find the most important determinants of absenteeism among several known risk factors in Finnish municipal employee...
Source: Primary Care - January 28, 2019 Category: Primary Care Authors: Vuorio T, Suominen S, Kautiainen H, Korhonen P Tags: Scand J Prim Health Care Source Type: research

Quality of out-of-hours telephone triage by general practitioners and nurses: development and testing of the AQTT - an assessment tool measuring communication, patient safety and efficiency.
CONCLUSION: The AQTT demonstrated high face, content and construct validity, satisfactory test-retest reliability, reduced inter-rater reliability, but satisfactory percent agreement when differentiating between 'poor' and 'sufficient' quality. The AQTT was found feasible and clinically relevant for assessing the quality of GP- and nurse-led OOH-TT. KEYPOINTS Comparative knowledge is sparse regarding quality of out-of-hours telephone triage conducted by general practitioners and nurses. The assessment tool (AQTT) enables assessment of quality in OOH telephone triage conducted by nurses and general practitioners AQTT is fea...
Source: Primary Care - January 28, 2019 Category: Primary Care Authors: Graversen DS, Pedersen AF, Carlsen AH, Bro F, Huibers L, Christensen MB Tags: Scand J Prim Health Care Source Type: research

Prescription of antibiotics for urinary tract infection in general practice in Denmark.
Abstract OBJECTIVE: The aim of this study was to describe and characterize the prescription of antibiotics for urinary tract infection (UTI) in general practice in Denmark and to evaluate compliance with current recommendations. DESIGN: National registry-based study Setting: Danish general practice Patients: 267.539 patients who redeemed a prescription for antibiotics with the clinical indication UTI at community pharmacies between July 1st 2012 and June 31st 2013. MAIN OUTCOME MEASURES: Antibiotics prescribed for 1) acute lower UTI, 2) acute upper UTI and 3) recurrent UTI presented as amount of prescrip...
Source: Primary Care - January 28, 2019 Category: Primary Care Authors: Holm A, Cordoba G, Aabenhus R Tags: Scand J Prim Health Care Source Type: research

The use of the Brief Child Abuse Potential Inventory in the general population in Finland.
CONCLUSION: The psychometric properties of the BCAP reported in the analysis suggest that the BCAP could be a valid instrument to detect child abuse potential in the general population in Finnish health care settings. However, among Finnish respondents there is very little variation in some parts of the measure, which suggests that further research should assess the validity of the instrument in representative samples. Further analysis is also needed to evaluate the correct classification rate of the BCAP. Key points Identification of families at risk of child maltreatment requires valid tools to recognize risk within the ...
Source: Primary Care - January 28, 2019 Category: Primary Care Authors: Ellonen N, Rantanen H, Lepistö S, Helminen M, Paavilainen E Tags: Scand J Prim Health Care Source Type: research

Characteristics associated with a diagnosis of prediabetes among the U.S. adult population: Findings from a national survey.
PMID: 30691978 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - January 25, 2019 Category: Primary Care Authors: Naz F, Peraj E, Davidow AP, McGrath MP, Shrestha P, Twarog JP Tags: Prim Care Diabetes Source Type: research

Testing and Exploring the Limits of Traditional Notions of Fidelity and Adaptation in Implementation of Preventive Interventions.
Abstract This commentary reflects on key challenges raised across the articles of this special issue, notably the tension between fidelity and adaptation, the importance of articulating core components and principles of evidence-based programs, the need for pragmatic measures, and the challenges associated with articulating and testing mechanisms of implementation strategies. These challenges are amplified in the context of prevention research where task shifting, or revising professional roles, is especially common. Synergies with work emerging from the Society for Implementation Research Collaboration are highli...
Source: Primary Care - January 25, 2019 Category: Primary Care Authors: Lewis CC, Lyon AR, McBain SA, Landes SJ Tags: J Prim Prev Source Type: research

Distribution of Australian private dental practices: contributing underlining sociodemographics in the maldistribution of the dental workforce.
This study aimed to construct a detailed analysis of the large differences in the practice-to-population (PtP) ratios across Australia, as well as the effect of maldistribution for rural and remote areas, where economics plays an important role. The national Census data at the level of Statistical Area Level 2 (SA2) (approximating suburbs) from 2011 was integrated with the location of all private dental practices in Australia (collected in late 2015) using modern geographic tools. All private dental practice (n=7597) location coordinates were mapped nationwide, across 2157 statistical areas. The population in Australia wit...
Source: Primary Care - January 24, 2019 Category: Primary Care Authors: Graham B, Tennant M, Shiikha Y, Kruger E Tags: Aust J Prim Health Source Type: research

Celebrating the first 20 years of publication of Primary Health Care Research & Development!
Celebrating the first 20 years of publication of Primary Health Care Research & Development! Prim Health Care Res Dev. 2019 Jan 23;:1-3 Authors: Kendall S, Bryar R, Henderson K PMID: 30672412 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - January 23, 2019 Category: Primary Care Authors: Kendall S, Bryar R, Henderson K Tags: Prim Health Care Res Dev Source Type: research

Legitimate participation of medical students in community attachments.
CONCLUSION: Legitimate peripheral participation, in the context of undergraduate primary health care attachments, appears to depend upon positive social activities between students and health professionals and patients. Using legitimate peripheral participation as a theory to underpin evaluations of general practice attachments it is possible to determine improvements in the learning and teaching experience of medical students. PMID: 30663938 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - January 21, 2019 Category: Primary Care Authors: Eggleton K, Fortier R, Fishman T, Hawken SJ, Goodyear-Smith F Tags: Educ Prim Care Source Type: research

Helping doctors to improve the 'Patient's Part' of consultation using the 'Macro-Micro Supervision' teaching method.
m J Abstract A doctor-patient consultation can be viewed as consisting of three parts: Patient's Part, Doctor's Part and Shared Part. Macro-Micro Supervision is a teaching method developed to train doctors in consultation techniques for the initial Patient's Part and to become more patient-centred. Doctors find the Patient's Part of our consultation method the most difficult. Macro-Micro Supervision is used when groups review video-recorded role-plays of real consultations or of simulated consultations, where participants alternate between playing doctor and patient. It can also be used in one-to-one supervision. ...
Source: Primary Care - January 20, 2019 Category: Primary Care Authors: Larsen JH, Nordgren G, Ahlkvist J, Grafström J Tags: Educ Prim Care Source Type: research

Can general practice trainees engage with leadership activities during their GP training placements? - An evaluation of an intervention in South East Scotland.
Abstract Leadership is one of the GMC's Generic Professional Capabilities for all medical specialties, but engagement in leadership activities is not currently routinely built into general practice (GP) training. We explored whether GP trainees in their first year of speciality training (ST1) could engage with a leadership activity in their practice placement. GP trainees were invited to participate in a voluntary leadership activity, with a small menu of optional activities to choose from. Evaluation was through electronic survey of trainees and educational supervisors (ESs) before and after the GP placement, and...
Source: Primary Care - January 20, 2019 Category: Primary Care Authors: Denney M, Johnstone A Tags: Educ Prim Care Source Type: research

Exploring the foundation programme trainees' experience of CEX assessments.
Abstract The mini Clinical Evaluation Exercise (mini-CEX) is the most widely used assessment within the UK Foundation Programme. Despite being the archetype of a formative, workplace-based assessment, empirical evidence to support its formative value is lacking. I set out to explore our Foundation Programme trainees' experience of CEX assessments, through a small study utilising qualitative methodology. My informants' experience suggested that there remain numerous challenges in the implementation of formative assessments within the UK FP. The conclusions of the study challenged whether placing emphasis on workpla...
Source: Primary Care - January 20, 2019 Category: Primary Care Authors: Prevezanos P Tags: Educ Prim Care Source Type: research