A value analysis of longitudinal integrated clerkships: consideration of costs and benefits
Educ Prim Care. 2024 Apr 2:1-7. doi: 10.1080/14739879.2024.2329887. Online ahead of print.ABSTRACTLongitudinal Integrated Clerkships (LICs) prioritise longitudinal relationships with faculty, patients, and place. Research shows that LICs benefit students and faculty, but most medical schools have limited LIC programmes. This is likely due to perceptions that LICs are more costly and complex than traditional block rotations (TBRs). The perceived cost versus evidence-based value related to clerkship education has not been examined in detail. Until recently, no 'All-LIC' medical school exemplars existed in the US, limiting th...
Source: Primary Care - April 2, 2024 Category: Primary Care Authors: Lindsay A Mazotti Jennifer E Adams Dawn E DeWitt Source Type: research
Classification system for primary care provider eConsults about medications for older adults with frailty
CONCLUSION: A classification system to describe medication-related eConsult cases for patients experiencing frailty was developed and applied to 35 eConsult cases. It can be applied to more cases to identify professional development opportunities and enhancements for eConsult services.PMID:38565981 | PMC:PMC10985926 | DOI:10.1186/s12875-024-02340-5 (Source: Primary Care)
Source: Primary Care - April 2, 2024 Category: Primary Care Authors: T Schneider B Farrell S Karunananthan A Afkham E Keely C Liddy L M McCarthy Source Type: research
Involving community pharmacists in interprofessional collaboration in primary care: a systematic review
CONCLUSIONS: Collaboration involving pharmacists is mainly described in relation to cardiovascular diseases, for which patient-centered indicators are most often positive. It underscores the need for further controlled studies on pharmacist-involved interprofessional collaboration across various medical conditions to improve consensus on core outcomes measures.PMID:38561676 | PMC:PMC10983710 | DOI:10.1186/s12875-024-02326-3 (Source: Primary Care)
Source: Primary Care - April 2, 2024 Category: Primary Care Authors: Morgane Angibaud Maud Jourdain Solene Girard Louise Rouxel Adam Mouhib Antoine Nogueira C édric Rat Jean-Fran çois Huon Source Type: research
Anticoagulation Patterns Among Community-Dwelling Older Adults With Atrial Fibrillation
CONCLUSIONS: A substantial proportion of older adults with AF/F do not receive anticoagulation. Those without anticoagulation had higher risk of health deterioration based on higher ERA scores and had a higher incidence of dementia and fall history. This suggests that the presence of geriatric syndromes may influence the decision to withhold anticoagulation.PMID:38561977 | DOI:10.1177/21501319241243005 (Source: Primary Care)
Source: Primary Care - April 2, 2024 Category: Primary Care Authors: Meaghan Costello Ericka E Tung Karen M Fischer Thomas M Jaeger Source Type: research
Men's views on causes and consequences of erectile dysfunction or premature ejaculation in a primary care population: a qualitative study
CONCLUSION: Sexual dysfunction impairs general health and relationships with partners. While counselling is the basic treatment, those who are offered pharmaceutical treatment need follow-up concerning effectiveness and potential concerns.PMID:38555739 | DOI:10.1080/02813432.2024.2327501 (Source: Primary Care)
Source: Primary Care - March 31, 2024 Category: Primary Care Authors: Elin Gahm Magnus Peterson Kjerstin Larsson Source Type: research
Effects of adding early cooperation and a work-place dialogue meeting to primary care management for sick-listed patients with stress-related disorders: CO-WORK-CARE-Stress - a pragmatic cluster randomised controlled trial
CONCLUSION: Increased cooperation at the PCC between GP, care manager and RC for stress-related mental disorder coupled with an early workplace contact in the form of a person-centred dialogue meeting does not reduce days of sick-leave or speed up rehabilitation.Trial registration: ClinicalTrials.gov Identifier: NCT03250026 https://clinicaltrials.gov/study/NCT03250026?tab=results#publicationsCO-WORK-CAREFirst Posted: August 15, 2017. Recruitment of PCCs: September 2017. Inclusion of patients from December 2017.PMID:38555865 | DOI:10.1080/02813432.2024.2329212 (Source: Primary Care)
Source: Primary Care - March 31, 2024 Category: Primary Care Authors: C Bj örkelund E-L Petersson I Svenningsson A Saxvik L Wiegner G Hensing I H Jonsdottir M Larsson C Wikberg N Ariai S Nejati D Hange Source Type: research
Men's views on causes and consequences of erectile dysfunction or premature ejaculation in a primary care population: a qualitative study
CONCLUSION: Sexual dysfunction impairs general health and relationships with partners. While counselling is the basic treatment, those who are offered pharmaceutical treatment need follow-up concerning effectiveness and potential concerns.PMID:38555739 | DOI:10.1080/02813432.2024.2327501 (Source: Primary Care)
Source: Primary Care - March 31, 2024 Category: Primary Care Authors: Elin Gahm Magnus Peterson Kjerstin Larsson Source Type: research
Effects of adding early cooperation and a work-place dialogue meeting to primary care management for sick-listed patients with stress-related disorders: CO-WORK-CARE-Stress - a pragmatic cluster randomised controlled trial
CONCLUSION: Increased cooperation at the PCC between GP, care manager and RC for stress-related mental disorder coupled with an early workplace contact in the form of a person-centred dialogue meeting does not reduce days of sick-leave or speed up rehabilitation.Trial registration: ClinicalTrials.gov Identifier: NCT03250026 https://clinicaltrials.gov/study/NCT03250026?tab=results#publicationsCO-WORK-CAREFirst Posted: August 15, 2017. Recruitment of PCCs: September 2017. Inclusion of patients from December 2017.PMID:38555865 | DOI:10.1080/02813432.2024.2329212 (Source: Primary Care)
Source: Primary Care - March 31, 2024 Category: Primary Care Authors: C Bj örkelund E-L Petersson I Svenningsson A Saxvik L Wiegner G Hensing I H Jonsdottir M Larsson C Wikberg N Ariai S Nejati D Hange Source Type: research
Integrated Care Model by the Village Health Volunteers to Prevent and Slow down Progression of Chronic Kidney Disease in a Rural Community, Thailand
CONCLUSION: The integrated care model through VHV significantly attenuated the risk factors associated with CKD in the general and high-risk population and effectively slowed down the progression of CKD.PMID:38554000 | PMC:PMC10981849 | DOI:10.1177/21501319241240355 (Source: Primary Care)
Source: Primary Care - March 30, 2024 Category: Primary Care Authors: Ampornpan Theeranut Nonglak Methakanjanasak Sunee Lertsinudom Pattama Surit Nichanun Panyaek Saisamon Leeladapattarakul Peangtikumporn Nilpetch Pattapong Kessomboon Chalongchai Chalermwat Watcharapong Rintara Wudipong Khongtong Pawich Paktipat Pannee Banc Source Type: research
Feasibility and Impact Assessment of a Food Insecurity Protocol in a Large Urban Pediatric Primary Care Network
CONCLUSIONS: Out of 42 clinicians invited to complete the survey, 35 completed responses. All respondents reported universal screening for FI (100%) at routine examinations, 80% reported frequently electronically documenting FI in medical records, and 91% of clinicians reported frequently referring families who screened positive for FI to at least one FI resource, with 24% reporting that resources met families' needs. Open-ended responses revealed increased awareness of FI prevalence and of patient experiences in households experiencing FI, increased satisfaction with clinical management of FI, but also concerns around hav...
Source: Primary Care - March 30, 2024 Category: Primary Care Authors: Noah Kim Laura Fischer Sarah Haley Gross Mark Weissman Kofi Essel Source Type: research
Cross-Cultural Adaptation and Validation of the Perception of the Doctor-Patient Relationship (PREMEPA) Questionnaire in Chronic Multi-Pathological Patients
CONCLUSIONS: This adapted version of the PREMEPA questionnaire can be considered valid for use in the Spanish population with a history of chronic pathology. This version of PREMEPA provides a new instrument to understand and improve chronic patient care, which can improve the doctor-patient relationship, encouraging adherence to treatment and enhancing health outcomes.PMID:38554060 | PMC:PMC10981856 | DOI:10.1177/21501319241241198 (Source: Primary Care)
Source: Primary Care - March 30, 2024 Category: Primary Care Authors: Mar ía Zarza-Arribas Juan Francisco Men árguez Puche Rosario Morales L ópez Josep Xavier Barber Valles Domingo Luis Orozco Beltr án Source Type: research
Abnormal Colorectal Cancer Test Follow-Up: A Quality Improvement Initiative at a Federally Qualified Health Center
CONCLUSIONS: Patient navigation and structured follow-up appear to improve colonoscopy completion after abnormal FIT. Additional strategies are needed to achieve optimal rates of completion.PMID:38554066 | PMC:PMC10981848 | DOI:10.1177/21501319241242571 (Source: Primary Care)
Source: Primary Care - March 30, 2024 Category: Primary Care Authors: Faizah Shareef Balambal Bharti Felipe Garcia-Bigley Monica Hernandez Jesse Nodora Jie Liu Christian Ramers Jill Dumbauld Nery Jessica Marquez Karina Moyano Sarah Rojas Elva Arredondo Samir Gupta Source Type: research
Effects of GLP-1 receptor agonists on the degree of liver fibrosis and CRP in non-alcoholic fatty liver disease and non-alcoholic steatohepatitis: A systematic review and meta-analysis
CONCLUSION: This study evaluated the efficacy of GLP-1RAs in patients with NAFLD and NASH. These results suggest that GLP-1RAs may be a potential and viable therapeutic approach as a targeted agent to intervene in disease progression of NAFLD and NASH.PMID:38555202 | DOI:10.1016/j.pcd.2024.03.005 (Source: Primary Care)
Source: Primary Care - March 30, 2024 Category: Primary Care Authors: Lixuan Fang Jine Li Haixia Zeng Jianping Liu Source Type: research
Integrated Care Model by the Village Health Volunteers to Prevent and Slow down Progression of Chronic Kidney Disease in a Rural Community, Thailand
CONCLUSION: The integrated care model through VHV significantly attenuated the risk factors associated with CKD in the general and high-risk population and effectively slowed down the progression of CKD.PMID:38554000 | DOI:10.1177/21501319241240355 (Source: Primary Care)
Source: Primary Care - March 30, 2024 Category: Primary Care Authors: Ampornpan Theeranut Nonglak Methakanjanasak Sunee Lertsinudom Pattama Surit Nichanun Panyaek Saisamon Leeladapattarakul Peangtikumporn Nilpetch Pattapong Kessomboon Chalongchai Chalermwat Watcharapong Rintara Wudipong Khongtong Pawich Paktipat Pannee Banc Source Type: research
Feasibility and Impact Assessment of a Food Insecurity Protocol in a Large Urban Pediatric Primary Care Network
CONCLUSIONS: Out of 42 clinicians invited to complete the survey, 35 completed responses. All respondents reported universal screening for FI (100%) at routine examinations, 80% reported frequently electronically documenting FI in medical records, and 91% of clinicians reported frequently referring families who screened positive for FI to at least one FI resource, with 24% reporting that resources met families' needs. Open-ended responses revealed increased awareness of FI prevalence and of patient experiences in households experiencing FI, increased satisfaction with clinical management of FI, but also concerns around hav...
Source: Primary Care - March 30, 2024 Category: Primary Care Authors: Noah Kim Laura Fischer Sarah Haley Gross Mark Weissman Kofi Essel Source Type: research
