Knee osteonecrosis after COVID-19
ConclusionIn the follow-up after COVID-19, any muscular or joint pain with unusual characteristics should be carefully examined. (Source: Family Practice)
Source: Family Practice - August 27, 2021 Category: Primary Care Source Type: research
Self-reported symptoms in French primary care SARS-CoV-2 patients: association with gender and age group
ConclusionWe found significant age/gender-related differences in the clinical characteristics of COVID-19 patients. Screening strategies based on smell/taste disorders performed better in middle-aged women, but could not ensure a diagnosis of COVID-19 in any subgroup of patients. Future diagnostic strategies should use age/gender differentiated approaches. (Source: Family Practice)
Source: Family Practice - August 27, 2021 Category: Primary Care Source Type: research
Primary care responses to the COVID-19 pandemic
On 11 March 2020, the World Health Organization declared Coronavirus 2019 (COVID-19) a pandemic, one that has since spread across the globe. As of May 2021, COVID-19 has infected over 171 million people, resulting in more than 3.5 million deaths, while pressing hospital and ICU capacities to precarious acuity levels. Yet the international crisis also revealed a disproportionate impact on primary care, leading to severe declines in clinical volumes and revenues, plus interruption in effective preventive care services and chronic disease management. Equally important, we are learning of numerous potential long-term clinical ...
Source: Family Practice - August 27, 2021 Category: Primary Care Source Type: research
NEWS2 to assess suspected COVID-19 in the community: a service evaluation of a primary care assessment centre
ConclusionClinical decisions to escalate care to the hospital did not follow initial guidance written for the COVID-19 outbreak but were demonstrated to be safe. (Source: Family Practice)
Source: Family Practice - August 27, 2021 Category: Primary Care Source Type: research
COVID-19 and the flu: data simulations and computational modelling to guide public health strategies
ConclusionsResults support two affordable preventive measures: (i) to globally increaseinfluenza-vaccination rates, (ii) to limit the number of personal contacts during outbreaks. The authors endorse changing practices and research incentives towards multidisciplinary collaborations. The urgency of the situation is a call for international health policy to promote interdisciplinary modern technologies in public health engineering. (Source: Family Practice)
Source: Family Practice - August 27, 2021 Category: Primary Care Source Type: research
The impact of the COVID-19 pandemic on family medicine residency training
ConclusionsOur preliminary data indicate that family medicine residents and teaching faculty were profoundly affected by the COVID-19 pandemic. Future studies can be directed by current findings with focus on mitigation factors in addressing globally disruptive events such as COVID-19. (Source: Family Practice)
Source: Family Practice - August 27, 2021 Category: Primary Care Source Type: research
The perspective of Canadian health care professionals on abortion service during the COVID-19 pandemic
ConclusionsCanadian health care professionals report their facilities deemed abortion an essential service. Provinces and territories, except Quebec, described a robust pandemic transition to telemedicine to ensure access to services.PodcastAn accompanying podcast is available in the Supplementary Data, in which the authors Dr Madeleine Ennis and Kate Wahl discuss their research on how family planning care and access to abortion services have changed during the COVID-19 pandemic. (Source: Family Practice)
Source: Family Practice - August 23, 2021 Category: Primary Care Source Type: research
‘I was scared I will end up in another abortion’: a mixed-methods study assessing the impact of COVID-19 pandemic and lockdown on the antenatal care of pregnant women in Puducherry, South India
ConclusionsTwo out of five pregnant women did not complete the ideal number of visits and developed health problems during the lockdown period. (Source: Family Practice)
Source: Family Practice - June 25, 2021 Category: Primary Care Source Type: research
The continuum of informed consent models in transgender health
Using the ‘Informed Consent Model’ (ICM), clinicians prescribing hormone therapy to trans patients do not require a letter from mental health professionals attesting to their gender identity and/or gender dysphoria (and/or equivalent diagnostic or assessment category). Patients who are trans have a gender identity that does not correspond to the gender they were assigned at birth. A reaction to the paternalism and pathologization of trans people that have plagued trans healthcare, the proliferation of ICMs echoes the growing commitment to autonomy and patient-centred care by clinicians working with trans communities. T...
Source: Family Practice - June 16, 2021 Category: Primary Care Source Type: research
Evidence for depression and anxiety as risk factors for heart disease and stroke: implications for primary care
(Source: Family Practice)
Source: Family Practice - June 10, 2021 Category: Primary Care Source Type: research
More than words: methods to elicit talk in interviews
Lay SummaryIn health services and primary care research, semi-structured interviews are a very common method of generating data. These interviews have a pre-determined set of topics, with questions and prompts written in advance, though there is flexibility to adjust the interview to match the direction set by the participant. Like all methods, semi-structured interviews have limits, some of which can be addressed through adaptation. In the social sciences, some interview methods include prompts beyond verbal questions to participants, called elicitation tools. Visuals (e.g. photos), videos, audio excerpts and texts can be...
Source: Family Practice - June 5, 2021 Category: Primary Care Source Type: research
Overall mortality in older people receiving physician-led home visits: a multicentre prospective study in Japan
ConclusionsOverall mortality in physician-led home visits in Japan was described and mortality risk factors identified. Public assistance receipt was associated with lower mortality. (Source: Family Practice)
Source: Family Practice - April 16, 2021 Category: Primary Care Source Type: research
Evaluating the impact of a very low-cost intervention to increase practices ’ engagement with data and change prescribing behaviour: a randomized trial in English primary care
ConclusionsUnsolicited feedback increased practices ’ engagement with data, with possible slightly reduced antibiotic prescribing (P = 0.104). Behavioural science techniques gave greater prescribing effects. The modest effects on prescribing may reflect saturation from similar initiatives on antibiotic prescribing.Clinical Trial RegistrationISRCTN86418238. (Source: Family Practice)
Source: Family Practice - March 30, 2021 Category: Primary Care Source Type: research
Information sharing via electronic health records in team-based care: the patient perspective
ConclusionsThe participants of our focus groups value team-based care and view patients as a critical part of those teams. With respect to electronic health records, our participants recognized their importance but had concerns about inaccuracies and limited options to correct errors in their records. In general, participants were willing to share basic information but disagreed about what information should be considered to be basic. Moreover, based on their trust and comfort level, many participants want to control what information is recorded and shared in the electronic health record. (Source: Family Practice)
Source: Family Practice - March 4, 2021 Category: Primary Care Source Type: research
The problem of imbalance in cluster randomized trials and the benefits of covariate constrained randomization
(Source: Family Practice)
Source: Family Practice - March 3, 2021 Category: Primary Care Source Type: research
