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The impact of communication training on the clinical care of hypertension in general practice: a cluster randomized controlled trial in China
Springer Science and Business Media LLC - - 2024
Hypertension is one of the most common chronic diseases with a low control rate globally. The effect of communication skills training contributing to hypertension control remains uncertain. The aim of the present study was to assess the effectiveness of an educational intervention based on the Calgary-Cambridge guide in improving hypertensive management. A cluster randomized controlled trial enrol......
Investigating women’s health issues and help-seeking intentions in primary care in Japan: a cross-sectional study
Springer Science and Business Media LLC - Tập 23 - Trang 1-10 - 2022
Many women face a variety of barriers to seeing obstetricians and gynecologists (OB/GYNs). Primary care physicians (PCPs) in Japan are not well equipped to address and adequately handle women’s health issues. Hence, opportunities for women to consult PCPs about women’s health issues are often limited during busy outpatient encounters. It is essential to explore PCP’s roles in women’s health care b......
Factors associated with C-reactive protein testing when prescribing antibiotics in general practice: a register-based study
Springer Science and Business Media LLC - Tập 23 - Trang 1-9 - 2022
The use of C-reactive protein (CRP) tests has been shown to safely reduce antibiotic prescribing for acute respiratory tract infections (RTIs). The aim of this study was to explore patient and clinical factors associated with the use of CRP testing when prescribing antibiotics recommended for RTIs. A nation-wide retrospective cross-sectional register-based study based on first redeemed antibiotic ......
Role of multidimensional factors in the diagnosis and treatment of tonsillopharyngitis in primary care: a qualitative study
Springer Science and Business Media LLC - - 2022
Tonsillopharyngitis is one of the most frequently observed upper respiratory tract infections, for which antibiotics are prescribed in ambulatory care. In most cases, tonsillopharyngitis is benign and self-limiting, mostly a viral condition. The aim of this study was to explore the diagnostic and treatment process of tonsillopharyngitis by general practitioners and to understand decisions regardin......
Determinants of vitamin B12 deficiency in patients with type-2 diabetes mellitus — A primary-care retrospective cohort study
Springer Science and Business Media LLC - Tập 24 - Trang 1-16 - 2023
Like many developed nations, the prevalence of both older people and type-2 diabetes mellitus (T2DM) in Singapore is rising. This demographic shift predisposes the population to greater risks of both frailty and its complications that can be further aggravated by vitamin B12 deficiency —a highly prevalent associated variable that is potentially modifiable. Indeed, B12 deficiency adversely impacts ......
Challenges in the cross-sectoral collaboration on vulnerable pregnant women: a qualitative study among Danish general practitioners
Springer Science and Business Media LLC - Tập 23 - Trang 1-14 - 2022
Vulnerable pregnant women, defined as women threatened by social, psychological, or physical risk factors, need special support during pregnancy to prevent complications in pregnancy, birth, and childhood. Proper cross-sectoral collaboration in antenatal care is paramount to delivering sufficient supportive care to these women. General practitioners (GPs) often face barriers when assessing vulnera......
Screening for undiagnosed atrial fibrillation using a single-lead electrocardiogram at primary care visits: patient uptake and practitioner perspectives from the VITAL-AF trial
Springer Science and Business Media LLC - Tập 24 - Trang 1-9 - 2023
Screening for atrial fibrillation (AF) is appealing because AF is common, when undiagnosed may increase stroke risk, and stroke is preventable with anticoagulants. This study assessed patient and primary care practitioner (PCP) acceptability of screening for AF using a 30-s single-lead electrocardiogram (SL-ECG) during outpatient visits. Secondary analyses of a cluster randomized trial. All patien......
Barriers and strategies for primary health care workforce development: synthesis of evidenceAbstract
Background
Having a sufficient and well-functioning health workforce is crucial for reducing the burden of disease and premature death. Health workforce development, focusing on availability, recruitment, retention, and education, is inseparable from acceptability, motivation, burnout, role... ...
Springer Science and Business Media LLC - Tập 25 Số 1
Coping with ‘the grey area’ of antibiotic prescribing: a theory-informed qualitative study exploring family physician perspectives on antibiotic prescribing
Springer Science and Business Media LLC - Tập 23 - Trang 1-11 - 2022
Unnecessary antibiotic use is associated with adverse side effects and rising rates of resistance at the individual and population level. This study used a theory-informed approach to identify potentially modifiable determinants of antibiotic prescribing for patients presenting to primary care with upper respiratory tract infection symptoms. Qualitative interviews were conducted with primary care ......
The impact of clinical experience on working tasks and job-related stress: a survey among 1032 Norwegian GPs
Springer Science and Business Media LLC - Tập 23 - Trang 1-10 - 2022
General practice is a generalist discipline fraught with complexity. For inexperienced physicians, it may be demanding to get to grips with the clinical challenges. The purpose of this article is to describe possible differences in the range of tasks between inexperienced and experienced general practitioners (GPs), and the extent to which clinical experience affects the way in which GPs perceive ......
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