Increased Organizational Stress in Primary Care: Understanding the Impact of the COVID-19 Pandemic, Medicaid Expansion, and Practice Ownership
Conclusions:
Primary care practices are resilient and continue to serve their communities, including a broad scope of services and care for underserved people. However, the COVID-19 pandemic caused significant stress. With an increase in clinicians leaving clinical practice, we anticipate worsening access to primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Britz, J. B., Huffstetler, A. N., Brooks, E. M., Richards, A., Sabo, R. T., Webel, B. K., McCray, N., Krist, A. H. Tags: Original Research Source Type: research
Language Access Systems Improvement initiative: impact on professional interpreter utilisation, a natural experiment
Conclusions
LASI increased utilisation of professional interpreters; however, this was least prominent for partially language concordant visits. Health systems wishing to implement LASI or similar interventions will need to support clinicians and patients with partial bilingual skills in their efforts to use professional interpreters.
Trial registration number
HSRP20153367. (Source: BMJ Open)
Source: BMJ Open - January 4, 2024 Category: General Medicine Authors: Karliner, L. S., Gregorich, S. E., Mutha, S., Kaplan, C., Livaudais-Toman, J., Pathak, S., Garcia, M. E., Diamond, L. Tags: Open access, Communication Source Type: research
Access to automated comparative feedback reports in primary care – a study of intensity of use and relationship with clinical performance among Swedish primary care practices
Digital applications that automatically extract information from electronic medical records and provide comparative visualizations of the data in the form of quality indicators to primary care practices may fa... (Source: BMC Health Services Research)
Source: BMC Health Services Research - January 4, 2024 Category: General Medicine Authors: Anders Anell, Eva Arvidsson, Margareta Dackehag, Lina Maria Elleg ård and Anna Häger Glenngård Tags: Research Source Type: research
Using Implementation Science to Develop a Familial Hypercholesterolemia Screening Program in Primary Care: the CARE-FH Study
Routine screening of cholesterol levels is recommended in primary care practices for atherosclerotic cardiovascular disease (ASCVD) prevention in children and adults.1-3 Screening of cholesterol and genetic testing is important to identify individuals with familial hypercholesterolemia (FH).4-6 Approximately 17,500 deaths per year and 20% of heart attacks in people under the age of 45 are attributable to FH.7 If FH is identified in childhood or young adulthood, future cardiovascular events can be prevented. (Source: Journal of Clinical Lipidology)
Source: Journal of Clinical Lipidology - January 3, 2024 Category: Lipidology Authors: Laney K. Jones, Katrina M. Romagnoli, Tyler J. Schubert, Katarina Clegg, H. Lester Kirchner, Yirui Hu, Dylan Cawley, Victoria Norelli, Marc S. Williams, Samuel S. Gidding, Alanna K. Rahm Tags: Original Research Source Type: research
The metabolomic signature of weight loss and remission in the Diabetes Remission Clinical Trial (DiRECT)
Conclusions/interpretationWe have characterised the metabolomic effects of an integrated weight management programme previously shown to deliver weight loss and diabetes remission. A large proportion of the metabolome appears to be modifiable. Patterns of change were largely and strikingly opposite to perturbances previously documented with the development of type 2 diabetes.Data availabilityThe data used for analysis are available on a research data repository (https://researchdata.gla.ac.uk/) with access given to researchers subject to appropriate data sharing agreements. Metabolite data preparation, data pre-processing,...
Source: Diabetologia - January 1, 2024 Category: Endocrinology Source Type: research
Healthcare resource utilisation and costs of hospitalisation and primary care among adults with COVID-19 in England: a population-based cohort study
Conclusions
COVID-19-related hospitalisations in older adults, particularly critical care stays, were the primary drivers of high COVID-19 resource use in England. These findings may inform health policy decisions and resource allocation in the prevention and management of COVID-19. (Source: BMJ Open)
Source: BMJ Open - December 28, 2023 Category: General Medicine Authors: Yang, J., Andersen, K. M., Rai, K. K., Tritton, T., Mugwagwa, T., Reimbaeva, M., Tsang, C., McGrath, L. J., Payne, P., Backhouse, B. E., Mendes, D., Butfield, R., Naicker, K., Araghi, M., Wood, R., Nguyen, J. L. Tags: Open access, Infectious diseases, COVID-19 Source Type: research
Pain management in infant immunisation: A cross-sectional survey of UK primary care nurses
This study aimed to explore primary care practice nurses' (PNs) use of evidence-based pain management strategies during infant immunisation, as well as barriers to evidence-based practice.METHODS: A questionnaire was developed and distributed to nurses throughout the UK via convenience sampling in paper and online formats. Questions assessed the frequency of pain management intervention use during infant immunisation and barriers to their use.FINDINGS: A total of 255 questionnaire responses were received. Over 90% (n = 226) of respondents never used topical anaesthetics or sweet solutions during immunisations, while 41.9% ...
Source: Primary Care - December 21, 2023 Category: Primary Care Authors: Annie P Mabbott Helen Bedford Source Type: research
Pain management in infant immunisation: A cross-sectional survey of UK primary care nurses
This study aimed to explore primary care practice nurses' (PNs) use of evidence-based pain management strategies during infant immunisation, as well as barriers to evidence-based practice.METHODS: A questionnaire was developed and distributed to nurses throughout the UK via convenience sampling in paper and online formats. Questions assessed the frequency of pain management intervention use during infant immunisation and barriers to their use.FINDINGS: A total of 255 questionnaire responses were received. Over 90% (n = 226) of respondents never used topical anaesthetics or sweet solutions during immunisations, while 41.9% ...
Source: Primary Care - December 21, 2023 Category: Primary Care Authors: Annie P Mabbott Helen Bedford Source Type: research
What would primary care practitioners do differently after a delayed cancer diagnosis? Learning lessons from their experiences
CONCLUSION (IMPLICATIONS): To achieve more timely cancer diagnosis, PCPs need to provide a long-term, holistic and active approach with effective communication, and to ensure shared decision-making, follow-up and continuing re-assessment of the patients' clinical conditions.PMID:38116949 | DOI:10.1080/02813432.2023.2296117 (Source: Primary Care)
Source: Primary Care - December 20, 2023 Category: Primary Care Authors: Tuomas H Koskela Magdalena Esteva Marcello Mangione Sara Contreras Martos Senada Hajdarevic Cecilia H ögberg Merc è Marzo-Castillejo Jolanta Sawicka-Powierza Vija Sili ņa Michael Harris Davorina Petek Source Type: research
What would primary care practitioners do differently after a delayed cancer diagnosis? Learning lessons from their experiences
CONCLUSION (IMPLICATIONS): To achieve more timely cancer diagnosis, PCPs need to provide a long-term, holistic and active approach with effective communication, and to ensure shared decision-making, follow-up and continuing re-assessment of the patients' clinical conditions.PMID:38116949 | DOI:10.1080/02813432.2023.2296117 (Source: Primary Care)
Source: Primary Care - December 20, 2023 Category: Primary Care Authors: Tuomas H Koskela Magdalena Esteva Marcello Mangione Sara Contreras Martos Senada Hajdarevic Cecilia H ögberg Merc è Marzo-Castillejo Jolanta Sawicka-Powierza Vija Sili ņa Michael Harris Davorina Petek Source Type: research
The Comprehensive Primary Care Plus Model and Health Care Spending, Service Use, and Quality
This study tests whether the Centers for Medicare& Medicaid Services ’ Comprehensive Primary Care Plus model, which provided payment, data feedback, learning, and health information technology supports for more than 3000 US primary care practices, was associated with lower health care spending and utilization and improved quality of care. (Source: JAMA - Journal of the American Medical Association)
Source: JAMA - Journal of the American Medical Association - December 15, 2023 Category: General Medicine Source Type: research
"Returning to the core tasks": a qualitative interview study about how general practitioners in home health care solved problems during the COVID-19 pandemic
CONCLUSION: This study indicates that a healthcare system that gives HHC physicians agency to focus on core tasks and professional values could promote person-centered care.PMID:38095568 | DOI:10.1080/02813432.2023.2291676 (Source: Primary Care)
Source: Primary Care - December 14, 2023 Category: Primary Care Authors: Caroline Wachtler Monica Bergqvist Katarina Holmgren Stina Mannheimer Pia Bastholm-Rahmner Katharina Schmidt-Mende Source Type: research
A diabetes registrar assisted workflow intervention in general practice for systematic initiation of cardiorenal medications for patients with type 2 diabetes and albuminuria in Aotearoa New Zealand
CONCLUSIONS: A visiting diabetes registrar intervention was successful in initiating guideline medications for T2D in primary care. It remains to be evaluated whether this leads to practice-wide improvements in prescribing gaps in the short or longer term.PMID:38096435 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 14, 2023 Category: General Medicine Authors: Anjana Niyagama Allan Moffitt Mahesh Patel Minnie Strickland Sara Aprea Lynne Chepulis Ryan Paul Ole Schmiedel Rinki Murphy Source Type: research
"Returning to the core tasks": a qualitative interview study about how general practitioners in home health care solved problems during the COVID-19 pandemic
CONCLUSION: This study indicates that a healthcare system that gives HHC physicians agency to focus on core tasks and professional values could promote person-centered care.PMID:38095568 | DOI:10.1080/02813432.2023.2291676 (Source: Primary Care)
Source: Primary Care - December 14, 2023 Category: Primary Care Authors: Caroline Wachtler Monica Bergqvist Katarina Holmgren Stina Mannheimer Pia Bastholm-Rahmner Katharina Schmidt-Mende Source Type: research
A diabetes registrar assisted workflow intervention in general practice for systematic initiation of cardiorenal medications for patients with type 2 diabetes and albuminuria in Aotearoa New Zealand
CONCLUSIONS: A visiting diabetes registrar intervention was successful in initiating guideline medications for T2D in primary care. It remains to be evaluated whether this leads to practice-wide improvements in prescribing gaps in the short or longer term.PMID:38096435 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 14, 2023 Category: General Medicine Authors: Anjana Niyagama Allan Moffitt Mahesh Patel Minnie Strickland Sara Aprea Lynne Chepulis Ryan Paul Ole Schmiedel Rinki Murphy Source Type: research
