Filtered By:
Management: Family Practices
This page shows you your search results in order of relevance. This is page number 11.
Order by Relevance | Date
Total 14999 results found since Jan 2013.
Barriers and facilitators to GP –patient communication about emotional concerns in UK primary care: a systematic review
ConclusionThe findings suggest that treatment guidelines should acknowledge: the therapeutic value of a positive GP –patient relationship; that diagnosis is a two-way negotiated process rather than an activity strictly in the doctor’s domain of expertise; and the value of exploring and shaping new understandings about patients’ emotional concerns and their management.
Source: Family Practice - January 22, 2020 Category: Primary Care Source Type: research
The Place of Pharmacotherapy in Alcohol Use Disorder Management in Family Practice - A Systematic Review.
CONCLUSION: Knowledge and prescription of pharmacotherapy for AUD, more specifically anti-craving treatment, is insufficient in primary care. There is a lack of data and studies on the efficacy of anti-craving treatment in primary care. Guidelines for AUD management, including psychological and medical management and pharmacotherapy do exist, but have not been adapted to primary care practice. Barriers and facilitators of pharmacotherapy prescription in AUD in primary care were identified in this study.
PMID: 33059563 [PubMed - as supplied by publisher]
Source: Current Pharmaceutical Design - October 15, 2020 Category: Drugs & Pharmacology Authors: Morgane GL, Delphine LG, Guillaume K, Yves LRJ Tags: Curr Pharm Des Source Type: research
Approach to diagnosis and management of childhood attention deficit hyperactivity disorder.
CONCLUSION: Most patients with ADHD can be managed by family physicians. It is a chronic condition that requires ongoing follow-up. Attention deficit hyperactivity disorder that is complicated by comorbidities might require referral to a specialist.
PMID: 33077449 [PubMed - in process]
Source: Canadian Family Physician Medecin de Famille Canadien - October 1, 2020 Category: Primary Care Authors: Jerome D, Jerome L Tags: Can Fam Physician Source Type: research
Perceived Barriers, Benefits, Facilitators, and Attitudes of Health Professionals towards Multidisciplinary Team Care in Type 2 Diabetes Management: a Systematic Review.
CONCLUSIONS: There is a huge gap in shared roles among health professionals in T2DM therapy. Hence, there is need for allied health professionals such as physiotherapists, dieticians, and psychologists with expertise in diabetes to explore primary healthcare. Barriers and facilitators for successful integration of multidisciplinary team, seamlessly cut across three hierarchal levels namely, health management; health professionals; and diabetic patients.
PMID: 33176659 [PubMed - as supplied by publisher]
Source: Current Diabetes Reviews - November 10, 2020 Category: Endocrinology Authors: Dankoly US, Vissers D, El Farkouch Z, Kolasa E, Ziyyat A, Rompaey BV, Maamri A Tags: Curr Diabetes Rev Source Type: research
New and Established Patient E/M Definitions (CMS vs. CPT ®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient. Identifying the correct classification will prevent delays or denials of payment. Many evaluation and management (E/M) codes are by definition described as new or established. This lecture will attempt to explain various important clinical aspects related to this determination. Keep in mind while the Centers For Medicare& Medicaid Services (CMS) uses Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT ® definitions. This discre...
Source: The Happy Hospitalist - February 27, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
Malnutrition in older adults: how interprofessional teams see it? A systematic review of the qualitative research
ConclusionWhile health care professionals understand about the aetiology of malnutrition, however screening for malnutrition is not routine in their practice. Proper education and training about nutritional care is needed. Dietary changes and public education are preferable over oral nutritional supplements. Some solution and recommendations for management of malnutrition in older adult such as supportive interventions include environmental changes, nutritional counselling, food modification, oral nutrition supplement and pharmacotherapy if needed, routine screening and multidisciplinary approach.
Source: Family Practice - September 7, 2020 Category: Primary Care Source Type: research
New and Established Patient E/M Definitions (CMS vs. CPT ®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient. Identifying the correct classification will prevent delays or denials of payment. Many evaluation and management (E/M) codes are by definition described as new or established. This lecture will attempt to explain various important clinical aspects related to this determination. Keep in mind while the Centers For Medicare& Medicaid Services (CMS) uses Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT ® definitions. This discre...
Source: The Happy Hospitalist - February 27, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
Practical and validated tool to assess falls risk in the primary care setting: a systematic review
Conclusions
Given that none of the falls risk assessment tools had sufficient predictive performance (AUC <0.7), other ways of assessing high falls risk among independently living older people in primary care should be investigated. For now, the most suitable way to assess falls risk in the primary care setting appears to involve asking patients about their falls history. Compared with the other five tools, the falls history requires the least amount of time, no expensive equipment, no training and no spatial adjustments. The clinical judgement of healthcare professionals continues to be most important, as it enables th...
Source: BMJ Open - September 29, 2021 Category: General Medicine Authors: Meekes, W. M., Korevaar, J. C., Leemrijse, C. J., van de Goor, I. A. Tags: Open access, General practice / Family practice Source Type: research
Values and preferences towards medical cannabis among people living with chronic pain: a mixed-methods systematic review
Conclusions
Our findings highlight factors that clinicians should consider when discussing medical cannabis. The variability of patients’ values and preferences emphasise the need for shared decision making when considering medical cannabis for chronic pain.
Source: BMJ Open - September 7, 2021 Category: General Medicine Authors: Zeng, L., Lytvyn, L., Wang, X., Kithulegoda, N., Agterberg, S., Shergill, Y., Esfahani, M. A., Heen, A. F., Agoritsas, T., Guyatt, G. H., Busse, J. W. Tags: Open access, General practice / Family practice Source Type: research
Prevalence and predictors of medication non-adherence among people living with multimorbidity: a systematic review and meta-analysis
Conclusions
The review identified a heterogeneous literature in terms of conditions studied, and definitions and measures of non-adherence used. Results suggest that future attempts to improve adherence among people with multimorbidity should determine for which conditions individuals require most support. The variable levels of medication non-adherence highlight the need for more attention to be paid by healthcare providers to the impact of multimorbidity on chronic disease self-management.
PROSPERO registration number
CRD42019133849.
Source: BMJ Open - September 2, 2021 Category: General Medicine Authors: Foley, L., Larkin, J., Lombard-Vance, R., Murphy, A. W., Hynes, L., Galvin, E., Molloy, G. J. Tags: Open access, General practice / Family practice Source Type: research
Barriers and facilitators to implementation of shared medical appointments in primary care for the management of long-term conditions: a systematic review and synthesis of qualitative studies
Conclusion
There is insufficient evidence to indicate whether views and experiences vary between staff, medical condition and/or patient characteristics. Participant experiences may be subject to reporting bias. Policies and guidance regarding best practice need to be developed with consideration given to resource requirements. Further research is needed to capture views about wider and co-occurring conditions, to hear from those without SMA experience and to understand which groups of patients and practitioners should be brought together in an SMA for best effect.
PROSPERO registration number
CRD42019141893.
Source: BMJ Open - August 24, 2021 Category: General Medicine Authors: Graham, F., Tang, M. Y., Jackson, K., Martin, H., O'Donnell, A., Ogunbayo, O., Sniehotta, F. F., Kaner, E. Tags: Open access, General practice / Family practice Source Type: research
Tolerability of statin-based management of patients with a history of statin-associated muscle symptoms: protocol for a systematic review
Introduction
Statin-associated muscle symptoms (SAMSs) are a major clinical issue in the primary and secondary prevention of cardiovascular events. Current guidelines advise various approaches mainly based on expert opinion. We will lead a systematic review and meta-analysis to explore the tolerability and acceptability and effectiveness of statin-based therapy management of patients with a history of SAMS. We aim to provide evidence on the tolerability and different strategies of statin-based management of patients with a history of SAMS.
Methods and analysis
We will conduct a systematic review of randomised controlled t...
Source: BMJ Open - August 3, 2021 Category: General Medicine Authors: Villoz, F., Lyko, C., Del Giovane, C., Rodondi, N., Blum, M. R. Tags: Open access, General practice / Family practice Source Type: research
Identifying patients with psychosocial problems in general practice: a scoping review protocol
This study does not require ethical approval as we will not collect personal data. Dissemination will consist of publications, presentations and other knowledge translation activities.
Source: BMJ Open - December 20, 2021 Category: General Medicine Authors: Schwenker, R., Kroeber, E. S., Deutsch, T., Frese, T., Unverzagt, S. Tags: Open access, General practice / Family practice Source Type: research
Everyday lives of middle-aged persons living with multimorbidity: protocol of a mixed-methods systematic review
Introduction
Multimorbidity is the simultaneous occurrence of several (chronic) diseases. Persons living with multimorbidity not only have complex care needs, but the burden of care often has a negative impact on their family lives, leisure time and professional activities. The aim of this project is to systematically review the literature to assess how multimorbidity affects the everyday lives of middle-aged persons, and to find out what abilities and resources help in the development of coping strategies to overcome the challenges of living with it.
Methods and analysis
We will systematically search for studies reportin...
Source: BMJ Open - December 21, 2021 Category: General Medicine Authors: Gonzalez-Gonzalez, A. I., Brünn, R., Nothacker, J., Dinh, T. S., Brueckle, M.-S., Dieckelmann, M., Müller, B. S., van den Akker, M. Tags: Open access, General practice / Family practice Source Type: research
