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The Impact of Interpersonal Continuity of Primary Care on Health Care Costs and Use: A Critical Review
CONCLUSIONS: Interpersonal continuity today remains significantly associated with lower health care costs and more appropriate use. Further research is needed to disaggregate these associations at the clinician, team, practice, and system levels, but continuity assessment is clearly important to designing value-based payment for primary care.PMID:37217332 | PMC:PMC10202515 | DOI:10.1370/afm.2961
Source: Annals of Family Medicine - May 22, 2023 Category: Primary Care Authors: Andrew Bazemore Zach Merenstein Lara Handler John W Saultz Source Type: research
General practice trainees' information searching strategies for clinical queries encountered in daily practice
Conclusion.
GP trainees have one clinical query per five patients. They often attempted to find answers and reported to succeed in most of the searches, primarily by consulting supervisors or colleagues and national GP guidelines.
Source: Family Practice - September 21, 2015 Category: Primary Care Authors: Kortekaas, M. F., Bartelink, M.-L. E. L., Boelman, L., Hoes, A. W., de Wit, N. J. Tags: Health Service Research Source Type: research
How often are interventions in cluster-randomised controlled trials of complex interventions in general practices effective and reasons for potential shortcomings? Protocol and results of a feasibility project for a systematic review
Introduction
Most studies conducted at general practices investigate complex interventions and increasingly use cluster-randomised controlled trail (c-RCT) designs to do so. Our primary objective is to evaluate how frequently complex interventions are shown to be more, equally or less effective than routine care in c-RCTs with a superior design. The secondary aim is to discover whether the quality of a c-RCT determines the likelihood of the complex intervention being effective.
Methods and analysis
All c-RCTs of any design that have a patient-relevant primary outcome and with a duration of at least 1 year will be inc...
Source: BMJ Open - February 18, 2016 Category: Journals (General) Authors: Siebenhofer, A., Erckenbrecht, S., Pregartner, G., Berghold, A., Muth, C. Tags: Open access, General practice / Family practice, Medical publishing and peer review, Public health Protocol Source Type: research
Prevalence of group A streptococcal disease in North and Sub-Saharan Africa: a systematic review protocol
Introduction
The true burden of group A streptococcal (GAS) disease in Africa is not known. GAS is a significant cause of mortality and morbidity on the global scale and in developing countries. According to Carapetis et al, the prevalence of severe GAS disease is at least 18.1 million cases with an incidence of at least 1.78 million cases per year.
Methods and analyses
We aim to provide a systematic review of studies measuring the prevalence of GAS infection among people in North and Sub-Saharan African countries. A comprehensive literature search of a number of databases will be undertaken, using an African search filte...
Source: BMJ Open - August 27, 2015 Category: Journals (General) Authors: Barth, D. D., Mayosi, B. M., Jabar, A., Engel, M. E. Tags: Open access, Epidemiology, General practice / Family practice, Infectious diseases, Public health Protocol Source Type: research
Costs, effects and implementation of routine data emergency admission risk prediction models in primary care for patients with, or at risk of, chronic conditions: a systematic review protocol
Introduction
Emergency admission risk prediction models are increasingly used to identify patients, typically with one or more chronic conditions, for proactive management in primary care to avoid admissions, save costs and improve patient experience.
Aim
To identify and review the published evidence on the costs, effects and implementation of emergency admission risk prediction models in primary care for patients with, or at risk of, chronic conditions.
Methods
We shall search for studies of healthcare interventions using routine data-generated emergency admission risk models. We shall report: the effects on emergency a...
Source: BMJ Open - March 1, 2016 Category: Journals (General) Authors: Kingston, M. R., Evans, B. A., Nelson, K., Hutchings, H., Russell, I., Snooks, H. Tags: Open access, Epidemiology, General practice / Family practice, Health informatics, Health services research, Public health Protocol Source Type: research
Interventions to prevent or reduce the level of frailty in community-dwelling older adults: a protocol for a scoping review of the literature and international policies
Introduction
With ageing comes increased vulnerability such that older adults’ ability to recover from acute illnesses, fall-related injuries and other stresses related to the physical ageing processes declines. This increased vulnerability, also known as frailty, is common in older adults and associated with increased healthcare service use and adverse health outcomes. Currently, there is no overview of available interventions to prevent or reduce the level of frailty (as defined by study's authors) which will help healthcare providers in community settings caring for older adults. We will address this gap by review...
Source: BMJ Open - March 2, 2016 Category: Journals (General) Authors: Puts, M. T. E., Toubasi, S., Atkinson, E., Ayala, A. P., Andrew, M., Ashe, M. C., Bergman, H., Ploeg, J., McGilton, K. S. Tags: Open access, Epidemiology, General practice / Family practice, Geriatric medicine Protocol Source Type: research
Making decisions at the end of life when caring for a person with dementia: a literature review to explore the potential use of heuristics in difficult decision-making
Conclusions
The use of heuristics in palliative or end of life dementia care is not described in the research literature. However, this review identified important decision-making principles, which are largely a reflection of expert opinion. These principles may have the potential to be developed into simple heuristics that could be used in practice.
Source: BMJ Open - July 18, 2016 Category: Journals (General) Authors: Mathew, R., Davies, N., Manthorpe, J., Iliffe, S. Tags: Open access, General practice / Family practice, Geriatric medicine, Mental health, Palliative care Research Source Type: research
Investigating the epidemiology of medication errors and error-related adverse drug events (ADEs) in primary care, ambulatory care and home settings: a systematic review protocol
Introduction
There is a need to better understand the epidemiology of medication errors and error-related adverse events in community care contexts.
Methods and analysis
We will systematically search the following databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Eastern Mediterranean Regional Office of the WHO (EMRO), MEDLINE, PsycINFO and Web of Science. In addition, we will search Google Scholar and contact an international panel of experts to search for unpublished and in progress work. The searches will cover the time period January 1990–December 2015 and will yield data on t...
Source: BMJ Open - August 30, 2016 Category: Journals (General) Authors: Assiri, G. A., Grant, L., Aljadhey, H., Sheikh, A. Tags: Open access, Epidemiology, General practice / Family practice, Pharmacology and therapeutics, Public health Protocol Source Type: research
Approach to the detection and management of chronic kidney disease: What primary care providers need to know.
CONCLUSION: Most patients with CKD can be managed in primary care. Serial follow-up is essential to identify patients at high risk of progression to advanced stages of CKD, including end-stage renal disease. Primary care providers must continue to work together with local nephrologists to improve the lives of those living with CKD.
PMID: 30315015 [PubMed - in process]
Source: Canadian Family Physician Medecin de Famille Canadien - October 1, 2018 Category: Primary Care Authors: Grill AK, Brimble S Tags: Can Fam Physician Source Type: research
Pain management in indigenous and tribal peoples: a scoping review protocol
Introduction
Effective and culturally safe pain management can facilitate analgesia and improve the quality of life. Individualised, multimodal and multidisciplinary approaches are highly recommended. There exist gaps in the knowledge on pain management, in terms of the assessment and/or treatment, in indigenous peoples and the currently available information is scattered in the literature. A scoping review will provide an overview or evidence map on the variety of approaches used in different cultures, in different parts of the world.
Methods and analysis
The search strategy comprises three stages. The first stage identi...
Source: BMJ Open - August 9, 2023 Category: General Medicine Authors: Oliveira, P. R. d., Pereira, L. V., da Silva Carvalho Vila, V., Guimaraes Lemes, A., da Rocha, E. M., Ferreira, A. B., Borges, M. D. Tags: Open access, General practice / Family practice Source Type: research
Fall Risk in Adult Family Practice Non-Attenders: A Cross-Sectional Study from Slovenia
CONCLUSION: Non-attenders may have an increased risk of falling which depends on their health status and age. The inclusion of community nurses in primary healthcare teams could be of use not only to identify the non-attenders' health needs, but also to better manage their health, especially the factors that were identified to be associated with greater fall risk.PMID:37266067 | PMC:PMC10231884 | DOI:10.2478/sjph-2023-0011
Source: Pain Physician - June 2, 2023 Category: Anesthesiology Authors: Nina Ru žić-Gorenjec Zalika Klemenc Keti š Rok Blagus Antonija Poplas Susi č Source Type: research
