Mpox Case Reports in an Urban Homeless Population and a Proof of Concept for a Street-Based Mobile Mpox Vaccination Clinic
J Prim Care Community Health. 2023 Jan-Dec;14:21501319231169991. doi: 10.1177/21501319231169991.ABSTRACTMpox is a new public health outbreak that particularly threatens the homeless population. Street Medicine Phoenix (SMP) is a student-led interprofessional volunteer organization that provides medical care and other essential services to individuals experiencing homelessness in Phoenix, Arizona. In addition to core services such as wound care; health screenings (blood pressure and blood glucose.); vision screenings; HIV testing; naloxone education and distribution; flu, COVID-19, and Hepatitis A vaccinations; and communit...
Source: Primary Care - May 16, 2023 Category: Primary Care Authors: Justin Zeien Jaime Vieira Jeffery Hanna Likith Surendra Jake Stenzel Alma Ramirez Catherine Miller Cecilia Rosales Source Type: research

Factors Associated With Marshallese and Hispanic Adults' Willingness to Receive a COVID-19 Booster Dose
CONCLUSIONS: Findings document high willingness to get a COVID-19 booster, emphasize the role of recommendations from trusted sources in motivating booster uptake, and highlight the importance of community engagement to address disparities in vaccination coverage and reach.PMID:37191303 | DOI:10.1177/21501319231171440 (Source: Primary Care)
Source: Primary Care - May 16, 2023 Category: Primary Care Authors: Rachel S Purvis Jennifer L Vincenzo Marissa Spear Ramey Moore Susan K Patton Jennifer Callaghan-Koru Pearl A McElfish Geoffrey M Curran Source Type: research

The Effectiveness of the Multiple-Attending-Physicians System Compared With the Single Attending-Physician System in Inpatient Setting: A Mixed-Method Study
CONCLUSIONS: The multiple-attending physician system in the inpatient setting can reduce the average length of stay for patients and also reduce the physical burden on physicians without compromising their clinical performance.PMID:37191304 | DOI:10.1177/21501319231175054 (Source: Primary Care)
Source: Primary Care - May 16, 2023 Category: Primary Care Authors: Daeho Park Daisuke Son Toshihiro Hamada Shintaro Imaoka Young Lee Minako Kamimoto Kazuoki Inoue Hiromi Matsumoto Takuya Shimosaka Shuichi Sasaki Masahiko Koda Shin-Ichi Taniguchi Source Type: research

Supporting complex care in general practice via an eConsultant model of care: the Australian specialist perspective
CONCLUSION: These findings identify the drivers and barriers to the establishment of an Australian eConsultant model of care from the adult medicine physician's perspective.PMID:37183355 | DOI:10.1071/PY22243 (Source: Primary Care)
Source: Primary Care - May 15, 2023 Category: Primary Care Authors: Joel Petre Maria Donald Claire Jackson Source Type: research

Impact of culturally tailored shared medical appointments on diabetes self-care ability and knowledge in African Americans
DISCUSSION: Findings indicate that this model is an effective and engaging method of improving self-care ability and diabetes disease management knowledge among African Americans. Addressing unique circumstances and barriers experienced by this population may be more effective than usual traditional care approaches.PMID:37185043 | DOI:10.1017/S1463423623000166 (Source: Primary Care)
Source: Primary Care - May 15, 2023 Category: Primary Care Authors: Adrienne L Reddick Deborah C Gray Source Type: research

'I'm a bit of a champion for it actually': qualitative insights into practitioner-supported self-collection cervical screening among early adopting Victorian practitioners in Australia
This study aimed to describe the experiences of practitioners in Victoria, Australia, who used human papillomavirus (HPV)-based self-collection cervical screening during the first 17 months of its availability.METHODS: Interviews (n = 18) with practitioners from Victoria, who offered self-collection to their patients between December 2017 and April 2019, analysed using template analysis.FINDINGS: Practitioners were overwhelmingly supportive of self-collection cervical screening because it was acceptable to their patients and addressed patients' barriers to screening. Practitioners perceived that knowledge and awareness of ...
Source: Primary Care - May 15, 2023 Category: Primary Care Authors: Claire Zammit Nicola Creagh Claire Nightingale Tracey McDermott Marion Saville Julia Brotherton Margaret Kelaher Source Type: research

Assessment of hypogonadism and its determinants among adult men with type 2 diabetes mellitus
CONCLUSION: Assessment of both symptoms of hypogonadism and calculated free testosterone represents a better way for correct identification of hypogonadal diabetic men. Insulin resistance has a strong association with hypogonadism independent of obesity and complication status of diabetes.PMID:37188551 | DOI:10.1016/j.pcd.2023.05.005 (Source: Primary Care)
Source: Primary Care - May 15, 2023 Category: Primary Care Authors: Jaspreet Singh Abhay Kumar Sahoo Jayshree Swain Swayamsidha Mangaraj Jaya Bhanu Kanwar Ankit Manglunia Source Type: research

Implementation of a primary care asthma management quality improvement programme across 68 general practice sites
NPJ Prim Care Respir Med. 2023 May 13;33(1):21. doi: 10.1038/s41533-023-00341-y.ABSTRACTDespite national and international guidelines, asthma is frequently misdiagnosed, control is poor and unnecessary deaths are far too common. Large scale asthma management programme such as that undertaken in Finland, can improve asthma outcomes. A primary care asthma management quality improvement programme was developed with the support of the British Lung Foundation (now Asthma + Lung UK) and Optimum Patient Care (OPC) Limited. It was delivered and cascaded to all relevant staff at participating practices in three Clinical Commissioni...
Source: Primary Care - May 13, 2023 Category: Primary Care Authors: Francis J Gilchrist William D Carroll Sadie Clayton David Price Ian Jarrold Iain Small Emma J Sutton Warren Lenney Source Type: research

Cognitive decline and risk of dementia in older adults after diagnosis of chronic obstructive pulmonary disease
In conclusion, our results indicate that cognitive screening in the early stages of COPD may be of limited clinical relevance.PMID:37179395 | PMC:PMC10182997 | DOI:10.1038/s41533-023-00342-x (Source: Primary Care)
Source: Primary Care - May 13, 2023 Category: Primary Care Authors: Aldana Rosso Tomas M ånsson Karl Egervall S ölve Elmståhl Marieclaire Overton Source Type: research

Implementation of a primary care asthma management quality improvement programme across 68 general practice sites
NPJ Prim Care Respir Med. 2023 May 13;33(1):21. doi: 10.1038/s41533-023-00341-y.ABSTRACTDespite national and international guidelines, asthma is frequently misdiagnosed, control is poor and unnecessary deaths are far too common. Large scale asthma management programme such as that undertaken in Finland, can improve asthma outcomes. A primary care asthma management quality improvement programme was developed with the support of the British Lung Foundation (now Asthma + Lung UK) and Optimum Patient Care (OPC) Limited. It was delivered and cascaded to all relevant staff at participating practices in three Clinical Commissioni...
Source: Primary Care - May 13, 2023 Category: Primary Care Authors: Francis J Gilchrist William D Carroll Sadie Clayton David Price Ian Jarrold Iain Small Emma J Sutton Warren Lenney Source Type: research

Cognitive decline and risk of dementia in older adults after diagnosis of chronic obstructive pulmonary disease
In conclusion, our results indicate that cognitive screening in the early stages of COPD may be of limited clinical relevance.PMID:37179395 | DOI:10.1038/s41533-023-00342-x (Source: Primary Care)
Source: Primary Care - May 13, 2023 Category: Primary Care Authors: Aldana Rosso Tomas M ånsson Karl Egervall S ölve Elmståhl Marieclaire Overton Source Type: research

How to improve interest for undergraduate nursing students working in primary health care
In this study, we have implemented an alternative model of supervision for undergraduate nursing students in clinical practice, called 'strengthened supervision during clinical practice'. In this model, lectures from the university are responsible for giving support and tutoring the nurse supervisor in primary health care.METHOD: Undergraduate nursing students in Norway (69) participated in an implementation of a new model for supervision in clinical practice. Thirty-one completed a questionnaire consisting of 15 questions. The questionnaire was analyzed using descriptive analyses.FINDING: Undergraduate nursing students po...
Source: Primary Care - May 12, 2023 Category: Primary Care Authors: Beate Andr é Therese Antonsen S ølvi Karin Romarheim Akslen Wenche Bergseth Bogsti Source Type: research

Primary Care Team Perspectives on the Suitability of Telehealth Modality (Phone vs Video) at the Veterans Health Administration
CONCLUSIONS: Determining the suitability of telehealth services, including appropriate choice of mode is complex. Its suitability is tied to a variety of factors related to multilevel resources, preferences, and timing. When appropriate, telehealth should be considered a useful tool in the care of patients and for employee well-being.PMID:37170906 | DOI:10.1177/21501319231172897 (Source: Primary Care)
Source: Primary Care - May 12, 2023 Category: Primary Care Authors: Shay Cannedy Lucinda Leung Tamar Wyte-Lake Michelle D Balut Aram Dobalian Leonie Heyworth Neil M Paige Claudia Der-Martirosian Source Type: research

Impact of Pharmacist Integration Into Primary Care on Reimbursement for Hospital Follow-Up Visits
CONCLUSIONS: Pharmacist involvement in TCM while integrated into a primary care office is previously not well described. This data highlights an opportunity for pharmacists to demonstrate sustainability and improved outcomes related to TCM.PMID:37170909 | DOI:10.1177/21501319231174768 (Source: Primary Care)
Source: Primary Care - May 12, 2023 Category: Primary Care Authors: Mackenzi Meier Grace Simpson Megha Patel Chelsea A Keedy Source Type: research

HbA1c as a shared treatment goal in type 2 diabetes? A secondary analysis of the DEBATE trial
CONCLUSIONS: Shared goal setting with T2DM patients targeting on HbA1c-levels had no significant impact on goal achievement. It may be assumed, that shared goal setting on patient-related clinical outcomes within the process of SDM has not been fully captured yet.TRIAL REGISTRATION: The trial was registered at ISRCTN registry under the reference ISRCTN70713571.PMID:37173620 | PMC:PMC10182591 | DOI:10.1186/s12875-023-02067-9 (Source: Primary Care)
Source: Primary Care - May 12, 2023 Category: Primary Care Authors: Sara Santos Michael Pentzek Attila Altiner Anne Daubmann Eva Drewelow Christian Helbig Christin L öffler Susanne L öscher Karl Wegscheider Heinz-Harald Abholz Stefan Wilm Anja Wollny Source Type: research