General practice care for patients with chronic non-cancer pain: A rapid review as part of the RELIEF project
CONCLUSION: Many of the identified recommendations for the treatment of patients with chronic non-tumor pain can also be considered relevant for the primary care setting. Specific guidelines and concepts for primary care physicians that include setting-specific characteristics at the physician, patient, and system levels would be desirable for a successful implementation of these recommendations.PMID:38472021 | DOI:10.1016/j.zefq.2024.01.005 (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 12, 2024 Category: Health Management Authors: Regina Po ß-Doering Sabrina Keller Marco Zugaj Hanna Seidling Cinara Paul Regina Stolz Petra Kaufmann-Kolle Cornelia Stra ßner Source Type: research

Understanding the role of the primary care physician in the management of patients with Crohn's perianal fistulas
CONCLUSION: PCPs want more involvement in multidisciplinary management of patients with CPF. Continuing education providing PCPs with up-to-date information on diagnostic modalities, treatment options, early diagnosis, the role of PCPs within a multidisciplinary team, and effective initial CPF care is required.PMID:38445664 | DOI:10.1080/00325481.2023.2277146 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - March 6, 2024 Category: Internal Medicine Authors: Gregory D Salinas Emily Belcher Sylvie Stacy Pradeep P Nazarey Susan E Cazzetta Source Type: research

Self-management support (SMS) in primary care practice: a qualitative focus group study of care professionals' experiences
CONCLUSIONS: This focus group study highlights the importance of a collaborative, person-centred approach to SMS in the context of chronic diseases. Our findings point to the need for interventions that raise awareness and address barriers associated with SMS. Since generic SMS does not exist, the road to success is a growth process in which support must be adapted to the individual patient.PMID:38429637 | DOI:10.1186/s12875-024-02317-4 (Source: Primary Care)
Source: Primary Care - March 1, 2024 Category: Primary Care Authors: Lotte Timmermans Dagje Boeykens Muhammed Mustafa Sirimsi Dominique Van de Velde Patricia De Vriendt Peter Decat Veerle Foulon Ann Van Hecke Mieke Vermandere Birgitte Schoenmakers Primary Care Academy Source Type: research

Self-management support (SMS) in primary care practice: a qualitative focus group study of care professionals' experiences
CONCLUSIONS: This focus group study highlights the importance of a collaborative, person-centred approach to SMS in the context of chronic diseases. Our findings point to the need for interventions that raise awareness and address barriers associated with SMS. Since generic SMS does not exist, the road to success is a growth process in which support must be adapted to the individual patient.PMID:38429637 | PMC:PMC10908026 | DOI:10.1186/s12875-024-02317-4 (Source: Primary Care)
Source: Primary Care - March 1, 2024 Category: Primary Care Authors: Lotte Timmermans Dagje Boeykens Muhammed Mustafa Sirimsi Dominique Van de Velde Patricia De Vriendt Peter Decat Veerle Foulon Ann Van Hecke Mieke Vermandere Birgitte Schoenmakers Primary Care Academy Source Type: research

Building Capacity for Pragmatic Trials of Digital Technology in Primary Care
Frontline primary care teams face important challenges in seeking to transform the quality of care delivered to patients and to reduce clerical burden for clinicians. Digital technologies using artificial intelligence hold substantial promise to aid in this transformation. Both pragmatic clinical trials and implementation science are key tools to successfully introduce, evaluate, and sustain innovations in real-world primary care practices. Previous articles in this thematic series have provided an in-depth overview of pragmatic trials and implementation science. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - March 1, 2024 Category: Internal Medicine Authors: David R. Rushlow, Thomas D. Thacher, Barbara A. Barry Tags: Thematic review on forward thinking on clinical trials in clinical practice Source Type: research

Self-management support (SMS) in primary care practice: a qualitative focus group study of care professionals ’ experiences
To support self-management of chronically ill persons, innovative approaches of care practice are being developed. Unfortunately, many self-management supporting interventions struggle to achieve reliable and ... (Source: BMC Family Practice)
Source: BMC Family Practice - March 1, 2024 Category: Primary Care Authors: Lotte Timmermans, Dagje Boeykens, Muhammed Mustafa Sirimsi, Dominique Van de Velde, Patricia De Vriendt, Peter Decat, Veerle Foulon, Ann Van Hecke, Mieke Vermandere and Birgitte Schoenmakers Tags: Research Source Type: research

Digital Medication Management in Polypharmacy —Findings of a Cluster-Randomized, Controlled Trial With a Stepped-Wedge Design in Primary Care Practices (AdAM)
CONCLUSION: The planned analyses did not reveal any significant effect of the intervention. Pandemic-adjusted analyses yielded evidence that the mortality of adult patients with polypharmacy might potentially be lowered by the CDSS. Controlled trials with appropriate follow-up are needed to prove that a CDSS has significant effects on mortality in patients with polypharmacy.PMID:38377330 | DOI:10.3238/arztebl.m2024.0007 (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - February 20, 2024 Category: General Medicine Authors: Robin Br ünn Jale Basten Dorothea Lemke Alexandra Piotrowski Sara S öling Bastian Surmann Wolfgang Greiner Daniel Grandt Petra Kellermann-M ühlhoff Sebastian Harder Paul Glasziou Rafael Perera Juliane K öberlein-Neu Peter Ihle Marjan van den Akker Nin Source Type: research

Does workforce explain the relationship between funding and patient experience? A mediation analysis of primary care data in England
Conclusions The increase in the number of doctors in primary care in England appears to be a mechanism through which augmented practice funding could positively impact patient experience. Policy initiatives targeting improved patient experience should prioritise considerations related to workforce and practice funding. (Source: BMJ Open)
Source: BMJ Open - February 19, 2024 Category: General Medicine Authors: Salant, N., Massou, E., Awan, H., Ford, J. A. Tags: Open access, Public health Source Type: research

Early Prevention of Critical Illness in Older Adults: Adaptation and Pilot Testing of an Electronic Risk Score and Checklist
CONCLUSIONS: This pilot study evaluated the implementation of an intervention that introduced the ERA score and CERTAIN checklist into a primary care practice. Results indicate moderate acceptability, appropriateness, and feasibility of the ERA score, and similar ratings for the checklist, with slightly lower feasibility. While checklist adoption was moderate, reach was limited, indicating inconsistent use.RECOMMENDATIONS: We plan to use the open-ended resurvey responses to further modify the CERTAIN-FM checklist and implementation process. The ADAPT-ITT framework is a useful model for adapting the checklist to meet the pr...
Source: Primary Care - February 12, 2024 Category: Primary Care Authors: Christopher L Boswell Sarah A Minteer Svetlana Herasevich Juan P Garcia-Mendez Yue Dong Ognjen Gajic Amelia K Barwise Source Type: research