Electronic Health Record Mid-Parental Height Auto-Calculator for Growth Assessment in Primary Care
This study sought to determine the feasibility and functionality of an electronic mid-parental height (MPH) auto-calculator in the clinical assessment of child growth in a pediatric primary care setting. Clinicians completed surveys for 62% of 6803 children (mean height 13 ± 7 percentile) with recorded parent heights. Collecting parent height data required
Source: Clinical Pediatrics - September 13, 2016 Category: Pediatrics Authors: Lipman, T. H., Cousounis, P., Grundmeier, R. W., Massey, J., Cucchiara, A. J., Stallings, V. A., Grimberg, A. Tags: Articles Source Type: research

Evidence, Engagement, and Technology: Themes of and the State of Primary Care Practice-based Network Research
Practice-based research supported by practice-based research network (PBRN) infrastructure has historically provided an important method for challenging guidelines and evidence arising from secondary and tertiary care settings. This sample of current practice-based research in this issue of the JABFM provides an opportunity to ask whether practice-based research continues to address questions relevant to primary care practices and clinicians and whether a PBRN infrastructure is instrumental to maintaining the relevance and feasibility of practice-based research. Based on this issue's articles, the current state of practice...
Source: Journal of the American Board of Family Medicine - September 9, 2016 Category: Primary Care Authors: Nease, D. E. Tags: Commentary Source Type: research

A Practice Facilitation and Academic Detailing Intervention Can Improve Cancer Screening Rates in Primary Care Safety Net Clinics
Conclusions: Combining practice facilitation and academic detailing is 1 method through which primary care practices can achieve systems-level changes to better manage patient population health. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 9, 2016 Category: Primary Care Authors: Mader, E. M., Fox, C. H., Epling, J. W., Noronha, G. J., Swanger, C. M., Wisniewski, A. M., Vitale, K., Norton, A. L., Morley, C. P. Tags: Original Research Source Type: research

Local Learning Collaboratives to Improve Quality for Chronic Kidney Disease (CKD): From Four Regional Practice-based Research Networks (PBRNs)
Conclusion: While PBRNs can successfully leverage resources to diffuse treatment guidelines, and LLCs are well-accepted by clinical staff, the formation of LLCs was not feasible for 1 PBRN, and others struggled to meet regularly and have performance data available despite logistic support. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 9, 2016 Category: Primary Care Authors: Lipman, P. D., Aspy, C. B. Tags: Original Research Source Type: research

Decision-to-Implement Worksheet for Evidence-based Interventions: From the WWAMI Region Practice and Research Network
This article describes an assessment tool we developed for use by primary care clinicians and practice administrators to evaluate whether to implement recommended evidence-based interventions in their practices. Methods: We used dissemination and implementation theory to develop a worksheet to guide decision making about whether interventions are suitable for implementation in primary care practice settings. We tested the tool by analyzing how members of a primary care practice-based research network rated 4 evidence-based interventions. Results: The median likelihood of implementation ranged from 2 to 3.5 on a scale of ...
Source: Journal of the American Board of Family Medicine - September 9, 2016 Category: Primary Care Authors: Johnson, K., Tuzzio, L., Renz, A., Baldwin, L.-M., Parchman, M. Tags: Original Research Source Type: research

Use of Clinical Decision Support to Improve Primary Care Identification and Management of Chronic Kidney Disease (CKD)
Background: Early detection of chronic kidney disease (CKD) can lead to interventions to prevent renal failure and reduce risk for cardiovascular disease, yet adherence to treatment goals is suboptimal in the primary care setting. The purpose of this study was to assess whether clinical decision support (CDS) can be used to improve the identification and management of CKD. Methods: This 2 year demonstration study was conducted in 11 primary care PPRNet practices. CDS included a risk assessment tool, health maintenance protocols, flow chart and a patient registry. Practices received performance reports and hosted annual ha...
Source: Journal of the American Board of Family Medicine - September 9, 2016 Category: Primary Care Authors: Litvin, C. B., Hyer, J. M., Ornstein, S. M. Tags: Original Research Source Type: research

Patient Factors Influencing Respiratory-Related Clinician Actions in Chronic Obstructive Pulmonary Disease Screening
Conclusions Routine chronic obstructive pulmonary disease screening appears to promote respiratory-related clinician actions in patients with a high likelihood for disease who have respiratory complaints or already use prescribed respiratory medication. (Source: American Journal of Preventive Medicine)
Source: American Journal of Preventive Medicine - September 9, 2016 Category: Global & Universal Source Type: research

Formative evaluation of practice changes for managing depression within a Shared Care model in primary care.
Abstract Aim To investigate the implementation and initial impact of the Physician Integrated Network (PIN) mental health indicators, which are specific to screening and managing follow-up for depression, in three primary care practices with Shared Mental Health Care in Manitoba. BACKGROUND: Manitoba Health undertook a primary care renewal initiative in 2006 called the PIN, which included the development of mental health indicators specific to screening and managing follow-up for depression. These indicators were implemented in three PIN group practice sites in Manitoba, which are also part of Shared Mental H...
Source: Primary Care - September 9, 2016 Category: Primary Care Authors: Beaulac J, Edwards J, Steele A Tags: Prim Health Care Res Dev Source Type: research

Impact of the Cincinnati Aligning Forces for Quality Multi-Payer Patient Centered Medical Home Pilot on Health Care Quality, Utilization, and Costs
To evaluate the potential for a patient-centered medical home initiative to reduce utilization and cost while improving quality, we examined a natural experiment involving 11 primary care practices in Cincinnati, Ohio, that participated in the Aligning Forces for Quality Multi-Payer Patient Centered Medical Home pilot. Our research design involved difference-in-difference analyses, comparing changes in utilization, costs, and quality between patients attributed to pilot practices compared with those attributed to a matched comparison cohort after 2 years of active engagement by the practices. The Cincinnati pilot was assoc...
Source: Medical Care Research and Review - September 8, 2016 Category: Health Management Authors: Rosenthal, M. B., Alidina, S., Friedberg, M. W., Singer, S. J., Eastman, D., Li, Z., Schneider, E. C. Tags: Empirical Research Source Type: research

Associations between Extending Access to Primary Care and Emergency Department Visits: A Difference-In-Differences Analysis
ConclusionsThe study found that extending access was associated with a reduction in emergency department visits in the first 12 months. The results of the research have already informed the decision by National Health Service England to extend primary care access across Greater Manchester from 2016. However, further evidence is needed to understand whether extending primary care access is cost-effective and sustainable. (Source: PLoS Medicine)
Source: PLoS Medicine - September 6, 2016 Category: Internal Medicine Authors: William Whittaker Source Type: research

Early Experiences Engaging Patients Through Patient and Family Advisory Councils
We report early experiences with Patient and Family Advisory Councils (PFACs) from interviews of patients and practice staff in the Comprehensive Primary Care initiative, and identify ways to improve PFACs. Patients and practice staff report PFACs help practices elicit patient feedback and, in response, improve care delivery. Nonetheless, there are areas for refinement, including recruiting more diverse patients, providing an orientation to members, overcoming reticence of some patients to raise issues, and increasing transparency by sharing progress with PFAC members and patients in the practice more generally. (Source: T...
Source: The Journal of Ambulatory Care Management - September 1, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

The Patient-Centered Medical Home: Part IlIl: Time to Play Ball!
This article presents a general overview of the PCMH model and briefly explains how it relates to the other healthcare reforms taking place. PMID: 29944798 [PubMed] (Source: The Journal of Medical Practice Management : MPM)
Source: The Journal of Medical Practice Management : MPM - September 1, 2016 Category: Practice Management Authors: Blubaugh S Tags: J Med Pract Manage Source Type: research

Family History in Periodic Fever, Aphthous Stomatitis, Pharyngitis, Adenitis (PFAPA) Syndrome
OBJECTIVE: The goal of this study was to describe family history and inheritance patterns in patients with periodic fever, aphthous stomatitis, pharyngitis, cervical adenitis (PFAPA) syndrome. METHODS: We performed a case–control study to compare the family histories of patients with PFAPA recruited from Vanderbilt University Medical Center and matched healthy control subjects from a pediatric primary care practice in Nashville, Tennessee, by using a structured questionnaire. Characteristics of paired case subjects, control subjects, and their family members were compared by using McNemar’s test and Wilcoxon s...
Source: PEDIATRICS - September 1, 2016 Category: Pediatrics Authors: Manthiram, K., Nesbitt, E., Morgan, T., Edwards, K. M. Tags: Infectious Disease, Rheumatology/Musculoskeletal Disorders Article Source Type: research

Survey on booster vaccination consultations
VETERINARY surgeons who treat dogs and/or cats are invited to complete a survey to tell us what they currently do during booster vaccination consultations, and to share their opinions on how the benefits of these consultations could be maximised. The aim of this work is to produce a tool or resource which is practical to use in a primary care practice setting, and this will be made freely available to the veterinary profession. The survey is being carried out by the Centre for Evidence-based Veterinary Medicine at the University of Nottingham as part of a wider project which also involves reviewing the veterinary literatur...
Source: Veterinary Record - September 1, 2016 Category: Veterinary Research Authors: Robinson, N., Dean, R., Brennan, M. Tags: Letter Source Type: research

A novel tool for assessing primary care quality at the point of care in Vietnam.
CONCLUSION: This behaviourally-anchored rating scale is a feasible tool for use in direct observation of primary care practice delivery in developing settings. More work is needed to refine this tool and assess its sensitivity, validity and reliability. PMID: 27583531 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - September 1, 2016 Category: Primary Care Authors: Thornblade LW, Henry EG, Minh Tam N, Markuns JF Tags: Educ Prim Care Source Type: research

Dissemination and implementation research in primary care practice-based research networks.
DISSEMINATION AND IMPLEMENTATION RESEARCH IN PRIMARY CARE PRACTICE-BASED RESEARCH NETWORKS. Ann Fam Med. 2016 Sep;14(5):481-2 Authors: Dolor R, Fagnan LJ PMID: 27621170 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - September 1, 2016 Category: Primary Care Authors: Dolor R, Fagnan LJ Tags: Ann Fam Med Source Type: research

Effects of New Funding Models for Patient-Centered Medical Homes on Primary Care Practice Finances and Services: Results of a Microsimulation Model.
CONCLUSIONS: PCMH funding through PMPM payments could substantially improve practice finances but will not offer sufficient financial incentives to expand services beyond minimum requirements for PCMH funding. PMID: 27621156 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - September 1, 2016 Category: Primary Care Authors: Basu S, Phillips RS, Song Z, Landon BE, Bitton A Tags: Ann Fam Med Source Type: research

A Markov model assessing the impact on primary care practice revenues and patient's health when using mid ‐level providers, lesson learned from the United Kingdom
ConclusionIn a time of limited funds for dental services, these results suggest that resources in public funded systems could be saved using mid‐level providers in dental practices, without any health risk to patients or capital investment. (Source: Journal of Public Health Dentistry)
Source: Journal of Public Health Dentistry - September 1, 2016 Category: Dentistry Authors: Harry Hill, Richard Macey, Paul Brocklehurst Tags: Original Article Source Type: research

Use of a Tablet-Based Risk Assessment Program to Improve Health Counseling and Patient-Provider Relationships in a Federally Qualified Health Center
This study evaluates the impact of an interactive, tablet-based lifestyle behavior questionnaire prior to a patient’s primary care visit on counseling for health behaviors and patient–provider relationships. Using a quasi-experimental design at 2 federally qualified health centers, adults aged 18 to 35 years were asked to complete a tablet-based assessment about nutrition, physical activity, weight, smoking status, and alcohol use to identify unhealthy behaviors and their desire to discuss them with their provider. In the intervention group, participants were more likely to trust their providers (83% vs 71%, P ...
Source: American Journal of Medical Quality - August 31, 2016 Category: Health Management Authors: Diaz, V. A., Mainous, A. G., Gavin, J. K., Player, M. S., Wright, R. U. Tags: Articles Source Type: research

Thyroid Disorders in Children and Adolescents
This review provides a practical review of the presentation, evaluation, and treatment of thyroid disorders commonly encountered in a primary care practice. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - August 29, 2016 Category: Pediatrics Source Type: research

Perspectives on Primary Care Practice
(Source: International Journal of Pharmacy Practice)
Source: International Journal of Pharmacy Practice - August 29, 2016 Category: Drugs & Pharmacology Tags: Perspectives on Primary Care Practice Source Type: research

The financial impact of team-based care on primary care.
CONCLUSIONS: The findings from this study are consistent with other economic analyses of team-based care and suggest that payment for care must be restructured if patients are expected to enjoy the benefits of team-based primary care. PMID: 27556830 [PubMed - as supplied by publisher] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - August 25, 2016 Category: Health Management Authors: Kottke TE, Maciosek MV, Huebsch JA, McGinnis P, Nichols JM, Parker ED, Tillema JO Tags: Am J Manag Care Source Type: research

Delivering Integrated Care to the Frail Elderly: The Impact on Professionals ’ Objective Burden and Job Satisfaction
Conclusion and Discussion:Integrated working is likely to increase objective burden as it requires professionals to perform additional activities that are largely unrelated to actual patient care. Implications for research and practice are discussed. [Current Controlled Trials ISRCTN05748494]. Published on 2016-08-17 12:23:15 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - August 18, 2016 Category: Nursing Source Type: research

Behavioral Health Screening among Massachusetts Children Receiving Medicaid
To assess the impact of a Massachusetts Medicaid policy change (the Children's Behavioral Health Initiative; CBHI, which required and reimbursed behavioral health [BH] screening with standardized tools at well child visits and developed intensive home- and community-based BH services) on primary care practice examining the relationship of BH screening to subsequent BH service utilization. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - August 18, 2016 Category: Pediatrics Authors: Judith A. Savageau, David Keller, Georgianna Willis, Kathleen Muhr, Gideon Aweh, Jack Simons, Emily Sherwood Tags: Original Articles Source Type: research

Acute Health Care Utilization among Food-insecure Children in Primary Care Practices.
This study suggests that the risk of FI among three-year olds cannot be reliably predicted based on acute health care use patterns, and FI may not be associated with subsequent acute health care use. PMID: 27524757 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 17, 2016 Category: Global & Universal Authors: Palakshappa D, Khan S, Feudtner C, Fiks AG Tags: J Health Care Poor Underserved Source Type: research

Providers ’ Access of Imaging Versus Only Reports: A System Log File Analysis
Conclusions Consideration for differences in the need to access images compared with text-only reports based on the type of provider and setting of care are needed to maximize the benefits of image sharing for patient care. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - August 16, 2016 Category: Radiology Source Type: research

Using Maintenance of Certification (MOC) as a Tool to Improve the Delivery of Confidential Care for Adolescent Patients
Providing adolescents with confidential health care results in better social and health outcomes. We sought to assess if a medical board Maintenance of Certification Part IV (MOC IV) project could improve the delivery of confidential care to minor adolescent patients seen in outpatient primary care practices. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - August 16, 2016 Category: OBGYN Authors: Margaret Riley, Sana Ahmed, Jennifer Lane, Barbara D. Reed, Amy Locke Source Type: research

Effect of care management program structure on implementation: a normalization process theory analysis
Care management in primary care can be effective in helping patients with chronic disease improve their health status, however, primary care practices are often challenged with implementation. Further, there a... (Source: BMC Health Services Research)
Source: BMC Health Services Research - August 15, 2016 Category: Journals (General) Authors: Jodi Summers Holtrop, Georges Potworowski, Laurie Fitzpatrick, Amy Kowalk and Lee A. Green Source Type: research

Primary Care Appointment Availability for Medicaid Patients: Comparing Traditional and Premium Assistance Plans
In this study, we compare new patient primary care appointment availability and wait-times for beneficiaries of traditional Medicaid and premium assistance Medicaid. Methods: Trained field staff posing as patients, randomized to traditional Medicaid or Marketplace plans, called primary care practices seeking new patient appointments in Arkansas and Iowa in May to July 2014. All calls were made to offices that previously indicated being in-network for the plan. Offices were drawn randomly, within insurance type, based on the county proportion of the population with each insurance type. We calculated appointment rates and w...
Source: Medical Care - August 13, 2016 Category: Health Management Tags: Original Articles Source Type: research

Depression risk in female patients with osteoporosis in primary care practices in Germany
This study was a retrospective database analysis conducted in Germany utilizing the Disease Analyzer ® Database (IMS Health, Germany). The study population included 70,966 patients between 40 and 80 years of age from 1072 primary care practices. The observation period was between 2004 and 2013. Follow-up duration was 5 years and was completed in April 2015. A total of 35,483 osteoporosis patient s were selected after applying exclusion criteria, and 35,483 controls were chosen and then matched (1:1) to osteoporosis patients based on age, sex, health insurance coverage, depression diagnosis in the past, and fo...
Source: Osteoporosis International - August 12, 2016 Category: Orthopaedics Source Type: research

A successful lifestyle intervention model replicated in diverse clinical settings.
Authors: Mark S, Du Toit S, Noakes TD, Nordli K, Coetzee D, Makin M, Van der Spuy S, Frey J, Wortman J Abstract Lifestyle interventions can treat metabolic syndrome and prevent type 2 diabetes mellitus, but they remain underutilised in routine practice. In 2010, an LI model was created in a rural primary care practice and spread with few resources to four other rural practices. A retrospective chart review evaluated changes in health indicators in two practice environments by following 372 participants, mainly women (mean age 52 years). Participants had a mean body mass index of 37 kg/m2at baseline and lost an aver...
Source: South African Medical Journal - August 10, 2016 Category: African Health Tags: S Afr Med J Source Type: research

Women ’s Use of Health Care in the First 2 Years Postpartum: Occurrence and Correlates
Conclusions for Practice Among women already enrolled in a primary care practice at our medical center, health care utilization in the late postpartum period is high, but not universal. Understanding the characteristics of women who return for health care during this window, and where they are seen, can improve transitions of care across the life course and can provide opportunities for important and consistent interconception and well-woman messaging. (Source: Maternal and Child Health Journal)
Source: Maternal and Child Health Journal - August 9, 2016 Category: Health Management Source Type: research

Primary care’s rising role in behavioral health requires specialty partnerships
Amid rising suicide rates and a raging opioid crisis, the key to improving behavioral health care services nationally is to structure primary care practices for collaborative care, according to... (Source: Clinical Psychiatry News)
Source: Clinical Psychiatry News - August 8, 2016 Category: Psychiatry Source Type: research

Delivering On Accountable Care: Lessons From A Behavioral Health Program To Improve Access And Outcomes [Behavioral Health]
Patients with behavioral health disorders often have worse health outcomes and have higher health care utilization than patients with medical diseases alone. As such, people with behavioral health conditions are important populations for accountable care organizations (ACOs) seeking to improve the efficiency of their delivery systems. However, ACOs have historically faced numerous barriers in implementing behavioral health population-based programs, including acquiring reimbursement, recruiting providers, and integrating new services. We developed an evidence-based, all-payer collaborative care program called Behavioral He...
Source: Health Affairs - August 8, 2016 Category: Global & Universal Authors: Clarke, R. M. A., Jeffrey, J., Grossman, M., Strouse, T., Gitlin, M., Skootsky, S. A. Tags: Health Care Finance, Health Reform, Mental Health/Substance Abuse Behavioral Health Source Type: research

Depression risk in patients with late-onset rheumatoid arthritis in Germany
AbstractGoalThe goal of this study was to determine the prevalence of depression and its risk factors in patients with late-onset rheumatoid arthritis (RA) treated in German primary care practices.MethodsLongitudinal data from general practices (n=1072) throughout Germany were analyzed. Individuals initially diagnosed with RA (2009 –2013) were identified, and 7301 patients were included and matched (1:1) to 7301 controls. The primary outcome measure was the initial diagnosis of depression within 5 years after the index date in patients with and without RA. Cox proportional hazards models were used to adjust for ...
Source: Quality of Life Research - August 8, 2016 Category: Health Management Source Type: research

The walk-in clinic model improves access to psychiatry in primary care
The objective of this study was to increase the proportion of filled initial psychiatry appointments in an urban, hospital-based primary care practice. (Source: Journal of Psychosomatic Research)
Source: Journal of Psychosomatic Research - August 7, 2016 Category: Psychiatry & Psychology Authors: David S. Kroll, Annie Chakravartti, Kate Gasparrini, Carol Latham, Paul Davidson, Martha Byron-Burke, David F. Gitlin Source Type: research

Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design
Conclusion. EHR vendors should work with stakeholder groups to improve the AVS to ensure that this important communication device achieves its patient-centered potential. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Federman, A. D., Sanchez-Munoz, A., Jandorf, L., Salmon, C., Wolf, M. S., Kannry, J. Tags: Research and Applications Source Type: research

Instrument-based pediatric vision screening
Purpose of review:The purpose is to review currently available instruments for vision screening in young children. Recent findings:Instrumentation continues to evolve. Although the current generation of photoscreeners and autorefractors strive to identify amblyopia risk factors, newer technology aims to directly identify amblyopia in young children. Acceptance of instrument-based vision screening for this population has led to increased reimbursement for the procedure in primary care practices. Summary:Instrument-based vision screening in the young child is an accepted method of screening for amblyopia. Innovations in in...
Source: Current Opinion in Ophthalmology - August 6, 2016 Category: Opthalmology Tags: PEDIATRICS AND STRABISMUS: Edited by Kammi B. Gunton Source Type: research

Real-world persistence and adherence to oral anticoagulation for stroke risk reduction in patients with atrial fibrillation
Aim To assess persistence and adherence to rivaroxaban, dabigatran, and vitamin K antagonist (VKA) treatment in primary care patients with non-valvular atrial fibrillation (AF) newly starting anticoagulant therapy. Methods and results Prescription data for oral anticoagulants were obtained from 7265 eligible patients from primary care practices across Germany. Persistence with and adherence to anticoagulation were assessed in anticoagulant-naïve patients with AF newly treated with dabigatran, rivaroxaban, or VKA during follow-up periods of at least 180 days, respectively 360 days after the prescription date. Persistence...
Source: Europace - August 5, 2016 Category: Cardiology Authors: Beyer-Westendorf, J., Ehlken, B., Evers, T. Tags: Atrial fibrillation Source Type: research

Adverse Renal, Endocrine, Hepatic, and Metabolic Events during Maintenance Mood Stabilizer Treatment for Bipolar Disorder: A Population-Based Cohort Study
by Joseph F. Hayes, Louise Marston, Kate Walters, John R. Geddes, Michael King, David P. J. Osborn BackgroundThere is limited, poorly characterized information about adverse events occurring during maintenance treatment of bipolar disorder. We aimed to determine adverse event rates during treatment with lithium, valproate, olanzapine, and quetiapine. Methods and FindingsWe conducted a propensity score adjusted cohort study using nationally representative United Kingdom electronic health records from January 1, 1995, until December 31, 2013. We included patients who had a diagnosis of bipolar disorder and were prescribed li...
Source: PLoS Medicine - August 2, 2016 Category: Internal Medicine Authors: Joseph F. Hayes Source Type: research

Impact of a Web-Portal Intervention on Community ADHD Care and Outcomes
CONCLUSIONS: A technology-assisted QI intervention improved some ADHD care quality and resulted in additional reductions in parent-rated ADHD symptoms among patients prescribed ADHD medications. (Source: PEDIATRICS)
Source: PEDIATRICS - August 1, 2016 Category: Pediatrics Authors: Epstein, J. N., Kelleher, K. J., Baum, R., Brinkman, W. B., Peugh, J., Gardner, W., Lichtenstein, P., Langberg, J. M. Tags: Developmental/Behavioral Pediatrics, Attention-Deficit/Hyperactivity Disorder (ADHD), Administration/Practice Management, Quality Improvement Article Source Type: research

Uptake of childhood influenza vaccine from 2012-2013 to 2014-2015 in the UK and the implications for high-risk children: a retrospective observational cohort study
Conclusions The introduction of a universal childhood vaccination policy in the UK increased vaccination rates for targeted children, including those with high-risk conditions. (Source: BMJ Open)
Source: BMJ Open - August 1, 2016 Category: Journals (General) Authors: Rajaram, S., Steffey, A., Blak, B., Hickman, M., Christensen, H., Caspard, H. Tags: Open access, Health policy, Infectious diseases, Paediatrics, Public health Research Source Type: research

Confronting the Problem of Obesity in Dogs and Cats
It has been over 20 years since Lund and colleagues1 collected data on more than 30,000 dogs and 14,000 cats seen at primary care practices throughout the United States. This large-scale investigation revealed that approximately 28% of dogs and cats were identified as overweight or obese. Since then, the problem of obesity in companion animals has been the focus of a substantial number of investigations ranging from epidemiologic studies of risk factors to controlled trials in a laboratory or clinical setting to bench-top research in areas such as genetics, omics, and the microbiome. (Source: Veterinary Clinics of North Am...
Source: Veterinary Clinics of North America: Small Animal Practice - July 31, 2016 Category: Veterinary Research Authors: Amy K. Farcas, Kathryn E. Michel Tags: Preface Source Type: research

Treatment Effects of a Primary Care Intervention on Parenting Behaviors: Sometimes It ’s Relative
Abstract The goal of this brief report is to demonstrate the utility of quantifying parental discipline practices as relative frequencies in measuring changes in parenting behavior and relations to child behavior following intervention. We explored comparisons across methodological approaches of assessing parenting behavior via absolute and relative frequencies in measuring improvements in parent-reported disciplinary practices (increases in positive parenting practices in response to child behavior; decreases in inconsistent discipline and use of corporal punishment) and child behavior problems. The current study was con...
Source: Prevention Science - July 29, 2016 Category: Psychiatry & Psychology Source Type: research

An internet-based intervention with brief nurse support to manage obesity in primary care (POWeR+): a pragmatic, parallel-group, randomised controlled trial
Publication date: Available online 26 July 2016 Source:The Lancet Diabetes & Endocrinology Author(s): Paul Little, Beth Stuart, FD Richard Hobbs, Jo Kelly, Emily R Smith, Katherine J Bradbury, Stephanie Hughes, Peter W F Smith, Michael V Moore, Mike E J Lean, Barrie M Margetts, Chris D Byrne, Simon Griffin, Mina Davoudianfar, Julie Hooper, Guiqing Yao, Shihua Zhu, James Raftery, Lucy Yardley Background The obesity epidemic has major public health consequences. Expert dietetic and behavioural counselling with intensive follow-up is effective, but resource requirements severely restrict widesprea...
Source: The Lancet Diabetes and Endocrinology - July 28, 2016 Category: Endocrinology Source Type: research

Childhood immunisations in Northland, New Zealand: declining care and the journey through the immunisation pathway.
CONCLUSION: Increasing Northland's immunisation coverage may require primary care providers to more actively engage with declining caregivers prior to the 3-month and 5-month vaccinations. Immunisation information and decision-making programmes targeted at parents and providers in the antenatal and prenatal period may also be of benefit, in addition to considering regulatory and incentive strategies. PMID: 27447131 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 25, 2016 Category: Journals (General) Tags: N Z Med J Source Type: research

Psoriasis risk in patients with type 2 diabetes in German primary care practices
Approximately 422 million people worldwide are affected by diabetes [1]. This chronic condition is predicted to become the seventh global leading cause of death by 2030. In Germany, around one in every 13 persons has diabetes [2]. In the past decades, overweight, obesity, and an unhealthy diet have become more frequent in European countries, resulting in an increase of the prevalence of diabetes and indirectly in an increase of the related health burden. As a matter of fact, diabetes can favor the development of other diseases, complicate the treatment/management of co-occurring disorders, and impair patients ’ quali...
Source: Primary Care Diabetes - July 23, 2016 Category: Primary Care Authors: Louis Jacob, Karel Kostev Tags: Original research Source Type: research

Psoriasis risk in patients with type 2 diabetes in German primary care practices.
Abstract AIM: To analyze psoriasis risk in type 2 diabetes mellitus (T2DM) patients treated in German primary care practices. METHODS: The study included 87,964 T2DM patients aged 40 years or over who received their initial diabetes diagnosis between 2004 and 2013. Patients were excluded if they had been diagnosed with psoriasis prior to diabetes diagnosis or if the observation period prior to the index date was less than 365 days. After applying these exclusion criteria, 72,148 T2DM patients were included. A total of 72,148 non-diabetic controls were matched (1:1) to T2DM cases based on age, gender, type of ...
Source: Primary Care - July 23, 2016 Category: Primary Care Authors: Jacob L, Kostev K Tags: Prim Care Diabetes Source Type: research