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GP detection of health risk factors among general practice patients at risk of primary and secondary stroke
Conclusion. Given low sensitivity and specificity of GP detection of risk factors among patients, alternate methods of identification are needed. Research is required to determine strategies to facilitate secondary care of patients with a history of stroke or heart disease by GPs.
Source: Family Practice - May 27, 2015 Category: Primary Care Authors: Grady, A., Carey, M., Oldmeadow, C., Bryant, J., Mazza, D., Sanson-Fisher, R. Tags: Health Service Research Source Type: research

Is screening for AF worthwhile? Stroke risk in a screened population from the SAFE study
Conclusion. Stroke risk profiles of patients detected via opportunistic and systematic screenings were similar. Data derived from the SAFE study suggest that active screening for AF in patients aged ≥65 years in primary care is a useful screening programme with 78–83% of patients identified eligible for anticoagulation treatment according to the CHADS2 criteria.
Source: Family Practice - May 17, 2014 Category: Primary Care Authors: Fitzmaurice, D. A., McCahon, D., Baker, J., Murray, E. T., Jowett, S., Sandhar, H., Holder, R. L., Hobbs, F. D. R. Tags: Epidemiology Source Type: research

How reliable are stroke patients' reports of their numbers of general practice consultations over 12 months?
Conclusions. Patients modestly under-reported the number of consultations they had with a GP. Obtaining patient records from practices required more effort than obtaining information from patient questionnaires at the same time as assessing main trial outcomes. If patient self-reports of health care usage are used in economic evaluations in primary care, researchers should consider validating a sample against electronic records.
Source: Family Practice - January 23, 2013 Category: Primary Care Authors: Chishti, T., Harris, T., Conroy, R., Oakeshott, P., Tulloch, J., Coster, D., Kerry, S. R., Kerry, S. M. Tags: Original Article Source Type: research

Absolute cardiovascular risk and GP decision making in TIA and minor stroke
Conclusion. In patients presenting with transient or minor neurological symptoms, calculation of ACVR did not improve diagnostic accuracy for TIAMS beyond that of age and sex.
Source: Family Practice - November 18, 2014 Category: Primary Care Authors: Clarey, J., Lasserson, D., Levi, C., Parsons, M., Dewey, H., Barber, P. A., Quain, D., McElduff, P., Sales, M., Magin, P. Tags: Epidemiology Source Type: research

An evaluation of a multifaceted, local Quality Improvement Framework for long-term conditions in UK primary care
ConclusionThere are concerns about the unintended consequences of large pay-for-performance schemes in health care, but in a population with a high prevalence of disease, they may at least initially be beneficial. This study also provides evidence that a local, additional scheme may further improve the health of populations. Such schemes, whether national or local, require periodic review to evaluate the balance of their benefits and risks.
Source: Family Practice - December 21, 2018 Category: Primary Care Source Type: research