Low annual frequency of HbA1c testing in people with Type 2 diabetes in primary care practices in Germany
ConclusionsOnly three out of four individuals with Type 2 diabetes underwent at least two HbA1c tests in Germany in 2016, which means that 25% of individuals underwent fewer tests than required by German guidelinesThis article is protected by copyright. All rights reserved. (Source: Diabetic Medicine)
Source: Diabetic Medicine - November 25, 2017 Category: Endocrinology Authors: K. Kostev, L. Jacob, W. Rathmann Tags: Research Article Source Type: research

A risk score including body mass index, glycated haemoglobin and triglycerides predicts future glycaemic control in people with type 2 diabetes
ConclusionsThe developed model can effectively explain heterogeneity in future glycaemic response of patients with type 2 diabetes. It can therefore be used in clinical practice as a quick and easy tool to provide tailored diabetes care. (Source: Diabetes, Obesity and Metabolism)
Source: Diabetes, Obesity and Metabolism - November 24, 2017 Category: Endocrinology Authors: Dorijn F. L. Hertroijs, Arianne M. J. Elissen, Martijn C. G. J. Brouwers, Nicolaas C. Schaper, Sebastian K öhler, Mirela C. Popa, Stylianos Asteriadis, Steven H. Hendriks, Henk J. Bilo, Dirk Ruwaard Tags: ORIGINAL ARTICLE Source Type: research

Older people's experiences of nurse –patient telephone communication in the primary healthcare setting
ConclusionDecision‐making by older people around treatment seeking is complex. Increasing the awareness of the nurse role in the General Practice is integral to creating a health system which will meet the needs of a growing older population. Primary care practices can review their systems to better inform older people how the nurse‐telephone role as a specific health service works and what they can expect when using this service. (Source: Journal of Advanced Nursing)
Source: Journal of Advanced Nursing - November 17, 2017 Category: Nursing Authors: Susan Waterworth, Deborah Raphael, John Parsons, Bruce Arroll, Merryn Gott Tags: ORIGINAL RESEARCH: EMPIRICAL RESEARCH ‐QUALITATIVE Source Type: research

Guideline Recommendations for Obesity Management
This article discusses obesity guidelines from The Obesity Society; the Endocrine Society; and the American Association of Clinical Endocrinologists. It reviews and compares findings and recommendations across these guidelines, identifies areas of controversy and concordance, and suggests how primary care practices may make use of the most appropriate recommendations for their circumstances. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - November 16, 2017 Category: Primary Care Authors: Donna H. Ryan, Scott Kahan Source Type: research

Management of first depression or generalized anxiety disorder episode in adults in primary care: A systematic metareview.
CONCLUSIONS: From the best evidence-based data, we created two algorithms to guide GPs for the management of MDD and or the management of GAD. These algorithms will be implemented through a website available for GPs consultation. PMID: 29150233 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - November 14, 2017 Category: General Medicine Authors: Driot D, Bismuth M, Maurel A, Soulie-Albouy J, Birebent J, Oustric S, Dupouy J Tags: Presse Med Source Type: research

Adherence with epinephrine autoinjector prescriptions in primary care
The aim of this study was to estimate primary adherence for epinephrine autoinjector (EA) prescriptions in primary care practices in Manitoba, Canada. (Source: Allergy, Asthma and Clinical Immunology)
Source: Allergy, Asthma and Clinical Immunology - November 10, 2017 Category: Allergy & Immunology Authors: Elissa M. Abrams, Alexander G. Singer, Lisa Lix, Alan Katz, Marina Yogendran and F. Estelle R. Simons Tags: Short Report Source Type: research

Demographic and Clinical Factors Associated with Non ‐Surgical Osteoarthritis Treatment Use Among Patients in Outpatient Clinics
ConclusionResults suggest potential under‐utilization of therapies other than oral analgesia. Patient characteristics may affect OA treatment use, and understanding the relationship between these factors and OA treatment preferences may improve adherence to OA treatment guidelines.This article is protected by copyright. All rights reserved. (Source: Arthritis Care and Research)
Source: Arthritis Care and Research - November 10, 2017 Category: Rheumatology Authors: Lauren M. Abbate, Amy S. Jeffreys, Cynthia J. Coffman, Todd A. Schwartz, Liubov Arbeeva, Leigh F. Callahan, Nicole A. Negbenebor, Wendy M. Kohrt, Robert S. Schwartz, Ernest. Vina, Kelli D. Allen Tags: Original Article Source Type: research

Integration of systematic clinical interprofessional training in a student-faculty collaborative primary care practice.
Authors: Weinstein AR, Dolce MC, Koster M, Parikh R, Hamlyn E, A McNamara E, Carlson A, DiVall MV Abstract The changing healthcare environment and movement toward team-based care are contemporary challenges confronting health professional education. The primary care workforce must be prepared with recent national interprofessional competencies to practice and lead in this changing environment. From 2012 to 2014, the weekly Beth Israel Deaconess Crimson Care Collaborative Student-Faculty Practice collaborated with Northeastern University to develop, implement and evaluate an innovative model that incorporated interp...
Source: Journal of Interprofessional Care - November 9, 2017 Category: Health Management Tags: J Interprof Care Source Type: research

Four-year long-term follow-up of diabetes patients after implementation of the Chronic Care Model in primary care: a cross-sectional study.
Abstract AIMS: Implementing the Chronic Care Model (CCM) via involvement of specially trained practice nurses improves cardiovascular risk profiles and perception of care among type 2 diabetes patients in small primary care practices (PCPs) in the short term. Little is known about the long-term effects of this intervention. METHODS: Cross-sectional survey among the participants of the cluster randomised controlled CARAT trial (30 PCPs, 303 diabetes patients), 3 years after its completion. OUTCOMES: Proportion of patients still treated according to the CCM, possible reasons for discontinuation, glycosylat...
Source: Swiss Medical Weekly - November 9, 2017 Category: General Medicine Authors: Chmiel C, Giewer I, Frei A, Rosemann T Tags: Swiss Med Wkly Source Type: research

Effectiveness of a Stepped, Collaborative, and Coordinated Health Care Network for Somatoform Disorders (Sofu-Net): A Controlled Cluster Cohort Study
Conclusions: The treatment of somatoform disorders within a guideline-based health care network resulted in increased rates of mental health treatment but failed to improve patient clinical outcomes. Future investigations are needed to investigate the combined value of health care networks with specialized psychotherapy interventions in patients at high risk of somatic symptom and related disorders. Trial Registration: ISRCTN55870770. (Source: Psychosomatic Medicine)
Source: Psychosomatic Medicine - November 1, 2017 Category: Psychiatry & Psychology Tags: Original Articles Source Type: research

Recognition of the Relationship Between Patients’ Work and Health: A Qualitative Evaluation of the Need for Clinical Decision Support (CDS) for Worker Health in Five Primary Care Practices
Conclusion: PCPs recognize the importance and impact of work on their patients’ health but often lack accessible knowledge at the right time. Occupational health providers can play an important role through contributions to the development of CDS that assists PCPs in recognizing and addressing patients’ health, as well as through the provision of referral guidelines. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - November 1, 2017 Category: Occupational Health Tags: Computer-Mediated Clinical Decision Support in Primary Care Fast Track Articles Source Type: research

A risk score of BMI, HbA1c and triglycerides predicts future glycemic control in type 2 diabetes
ConclusionsThe developed model can effectively explain heterogeneity in future glycemic response of patients with type 2 diabetes. It can therefore be used in clinical practice as a quick and easy tool to provide tailored diabetes care. (Source: Diabetes, Obesity and Metabolism)
Source: Diabetes, Obesity and Metabolism - November 1, 2017 Category: Endocrinology Authors: Dorijn FL Hertroijs, Arianne MJ Elissen, Martijn CGJ Brouwers, Nicolaas C. Schaper, Sebastian K öhler, Mirela C Popa, Stylianos Asteriadis, Steven H Hendriks, Henk J Bilo, Dirk Ruwaard Tags: ORIGINAL ARTICLE Source Type: research

Health Care Workforce Development for Child Mental Health
This Viewpoint discusses the importance of integrating behavioral and medical expertise in pediatric primary care practice for early identification and treatment of mental and behavioral disorders in children. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 1, 2017 Category: Pediatrics Source Type: research

Exploring Attributes of High-Value Primary Care.
CONCLUSIONS: Awareness of care delivery attributes that distinguish their high-value peers may help physicians respond successfully to incentives from Medicare and private payers to lower annual health care spending and improve quality of care. PMID: 29133491 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - November 1, 2017 Category: Primary Care Authors: Simon M, Choudhry NK, Frankfort J, Margolius D, Murphy J, Paita L, Wang T, Milstein A Tags: Ann Fam Med Source Type: research

Using the 4 Pillars to increase vaccination among high-risk adults: who benefits?
CONCLUSIONS: An intervention including the 4 Pillars Program was associated with significant increases in vaccination of high-risk adults. However, the overall uptake of recommended vaccines for those with high-risk conditions remained below national goals. PMID: 29182350 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - November 1, 2017 Category: Health Management Authors: Nowalk MP, Moehling KK, Zhang S, Raviotta JM, Zimmerman RK, Lin CJ Tags: Am J Manag Care Source Type: research

Different settings, different approaches: a qualitative comparison of Portuguese dietitians' beliefs, attitudes and practices about obesity in public and private settings.
CONCLUSIONS: Portuguese dietitians present a positive mindset and actions about obesity treatment outcomes; however, education in behaviour change strategies should be improved. The public health system requires reorganization to enhance effective obesity management delivery. Motivation driving dietitians' work in private settings should be addressed. PMID: 29081334 [PubMed - as supplied by publisher] (Source: Public Health Nutrition)
Source: Public Health Nutrition - October 30, 2017 Category: International Medicine & Public Health Authors: Teixeira FV, Pais-Ribeiro JL, Maia  Tags: Public Health Nutr Source Type: research

Capacity for Cancer Care Delivery Research in National Cancer Institute Community Oncology Research Program Community Practices: Availability of Radiology and Primary Care Research Partners
Conclusions Research relationships exist between the majority of community oncology sites and affiliated radiology practices. Research relationships with affiliated primary care practices lagged. NCORP as a whole has the opportunity to encourage continued and expanded engagement where relationships exist. Where no relationship exists, the NCORP can encourage recruitment, particularly of primary care practices as partners. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - October 27, 2017 Category: Radiology Source Type: research

A Review of Current Literature on Vital Sign Assessment of Physical Activity in Primary Care
ConclusionsPreliminary evidence on the validity of both the EVS and PAVS tools support cautious use of each as a screening tool in primary care. There were no data on reliability, with limited data on tool use in diverse populations or settings. Data in children, older adults, and diverse population subgroups were lacking. Clinical RelevanceTwo brief exercise vital signs tools have each shown some initial validity for use by primary care clinicians as measures to identify patients not meeting PA guidelines. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - October 26, 2017 Category: Nursing Authors: Adrienne Wald, Carol Ewing Garber Tags: ORIGINAL MANUSCRIPT Source Type: research

Improving CKD Diagnosis and Blood Pressure Control in Primary Care: A Tailored Multifaceted Quality Improvement Programme
Conclusions: Participating practices identified large numbers of “missing” CKD patients with comparator data showing they outperformed non-QI practices locally and nationally over similar timeframes. Improved BP control also occurred through this intervention, but overall achievement of the tighter BP target in proteinuric patients was notably less.Nephron Extra 2017;7:18 –32 (Source: Nephron Extra)
Source: Nephron Extra - October 25, 2017 Category: Urology & Nephrology Source Type: research

Youth Mental Health, Family Practice, and Knowledge Translation Video Games about Psychosis: Family Physicians' Perspectives.
CONCLUSIONS: Family practitioners felt that the proposed video game KT tool could be used to address youth's mental health and addictions issues in primary care settings. PMID: 29056980 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - October 24, 2017 Category: Psychiatry Authors: Ferrari M, Suzanne A Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Physical Activity on Prescription in patients with metabolic risk factors: a 6-month follow-up study
This study included 444 patients in primary care, aged 27-85 years (56% females), who were physically inactive with at least one component of metabolic syndrome. The PAP-treatment model included: individualized dialogue concerning PA, prescribed PA, and a structured follow-up. A total of 368 patients (83%) completed the 6 months of follow-up. Of these patients, 73% increased their PA level and 42% moved from an inadequate PA level to sufficient, according to public health recommendations. There were significant improvements in the following metabolic risk factors: body mass index, waist circumference, systolic blood pressu...
Source: The European Journal of Public Health - October 20, 2017 Category: General Medicine Source Type: research

[Frequent attendance in a Primary Health Care District].
CONCLUSIONS: A major part of primary health care users make a high number of consultations. From this group, women overuse nursing and general practitioner services more compared to men. A higher prevalence of FAs was observed in smaller settings, in rural areas. Although taking the FAs:professional ratio as the bar, medium-size practices are more highly overused. PMID: 29032845 [PubMed - as supplied by publisher] (Source: Gaceta Sanitaria)
Source: Gaceta Sanitaria - October 17, 2017 Category: International Medicine & Public Health Tags: Gac Sanit Source Type: research

Insurance Status and Access to Urgent Primary Care Follow-up After an Emergency Department  Visit in 2016
Conclusion For patients without established primary care, obtaining timely follow-up after acute care in the ED is difficult, particularly for Medicaid beneficiaries. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 10, 2017 Category: Emergency Medicine Source Type: research

Topical Silver Diamine Fluoride for Dental Caries Arrest in Preschool Children: A Randomized Controlled Trial and Microbiological Analysis of Caries Associated Microbes and Resistance Gene Expression
Conclusion Average proportion of arrested caries lesions in the silver diamine fluoride group was higher (0.72; 95% CI; 0.55, 0.84) than in the placebo group (0.05; 95% CI; 0.00, 0.16). Confirmatory analysis using generalized estimating equation log-linear regression, based on the number of arrested lesions and accounting for the number of treated surfaces and length of follow-up, indicates the risk of arrested caries was significantly higher in the treatment group (relative risk, 17.3; 95% CI: 4.3 to 69.4). No harms were observed. RNA sequencing analysis identified no consistent changes in relative abundance of caries-ass...
Source: Journal of Dentistry - October 10, 2017 Category: Dentistry Source Type: research

A multilevel stakeholder approach for identifying the determinants that influence the implementation of government-funded community pharmacy services at the primary care level
A key early step to enhance the integration of community pharmacy services (CPSs) into primary care practice is identifying key determinants of practice (i.e., critical circumstances that influence the implementation of such services). Involving relevant stakeholders in identifying key determinants enables findings to be more relevant to the context in which CPSs will be implemented. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - October 5, 2017 Category: Pharmaceuticals Authors: Lutfun N. Hossain, Jacqueline Tudball, Luc ía Franco-Trigo, Desire Durks, Shalom I. Benrimoj, Daniel Sabater-Hernández Source Type: research

A multilevel stakeholder approach for identifying the determinants of implementation of government-funded community pharmacy services at the primary care level
A key early step to enhance the integration of community pharmacy services (CPSs) into primary care practice is identifying key determinants of practice (i.e., critical circumstances that influence the implementation of such services). Involving relevant stakeholders in identifying key determinants enables findings to be more relevant to the context in which CPSs will be implemented. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - October 5, 2017 Category: Pharmaceuticals Authors: Lutfun N. Hossain, Jacqueline Tudball, Luc ía Franco-Trigo, Desire Durks, Shalom I. Benrimoj, Daniel Sabater-Hernández Source Type: research

Care coordination and provider stress in primary care management of high-risk patients
ConclusionsPerceived provider stress from care of high-risk patients may arise from challenges related to coordinating their care. Our findings suggest that the perception of receiving help for high-risk patient care may be valuable in reducing provider stress. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - October 2, 2017 Category: Internal Medicine Source Type: research

Trends in acquisitions of physician practices and subsequent clinical integration: A mixed methods study
ConclusionsAmong 4 case‐studies of hospital acquisition of physician practices, the primary motivation was financial and competitive motivations. This suggests that policymakers should be mindful of the potential negative effects of these acquisitions on health care costs, as well as the uncertainty of clinical benefits. Policymakers may need supplementary strategies to deliver the goals of reduced costs and improved quality of care. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - October 1, 2017 Category: General Medicine Authors: Jacob West, Garret Johnson, Ashish K. Jha Tags: ORIGINAL ARTICLE Source Type: research

A simple screening test to recognize fibromyalgia in primary care patients with chronic pain
Abstract Rationale, aims, and objectivesPrimary care providers are increasingly expected to recognize and treat fibromyalgia (FM) without significant interaction with rheumatologists. The purpose of this study was to evaluate the potential usefulness of 3 simple measures (tenderness to digital pressure, BP cuff‐evoked pain, and a single patient question) as a screening test for possible FM in a patient with chronic pain. MethodsA total of 352 patients (mean age 50 ± 16.3 years, 70% female) scheduled for routine examination in 2 primary care practices were studied. They were comprised of 52 patients ...
Source: Journal of Evaluation in Clinical Practice - October 1, 2017 Category: General Medicine Authors: Kim D. Jones, Jonathan H. Aebischer, Amanda W. St. John, Ronald Friend, Robert M. Bennett Tags: ORIGINAL ARTICLE Source Type: research

The Collaborative Care Model for Integrated Mental Health Practice in the Pediatric Primary Care Setting: Key Skills and Approaches for Child and Adolescent Psychiatrists
The objective of this symposium is to provide evidence-based training in integrated care for members of AACAP. The APA (Psychiatry) in partnership with the AIMS Center at the University of Washington has received a grant to train 3,500 psychiatrists in the clinical and leadership skills needed to support primary care practices that are implementing integrated behavioral health programs. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2017 Category: Psychiatry Authors: Barry Sarvet, Anna Ratzliff Tags: Workshop 8 Source Type: research

Service description and analysis for an interprofessional discharge clinic within a primary care practice.
This study describes the services provided by an interprofessional discharge clinic (IDC) aimed to improve these transitions and the impact on 30-day readmission rate, medication errors, and interventions documented. Data were collected retrospectively using an electronic medical record and analysed using SAS data system. Among 167 discharged patients, 154 patients were seen by a physician only (PO) and 13 patients were seen in the IDC. Thirty-day readmission rates were 26.6% and 7.7% for patients in the PO and IDC groups, respectively (p = 0.19). Seventy patients (45.5%) in the PO group and 11 patients (84.6%) i...
Source: Journal of Interprofessional Care - September 30, 2017 Category: Health Management Tags: J Interprof Care Source Type: research

Distance-Learning, ADHD Quality Improvement in Primary Care: A Cluster-Randomized Trial
Conclusion: A 3-part clinician-focused distance-learning, quality improvement intervention did not improve rating scale use. Complementary strategies that support workflows and more fully engage clinicians may be needed to bolster care. Electronic systems that gather rating scales may help achieve this goal. Index terms: ADHD, primary care, quality improvement, clinical decision support. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - September 28, 2017 Category: Child Development Tags: Original Articles Source Type: research

Colorectal Cancer Screening: An Educational Intervention for Nurse Practitioners to Increase Screening Awareness and Participation 
.
This study aimed to determine whether an educational intervention for NPs would increase their awareness of, and increase patients' participation in, colorectal cancer screening. 
. PMID: 28945710 [PubMed - in process] (Source: Clinical Colorectal Cancer)
Source: Clinical Colorectal Cancer - September 26, 2017 Category: Cancer & Oncology Authors: Slyne TC, Gautam R, King V Tags: Clin J Oncol Nurs Source Type: research

Descriptive study of association between quality of care and empathy and burnout in primary care
The doctor-patient relationship is a crucial aspect of primary-care practice Research on associations between quality of care provision and burnout and empathy in a primary care setting could improve this rela... (Source: BMC Medical Ethics)
Source: BMC Medical Ethics - September 26, 2017 Category: Medical Ethics Authors: Oriol Yuguero, Josep Ramon Marsal, Miquel Buti, Montserrat Esquerda and Jorge Soler-Gonz ález Tags: Research article Source Type: research

Finding a voice in integrated pediatric primary care.
This narrative essay follows a psychology fellow discovering her role in an integrated pediatric primary care practice and the patient-centered care that manifests therein. (PsycINFO Database Record (c) 2017 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - September 25, 2017 Category: International Medicine & Public Health Source Type: research

Integration of Cancer Survivorship Care and Primary Care Practice
More than 10 years ago, the Institute of Medicine (IOM) released a seminal report,From Cancer Patient to Cancer Survivor: Lost in Transition. In this publication, the IOM highlighted the now more than 15 million US adults with a history of cancer and outlined necessary components of high-quality survivorship care. Not unexpectedly, implementation of the IOM recommendations relied on the availability of well-informed and responsive primary care survivorship clinicians. Yet, in the time since that report, the primary care and oncology workforce has shrunk (and will continue to do so), while clinician uncertainty and survivor...
Source: JAMA Internal Medicine - September 25, 2017 Category: Internal Medicine Source Type: research

Cancer Survivorship Care in Advanced Primary Care Practices
This case study of 12 advanced primary care practices investigates why primary care has not begun to integrate comprehensive cancer survivorship services. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - September 25, 2017 Category: Internal Medicine Source Type: research

Use of the electronic Frailty Index to identify vulnerable patients: a pilot study in primary care.
CONCLUSION: It was feasible and acceptable to use the eFI in this pilot study. A higher mean eFI in the CGA patients demonstrated construct validity for frailty identification. Practice staff recognised the potential for the eFI to identify the top 2% of vulnerable patients for avoiding unplanned admissions. PMID: 28947622 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 25, 2017 Category: Primary Care Authors: Lansbury LN, Roberts HC, Clift E, Herklots A, Robinson N, Sayer AA Tags: Br J Gen Pract Source Type: research

Co-located specialty care within primary care practice settings: A systematic review and meta-analysis
Conclusions Co-located specialty care in primary care settings may support the aims of high value care delivery. However, additional studies are needed to further evaluate the value of co-location of specific specialties and stronger data on impact to health outcomes and cost. (Source: Healthcare)
Source: Healthcare - September 23, 2017 Category: Middle East Health Source Type: research

Examination of a Nurse-led Community-based Education and Coaching Intervention for Coronary Heart Disease High-risk Individuals in China: A Cluster Randomized Controlled Trial
Conclusion A 6-month community-based intervention in a CHD high-risk population improved disease-related risk factors, depression, and HRQoL. Results provide preliminary evidence for primary prevention of cardiovascular disease risk in a community high-risk population. (Source: Asian Nursing Research)
Source: Asian Nursing Research - September 19, 2017 Category: Nursing Source Type: research

An Innovative Community-based Model for Improving Preventive Care in Rural Counties
Conclusions: Although more research is needed, our pilot study suggests that it may be feasible and cost effective to implement an innovative, county-level patient outreach program for improving preventive care in rural settings. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 18, 2017 Category: Primary Care Authors: Nagykaldi, Z. J., Scheid, D., Zhao, D., Mishra, B., Greever-Rice, T. Tags: Original Research Source Type: research

Coronary Artery Calcium Progression Is Associated with Cardiovascular Events Among Asymptomatic Individuals: From the North Texas Primary Care Practice-based Research Network (NorTex-PBRN)
Conclusions: Overall, several baseline risk factors remained significant after adjusting for age and sex. CAC progression was independently associated with a composite CVD event. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 18, 2017 Category: Primary Care Authors: Cardarelli, R., Hall, A., Rankin, W. Tags: Original Research Source Type: research

Shared Decision Making and Time to Exacerbation in Children with Asthma.
CONCLUSIONS: SDM was found to delay exacerbations among children with asthma. Clinicians should consider incorporating patient preferences in treatment decisions through SDM as a means for longer exacerbation free time among children with poor asthma control. PMID: 28892418 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 13, 2017 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Increasing confidence and changing behaviors in primary care providers engaged in genetic counselling
Screening and counseling for genetic conditions is an increasingly important part of primary care practice, particularly given the paucity of genetic counselors in the United States. However, primary care phys... (Source: BMC Medical Education)
Source: BMC Medical Education - September 13, 2017 Category: Universities & Medical Training Authors: Michael S. Wilkes, Frank C. Day, Tonya L. Fancher, Haley McDermott, Erik Lehman, Robert A. Bell and Michael J. Green Tags: Research article Source Type: research

Controlled Substance Agreements for Opioids in a Primary Care Practice
ConclusionsCSAs present an opportunity to engage patients taking higher doses of opioids in discussions about opioid safety, appropriate dosing and tapering. CSAs could be leveraged to develop a population health management approach to the care of patients with CNCP. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - September 12, 2017 Category: Pharmaceuticals Source Type: research

Behavioral Health Integration into Primary Care: a Microsimulation of Financial Implications for Practices
ConclusionsNew Medicare payments may offer financial viability for primary care practices to integrate behavioral health services, but this viability depends on the approach toward care integration. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - September 12, 2017 Category: Internal Medicine Source Type: research

Building managed primary care practice networks to deliver better clinical care: a qualitative semi-structured interview study.
CONCLUSION: Commissioners and providers were positive about the implementation of GP networks as a way to improve the quality of clinical care in Tower Hamlets. The issues that arose may be of relevance to other areas implementing similar quality improvement programmes at scale. PMID: 28893768 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 11, 2017 Category: Primary Care Authors: Pawa J, Robson J, Hull S Tags: Br J Gen Pract Source Type: research

The impact of tailored intervention services on charges and mortality for adult super-utilizers
Conclusions The use of tailored services, including a dedicated intensive outpatient clinic, for super-utilizers within a larger primary care practice transformation reduced mortality and provided significant savings, even while total hospitalizations increased. These savings were achieved through a reduction in the intensity of inpatient services. The unexpected finding of a reduction in ICU charges deserves further exploration. Implications These findings suggest that intensity of inpatient service, and not merely volume of services, should be considered a focus for future intervention design and evaluated as an out...
Source: Healthcare - September 10, 2017 Category: Middle East Health Source Type: research

Systematic review investigating multi-disciplinary team approaches to screening and early diagnosis of dementia in primary care - what are the positive and negative effects and who should deliver it?
CONCLUSIONS: Early diagnostic and screening programme have not been widely adopted into primary care. Until there is rigorous evidence assessing the clinical and cost-effectiveness of such programmes, there remains insufficient evidence to support the adoption of these programmes in practice. PMID: 28891442 [PubMed - as supplied by publisher] (Source: Current Alzheimer Research)
Source: Current Alzheimer Research - September 7, 2017 Category: Neurology Authors: Smith T, Cross J, Poland F, Brookes A, Maidment I, Penhale B, Laidlaw K, Fox C Tags: Curr Alzheimer Res Source Type: research