A Taxonomy for External Support for Practice Transformation
Conclusions: This taxonomy and its use in more consistently documenting and characterizing external support interventions should facilitate communication and synergies between 3 areas (quality improvement, practice change research, and implementation science) that have historically tended to work independently. The taxonomy was designed to be as useful for practices or health systems managing change as it is for research. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Solberg, L. I., Kuzel, A., Parchman, M. L., Shelley, D. R., Dickinson, W. P., Walunas, T. L., Nguyen, A. M., Fagnan, L. J., Cykert, S., Cohen, D. J., Balasubramanaian, B. A., Fernald, D., Gordon, L., Kho, A., Krist, A., Miller, W., Berry, C., Duffy, D., N Tags: Original Research Source Type: research
Engagement of Small to Medium-Sized Primary Care Practices in Quality Improvement Efforts
Conclusions: Clinicians and leadership involvement in QI efforts is critical. The findings suggest that QI plans should involve clinicians and leaders early in the process to foster commitment, establish practice readiness, and sustain improvement efforts. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Soylu, T. G., Cuellar, A. E., Goldberg, D. G., Kuzel, A. J. Tags: Original Research Source Type: research
Challenges and Approaches to Population Management of Long-Term Opioid Therapy Patients
Conclusions: We identified common challenges and approaches to tracking and monitoring patients using long-term opioid therapy for CNCP in primary care. Based on these findings we provide recommendations to build capacity for tracking and monitoring for organizations that are engaged in improving safe opioid-prescribing practices for CNCP in primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Stephens, K. A., Ike, B., Baldwin, L.-M., Packer, C., Parchman, M. Tags: Original Research Source Type: research
Engaging primary care providers in managing pediatric eating disorders: a mixed methods study
ConclusionsInvestigations seeking to build capacities in primary care settings to address eating disorders must address these barriers. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 14, 2021 Category: Eating Disorders & Weight Management Source Type: research
Primary Care Practice Environment and Burnout Among Nurse Practitioners
Poor practice environments contribute to burnout, but favorable environments containing support, resources, autonomy, and optimal relations with colleagues may prevent burnout. Compared with all nurse practitioners (NPs), 69% of these NPs provide primary care to patients, yet whether the practice environment is associated with NP burnout is unknown. A study to examine environmental factors related to NP burnout was conducted. Overall, 396 NPs completed the survey, and 25.3% were burnt-out. Higher scores on the professional visibility, NP-physician relations, NP-administration relations, independent practice, and support su...
Source: The Journal for Nurse Practitioners - January 11, 2021 Category: Nursing Authors: Cilgy M. Abraham, Katherine Zheng, Allison A. Norful, Affan Ghaffari, Jianfang Liu, Lusine Poghosyan Tags: Featured Article Source Type: research
A methodological review protocol of the use of Bayesian factor analysis in primary care research
DiscussionThis methodological review will provide a comprehensive overview of the current use and reporting of Bayesian factor analysis in primary care and will provide recommendations for its proper future use.Systematic review registrationPROSPEROCRD42018114978 (Source: Systematic Reviews)
Source: Systematic Reviews - January 8, 2021 Category: International Medicine & Public Health Source Type: research
Burnout among Primary Care Providers and Staff: Evaluating the Association with Practice Adaptive Reserve and Individual Behaviors
ConclusionAs transformation efforts in primary care continue, it is critical to understand the influence of these initiatives on healthcare professionals ’ well-being. Efforts to reduce burnout among healthcare professionals are needed at both a system and organizational level. Building organizational capacity for change, supporting providers and staff during major change and consideration of individual workload may reduce levels of burnout. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 8, 2021 Category: Internal Medicine Source Type: research
Associations between breast cancer survivorship and adverse mental health outcomes: A matched population-based cohort study in the United Kingdom
The objective of this study was to quantify the risk of several adverse mental health –related outcomes in women with a history of breast cancer followed in primary care in the United Kingdom National Health Service, compared to similar women who never had cancer. Methods and findingsWe conducted a matched cohort study using data routinely collected in primary care across the UK to quantify associations between breast cancer history and depression, anxiety, and other mental health –related outcomes. All women with incident breast cancer in the Clinical Practice Research Datalink (CPRD) GOLD primary care databas...
Source: PLoS Medicine - January 7, 2021 Category: Internal Medicine Authors: Helena Carreira Source Type: research
Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
Alcohol is a leading risk factor contributing to the global burden of disease. Several national and international agencies recommend that screening and brief interventions (SBI) should be routinely delivered i... (Source: Implementation Science)
Source: Implementation Science - January 7, 2021 Category: Health Management Authors: Frederico Ros ário, Maria Inês Santos, Kathryn Angus, Leo Pas, Cristina Ribeiro and Niamh Fitzgerald Tags: Systematic review Source Type: research
A validation of the Croatian version of Zarit Burden Interview and clinical predictors of caregiver burden in informal caregivers of patients with dementia: a cross-sectional study.
CONCLUSION: The Croatian version of ZBI is reliable and valid. Our data confirm that ZBI is a multidimensional construct. Caregivers may benefit from individually tailored interventions. PMID: 33410300 [PubMed - in process] (Source: Croatian Medical Journal)
Source: Croatian Medical Journal - December 31, 2020 Category: General Medicine Authors: Lucijanić J, Baždarić K, Librenjak D, Lucijanić M, Hanževački M, Jureša V Tags: Croat Med J Source Type: research
Early detection of melanoma in specialised primary care practice in Australia
Publication date: February 2021Source: Cancer Epidemiology, Volume 70Author(s): Adele C. Green, Nirmala Pandeya, Sarah Morton, John Simonidis, David C. Whiteman (Source: Cancer Epidemiology)
Source: Cancer Epidemiology - December 24, 2020 Category: Cancer & Oncology Source Type: research
Cognitive Behavioral Therapy for Anxiety Disorders: Outcomes From a Multi-State, Multi-Site Primary Care Practice
Publication date: Available online 15 December 2020Source: Journal of Anxiety DisordersAuthor(s): Olivia E. Bogucki, Julia R. Craner, Summer L. Berg, Megan K. Wolsey, Stephanie J. Miller, Kileen T. Smyth, Marcia W. Johnson, John D. Mack, Sara J. Sedivy, Lisa M. Burke, Melissa A. Glader, Mark W. Williams, David J. Katzelnick, Craig N. Sawchuk (Source: Journal of Anxiety Disorders)
Source: Journal of Anxiety Disorders - December 16, 2020 Category: Psychiatry Source Type: research
Measuring Primary Care Exam Length Using Electronic Health Record Data
Conclusions: Time-stamped EHR data offer researchers and health systems an opportunity to measure exam length and other objects of interest related to time. (Source: Medical Care)
Source: Medical Care - December 13, 2020 Category: Health Management Tags: Brief Reports Source Type: research
Sudden Unexpected Death in Epilepsy (SUDEP) and seizure safety: Modifiable and non-modifiable risk factors differences between primary and secondary care.
This study compares and contrasts risk factors of PWE in primary versus secondary care. METHODS: The Checklist was applied to all PWE registered in four primary care practices in central Cornwall UK (pop: 120,000). Individual, modifiable, non-modifiable, and total risk factors and scores were compared between PWE open to secondary care and those not. Statistical tests were used to calculate significance of individual risk factors in primary or secondary care, to compare the total risk scores between care settings and to find the frequency differences of each risk factor between primary practices. RESULTS: People ...
Source: Epilepsy and Behaviour - December 11, 2020 Category: Neurology Authors: McCabe J, McLean B, Henley W, Harris C, Cheatle K, Ashby S, Shankar R Tags: Epilepsy Behav Source Type: research
Improving quality in general practice using the Primary Care Practice Improvement Tool (PC-PIT) with Primary Health Network support
Samantha J. Borg, Maria Donald, Koula Totsidis, Narelle Quinn, Claire L. Jackson (Source: Australian Journal of Primary Health)
Source: Australian Journal of Primary Health - December 10, 2020 Category: Primary Care Authors: Samantha J. Borg Maria Donald Koula Totsidis Narelle Quinn Claire L. Jackson Source Type: research
Social determinants of health, personalized medicine, and child maltreatment.
Abstract This review begins with a brief summary of the importance of child maltreatment as a major public health problem, given its prevalence and the substantial human and economic costs involved. The focus then shifts to consideration of personalized medicine and child maltreatment, including genetic and genomics factors, as well as the role of social determinants of health. Research on epigenetics related to child abuse and neglect is presented, followed by that pertaining to a few specific social factors, such as poverty, parental depression and substance use, and domestic (or intimate partner) violence. The ...
Source: Pediatric Research - December 7, 2020 Category: Pediatrics Authors: Lane WG, Dubowitz H Tags: Pediatr Res Source Type: research
The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium
The COVID-19 pandemic affects the processes of routine care for chronic patients. A better understanding helps to increase resilience of the health system and prepare adequately for next waves of the pandemic. (Source: BMC Family Practice)
Source: BMC Family Practice - December 5, 2020 Category: Primary Care Authors: Katrien Danhieux, Veerle Buffel, Anthony Pairon, Asma Benkheil, Roy Remmen, Edwin Wouters and Josefien van Olmen Tags: Research article Source Type: research
Dose-dependent oral glucocorticoid cardiovascular risks in people with immune-mediated inflammatory diseases: A population-based cohort study
by Mar Pujades-Rodriguez, Ann W. Morgan, Richard M. Cubbon, Jianhua Wu BackgroundGlucocorticoids are widely used to reduce disease activity and inflammation in patients with a range of immune-mediated inflammatory diseases. It is uncertain whether or not low to moderate glucocorticoid dose increases cardiovascular risk. We aimed to quantify glucocorticoid dose-dependent cardiovascular risk in people with 6 immune-mediated inflammatory diseases. Methods and findingsWe conducted a population-based cohort analysis of medical records from 389 primary care practices contributing data to the United Kingdom Clinical Practice Rese...
Source: PLoS Medicine - December 3, 2020 Category: Internal Medicine Authors: Mar Pujades-Rodriguez Source Type: research
Population Health Management in Diabetes Care: Combining Clinical Audit, Risk Stratification, and Multidisciplinary Virtual Clinics in a Community Setting to Improve Diabetes Care in a Geographically Defined Population. An Integrated Diabetes Care Pilot in the North East Locality, Oxfordshire, UK
Conclusion: Taking a population health approach helped to identify groups of people in need of additional diabetes care and deliver a collaborative health intervention across traditional organisational boundaries. Published on 2020-12-02 09:13:03 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - December 2, 2020 Category: Nursing Source Type: research
Utilizing continuous glucose monitoring in primary care practice: What the numbers mean
During the past five years, there has been an upsurge in use of continuous glucose monitoring (CGM) among individuals with type 1 diabetes . The clinical benefits of CGM has been demonstrated in numerous studies of individuals with T1D regardless of insulin delivery method [2 –17]. The benefits of CGM use in this population include reductions in A1C [2,4,6,12,13,18–22], fewer severe hypoglycemia events [19,20,23], increased time within target glucose range (TIR) [6,13,14,24] and reductions in time below range [TBR] [6,13]. (Source: Primary Care Diabetes)
Source: Primary Care Diabetes - November 28, 2020 Category: Primary Care Authors: Steven V. Edelman, Tricia Santos Cavaiola, Schafer Boeder, Jeremy Pettus Tags: Review Source Type: research
Understanding How Providers and Staff Make Decisions About Where to Refer Their Patients: A Qualitative Study
Value-based payment incentivizes primary care providers (PCPs) to refer patients to specialists inside their own organization. “Outmigration” of patients to specialists in other organizations is common, yet why it occurs is not clear. We conducted qualitative interviews of PCPs, nurses, and administrative staff at primary care practices in a physician organization (PO) to determine reasons for outmigration. While participants reported that they preferred making within-PO referrals, they identified 18 barriers to within-PO referrals, which often led to patients receiving care elsewhere. Many of these barriers ar...
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research
Opportunistic Atrial Fibrillation Screening Doesn ’t Catch More Cases
Dutch primary care practices that systematically tested older adults for atrial fibrillation (AF) did not detect more AF than usual care, according to a trial reported in the BMJ. (Source: JAMA)
Source: JAMA - November 24, 2020 Category: General Medicine Source Type: research
Implementing Lean Quality Improvement in Primary Care: Impact on Efficiency in Performing Common Clinical Tasks
ConclusionsLean redesigns led to improvements in timely completion of 3 out of 4 common clinical tasks. Our findings support the use of Lean techniques to engage teams in routine aspects of patient care. More research is warranted to understand the mechanisms by which Lean promotes quality improvement and effectiveness of care team workflows. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 24, 2020 Category: Internal Medicine Source Type: research
Cardiovascular Screening and Lipid Management in Breast Cancer Survivors
Background: Cardiovascular disease (CVD) is the leading cause of death among breast cancer (BC) survivors. BC survivors are at increased risk of CVD due to a higher prevalence of risk factors. Current data are limited on the cardiovascular screening practices and lipid management in this population in primary care settings. Methods: A retrospective case control study was performed with 105 BC survivors and 210 matched controls (based on age and medical comorbidities of diabetes, hypertension, and hyperlipidemia). BC survivors were established with primary care practices within a large academic institution and had complete...
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Tucker Price, S., Mims, L. D., Player, M. S., Berini, C., Perkins, S., Hughes Halbert, C., Diaz, V. A. Tags: Original Research Source Type: research
Medicare Access and CHIP Reauthorization Act in Small to Medium-Sized Primary Care Practices
Conclusions: This study highlights a dilemma in which independent practices are proactively attempting to prepare for MACRA’s requirements, yet they continue to have major challenges. Practices are under extreme pressure to comply with reimbursement regulations, which may force some practices joining a health system or merging with another practice or completely closing the practices. Policy makers should assess the unintended consequences of payment reform policies on independent practices and provide support in transitioning to a new payment system. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Soylu, T. G., Goldberg, D. G., Cuellar, A. E., Kuzel, A. J. Tags: Original Research Source Type: research
Improving Chronic Obstructive Pulmonary Disease (COPD) Symptoms Using a Team-Based Approach
Conclusion: An interdisciplinary, team-based approach was effective for improving the health of COPD patients in an Appalachian academic primary care practice. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Peckens, S., Adelman, M. M., Ashcraft, A. M., Xiang, J., Sheppard, B., King, D. E. Tags: Original Research Source Type: research
Effect of Integrated Gastroenterology Specialists in a Primary Care Setting: a Retrospective Cohort Study
ABSTRACTBackgroundGastrointestinal (GI) complaints are common in primary care practices. The patient-centered medical home (PCMH) may improve coordination and collaboration by facilitating coordination across healthcare settings and within the community, enhancing communication between providers, and focusing on quality of care delivery.ObjectiveTo investigate the effect of integrated community gastroenterology specialists (ICS-GI) model within a large primary care practice.DesignRetrospective cohort with propensity-matched historic controls.PatientsWe identified 265 patients who had a visit with one of our ICS-GI speciali...
Source: Journal of General Internal Medicine - November 20, 2020 Category: Internal Medicine Source Type: research
Hypertensive Urgency: An Emergency Department Pipeline to Primary Care Pilot Study.
CONCLUSIONS: In this pilot study, coordinated referral between the ED and primary care provides safe, timely care for this high ASCVD risk population and leads to sustained reductions in BP and ED utilization. PMID: 33216142 [PubMed - as supplied by publisher] (Source: American Journal of Hypertension)
Source: American Journal of Hypertension - November 20, 2020 Category: Cardiology Authors: Giaimo AA, Kang AJ, Huot SJ Tags: Am J Hypertens Source Type: research
Cost effectiveness of SEEK: A primary care-based child maltreatment prevention model.
Abstract BACKGROUND: Funding for prevention interventions is often quite limited. Cost-related assessments are important to best allocate prevention funds. OBJECTIVES: To determine the (1) overall cost for implementing the Safe Environment for Every Kid (SEEK) model, (2) cost of implementation per child, and (3) cost per case of maltreatment averted. DESIGN: Cost-effective analysis of a randomized controlled trial. PARTICIPANTS AND SETTING: 102 pediatric providers at 18 pediatric primary care practices. 924 families with children
Source: Child Abuse and Neglect - November 14, 2020 Category: Child Development Authors: Lane WG, Dubowitz H, Frick KD, Semiatin J, Magder L Tags: Child Abuse Negl Source Type: research
Computerized Cognitive Behavioral Therapy for Substance Use Disorders in a Specialized Primary Care Practice: A Randomized Feasibility Trial to Address the RT Component of SBIRT
Conclusions: This study demonstrates feasibility of implementing technology-based treatments in primary care settings to address weak follow-through with the referral component of SBIRT. The overall positive outcomes in this specialized, integrated treatment setting may have undercut the ability to demonstrate differential effects on substance use; results suggest evaluation in less specialized primary care settings is warranted. Trial Registration: clinicaltrials.gov NCT03013478 (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 13, 2020 Category: Addiction Tags: Original Research Source Type: research
Oseltamivir and influenza-related complications in children: a retrospective cohort in primary care
Conclusions Based on causal inference analyses of observational data, oseltamivir treatment in children with influenza/ILI was associated with a small but statistically significant reduction in influenza-related complications during an influenza pandemic. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 12, 2020 Category: Respiratory Medicine Authors: Lee, J. J., Smith, M., Bankhead, C., Perera Salazar, R., Kousoulis, A. A., Butler, C. C., Wang, K. Tags: Respiratory infections and tuberculosis, Paediatric pulmonology Original Articles: Paediatric pulmonary infections Source Type: research
Evaluation of an intervention to provide brief support and personalized feedback on food shopping to reduce saturated fat intake (PC-SHOP): A randomized controlled trial
ConclusionsIn this study, we have shown it is feasible to deliver brief advice in primary care to encourage reductions in SFA intake and to provide personalized advice to encourage healthier choices using supermarket loyalty card data. There was no evidence of large reductions in SFA, but we are unable to exclude more modest benefits. The feasibility, acceptability, and scalability of these interventions suggest they have potential to encourage small changes in diet, which could be beneficial at the population level. Trial registrationISRCTN14279335. (Source: PLoS Medicine)
Source: PLoS Medicine - November 5, 2020 Category: Internal Medicine Authors: Carmen Piernas Source Type: research
Caring for Maya: A Family, Pediatrician, and Complex Care Partnership.
This article describes the experience of one family and pediatrician and highlights specific factors, such as a focus on building relationships, meaningful and structured information-sharing, and partnership with a complex care program, that can positively affect care. [Pediatr Ann. 2020;49(11):e486-e490.]. PMID: 33170297 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - November 1, 2020 Category: Pediatrics Authors: Owens H, Hansen SP, Lee KJ Tags: Pediatr Ann Source Type: research
Financing Buprenorphine Treatment in Primary Care: A Microsimulation Model.
Abstract PURPOSE: We sought to determine the financial impact to primary care practices of alternative strategies for offering buprenorphine-based treatment for opioid use disorder. METHODS: We interviewed 20 practice managers and identified 4 approaches to delivering buprenorphine-based treatment via primary care practice that differed in physician and nurse responsibilities. We used a microsimulation model to estimate how practice variations in patient type, payer, revenue, and cost across primary care practices nationwide would affect cost and revenue implications for each approach for the following types ...
Source: Annals of Family Medicine - November 1, 2020 Category: Primary Care Authors: Fried JE, Basu S, Phillips RS, Landon BE Tags: Ann Fam Med Source Type: research
Patient-Centered Medical Home Activities Associated With Low Medicare Spending and Utilization.
CONCLUSIONS: Practices seeking to deliver more efficient care may benefit from implementing these 6 activities. PMID: 33168678 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - November 1, 2020 Category: Primary Care Authors: Burton RA, Zuckerman S, Haber SG, Keyes V Tags: Ann Fam Med Source Type: research
Implementation of Community-Based Resource Referrals for Cardiovascular Disease Self-Management.
CONCLUSIONS: Practice facilitators are increasingly being utilized by primary care practices to support quality improvement interventions and, as shown here, can also play an important role in implementation science. This study yields insights to improve implementation of community resource referral solutions to support primary care CVD prevention efforts. PMID: 33168676 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - November 1, 2020 Category: Primary Care Authors: Abramsohn E, DePumpo M, Boyd K, Brown T, Garrett MF, Kho A, Navalkha C, Paradise K, Lindau ST Tags: Ann Fam Med Source Type: research
Approach to Electrolyte Abnormalities, Prerenal Azotemia, and Fluid Balance.
Abstract Volume and electrolyte evaluation and management is seen frequently in primary care practices. Some of the most common abnormalities encountered in outpatient practices are prerenal azotemia, dysnatremias, and altered potassium levels. Perturbations in volume or electrolyte concentrations can lead to serious organ dysfunction as well as hemodynamic collapse. This review focuses on the maintenance and regulation of intravascular volume and electrolytes, specifically sodium and potassium. PMID: 33121628 [PubMed - in process] (Source: Primary Care)
Source: Primary Care - October 31, 2020 Category: Primary Care Authors: Martinez LC, Khan SF, Bowman BT Tags: Prim Care Source Type: research
Effects of Clinic-level Implementation of One Key Question ® on Reproductive Health Counseling and Patient Satisfaction
We evaluated the effect of clinic level implementation of the One Key Question (OKQ) intervention, including physician and staff training and workflow adjustments, on reproductive counseling and patient satisfaction in primary care and ob/gyn.Study DesignWe implemented the OKQ intervention in one primary care and one ob/gyn practice, while observing another primary care and ob/gyn practice that each provided usual care (control practices). We surveyed separate patient cohorts at two time points: 26 before and 33 after the primary care practice implemented OKQ, 38 before and 36 after the ob/gyn practice implemented OKQ, 26 ...
Source: Contraception - October 29, 2020 Category: OBGYN Authors: Bonnie Song, Emily White VanGompel, Chi Wang, Suzette Guzman, Francesca Carlock, Kellie Schueler, Debra Stulberg Source Type: research
Chronic cough in routine clinical practice: a UK retrospective cohort study
Conclusion: Data from routine clinical practice indicate 2% of the NWL adult population has CC and more women are affected than men. Appraisal of linked primary-care databases may enable earlier detection of CC patients, for specialist clinic referral and targeted treatment. (Source: European Respiratory Journal)
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Hull, J. H., Ul-Haq, Z., Langerman, H., Kamalati, T., Mayes, A., Lucas, A., Levy, M. L. Tags: General practice and primary care Source Type: research
Deep learning automates complete quality control of spirometric manoeuvre
Conclusion: Our model combines the visual experience of skilled technicians and ATS/ERS guidelines in automating spirometry acceptability based on entire manoeuvre. This can help in standardizing spirometry quality in different settings like clinical studies, laboratory testing and primary care practice. (Source: European Respiratory Journal)
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Das, N., Verstraete, K., Topalovic, M., Aerts, J.-M., Janssens, W. Tags: Respiratory function technologists/scient. Source Type: research
Screening and Support for Infant Safe Sleep: A Quality Improvement Project
This article describes a quality improvement project implemented at a pediatric primary care practice to improve screening for infant safe sleep. The screening form was updated to include questions from the Pregnancy Risk Assessment Monitoring System (PRAMS). This updated screening better captured actual sleeping practices, allowing for more targeted education (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - October 21, 2020 Category: Pediatrics Authors: Katherine A. Brashears, Katie Erdlitz Tags: Article Source Type: research
Quality of life and mental health in breast cancer survivors compared with non-cancer controls: a study of patient-reported outcomes in the United Kingdom
ConclusionsCompared with women with no history of cancer, breast cancer survivors report more problems with cognition, sexual function, fatigue, and anxiety, particularly where their cancer was advanced and/or treated with chemotherapy.Implications for Cancer SurvivorsBreast cancer survivors with more advanced disease and/or treated with chemotherapy should be closely monitored and, when possible, offered evidence-based intervention for fatigue, cognitive dysfunction, and sexual problems. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 21, 2020 Category: Cancer & Oncology Source Type: research
Rapid Epidemiological Analysis of Comorbidities and Treatments as risk factors for COVID-19 in Scotland (REACT-SCOT): A population-based case-control study
ConclusionsWe have shown that, along with older age and male sex, severe COVID-19 is strongly associated with past medical history across all age groups. Many comorbidities beyond the risk conditions designated by public health agencies contribute to this. A risk classifier that uses all the information available in health records, rather than only a limited set of conditions, will more accurately discriminate between low-risk and high-risk individuals who may require shielding until the epidemic is over. (Source: PLoS Medicine)
Source: PLoS Medicine - October 20, 2020 Category: Internal Medicine Authors: Paul M. McKeigue Source Type: research
The Place of Pharmacotherapy in Alcohol Use Disorder Management in Family Practice - A Systematic Review.
CONCLUSION: Knowledge and prescription of pharmacotherapy for AUD, more specifically anti-craving treatment, is insufficient in primary care. There is a lack of data and studies on the efficacy of anti-craving treatment in primary care. Guidelines for AUD management, including psychological and medical management and pharmacotherapy do exist, but have not been adapted to primary care practice. Barriers and facilitators of pharmacotherapy prescription in AUD in primary care were identified in this study. PMID: 33059563 [PubMed - as supplied by publisher] (Source: Current Pharmaceutical Design)
Source: Current Pharmaceutical Design - October 15, 2020 Category: Drugs & Pharmacology Authors: Morgane GL, Delphine LG, Guillaume K, Yves LRJ Tags: Curr Pharm Des 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
The consequences of late detected or poorly diagnosed and monitored diabetes are considerable. The chronic hyperglycemia of diabetes is associated with long-term dysfunction, and failure of the eyes, kidneys, nerves, heart, and blood vessels. Individuals with undiagnosed type 2 diabetes (T2D) are also at significantly higher risk for stroke, coronary heart disease, and peripheral vascular disease . These consequences increase the importance of early detection and a qualitative follow-up. Fortunately, the evidence on optimal care provision for people diagnosed with T2D is numerous. (Source: Primary Care Diabetes)
Source: Primary Care Diabetes - October 12, 2020 Category: Primary Care Authors: Evi Matthys, Peter Van Bogaert, Sabrina Blommaert, Liesbeth Verdonck, Roy Remmen Tags: Original research 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
Primary care in the time of COVID-19: monitoring the effect of the pandemic and the lockdown measures on 34 quality of care indicators calculated for 288 primary care practices covering about 6 million people in Catalonia
To analyse the impact of the COVID-19 epidemic and the lockdown measures on the follow-up and control of chronic diseases in primary care. (Source: BMC Family Practice)
Source: BMC Family Practice - October 10, 2020 Category: Primary Care Authors: Ermengol Coma, N úria Mora, Leonardo Méndez, Mència Benítez, Eduardo Hermosilla, Mireia Fàbregas, Francesc Fina, Albert Mercadé, Souhel Flayeh, Carolina Guiriguet, Elisabet Balló, Nuria Martinez Leon, Ariadna Mas, Sílvia Cordomí, Yolanda Lejardi Tags: Research article Source Type: research
Design and methods of NYC care calls: An effectiveness trial of telephone-delivered type 2 diabetes self-management support
Although problems with type 2 diabetes (T2D) self-management and treatment adherence often co-occur with emotional distress, few translatable intervention approaches are available that can target these related problems in primary care practice settings. The New York City (NYC) Care Calls study is a randomized controlled trial that tests the effectiveness of structured support for diabetes self-management and distress management, delivered via telephone by health educators, in improving glycemic control, self-management and emotional well-being among predominantly ethnic minority and socioeconomically disadvantaged adults w...
Source: Contemporary Clinical Trials - October 2, 2020 Category: Radiology Authors: Jeffrey S. Gonzalez, Claire J. Hoogendoorn, Jill Linnell, Sarah Fishman, Victoria Jonas, Hang Pham-Singer, Clyde B. Schechter, Elizabeth A. Walker, Winfred Y. Wu Source Type: research
Behavioral Health Screening: Validation of a Strength-Based Approach
ABSTRACT: Objective: To evaluate the validity of the Behavioral Health Checklist (BHCL) strength-based factor scores and the extent to which this factor has a buffering effect on the relationship between behavioral health symptom severity and children's social problems. Method: The parents of 1,392 children aged 4 to 12 completed the BHCL and Child Behavior Checklist (CBCL) during sick and well-child visits to urban and suburban primary care practices affiliated with a large children's hospital. Results: Findings support a single, strength-based factor on the BHCL, and the structure was largely invariant across r...
Source: Journal of Developmental and Behavioral Pediatrics - October 1, 2020 Category: Child Development Tags: Original Article Source Type: research
Treating infants, toddlers, and preschoolers across multiple settings: challenges/innovative strategies/creative solutions
Approximately 1 in 4 young children struggle with emotional behavioral issues that are associated with significant impairments in psychosocial and academic functioning. Frequently, they initially present to primary care settings, as parents feel most comfortable with their primary care providers. Unfortunately, primary care providers are often not well-equipped with the evidence-based resources that families need. There is a need for mental health services that are either embedded in primary care practices or are easier to access in specialty care settings. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Joyce Harrison, Magdalena Romanowicz Tags: Clinical Perspectives 26 Source Type: research