The role played by nurses in caring for children in pediatricians’ officies in the community is crucial to ensure integrated care. In Italy, pediatricians are responsible for the health of […]» Read more
Reducing Expectations for Antibiotics in Patients With Upper Respiratory Tract Infections: A Primary Care Randomized Controlled Trial.
Many family practitioners prescribe antibiotics for patients with upper respiratory tract infections (URTIs) to meet patients’ expectations. We evaluated the impact of providing brief tablet-based information about antibiotic treatment of […]» Read more
Multidisciplinary Approach for Managing Complex Pain and Addiction in Primary Care: A Qualitative Study.
Primary care providers (PCPs) may feel ill-equipped to effectively and safely manage patients with chronic pain, an addiction, or both. This study evaluated a multidisciplinary approach of supporting PCPs in […]» Read more
The purpose of this study was to explore family medicine graduates’ attitudes and perspectives on modifiable and unmodifiable factors that influenced their scope of practice and career choices. By understanding […]» Read more
Implementation of an Oral Care Protocol for Primary Diabetes Care: A Pilot Cluster-Randomized Controlled Trial.
Although diabetes care guidelines recommend paying attention to oral health, the effect on daily practice has been limited, and patients with diabetes have yet to benefit. We investigated whether implementation […]» Read more
In this essay, a medical student details how she struggled to let go of a patient with whom she connected throughout the patient’s pregnancy during her second year of medical […]» Read more
Psychologic Treatment of Depression Compared With Pharmacotherapy and Combined Treatment in Primary Care: A Network Meta-Analysis.
Most patients with depression are treated by general practitioners, and most of those patients prefer psychotherapy over pharmacotherapy. No network meta-analyses have examined the effects of psychotherapy compared with pharmacotherapy, […]» Read more
Improving Smoking and Blood Pressure Outcomes: The Interplay Between Operational Changes and Local Context.
We undertook a study to identify conditions and operational changes linked to improvements in smoking and blood pressure (BP) outcomes in primary care.We purposively sampled and interviewed practice staff (eg, […]» Read more
General practitioners’ perceived indicators of vulnerability in pregnancy- A qualitative interview study.
To explore general practitioners’ (GPs’) perceived indicators of vulnerability among pregnant women in primary care.A qualitative study with semi-structured in-depth focus group interviews.General practices located in a mixture of urban, […]» Read more
Implementation of a top five list to identify medical overuse in general practice according to patients’ viewpoint in 2019 in France.
There is a current trend to reassess the adequacy of care. Establishing top five lists by involving patients is one way to address medical overuse. The objective of this study […]» Read more
Evaluating the Effects of Opioid Prescribing Policies on Patient Outcomes in a Safety-net Primary Care Clinic.
After decades of liberal opioid prescribing, multiple efforts have been made to reduce reliance upon opioids in clinical care. Little is known about the effects of opioid prescribing policies on […]» Read more
Challenges and Opportunities in Engaging Primary Care Providers in BRCA Testing: Results from the BFOR Study.
Engaging primary care providers (PCPs) in BRCA1/2 testing and results disclosure would increase testing access. The BRCA Founder OutReach (BFOR) study is a prospective study of BRCA1/2 founder mutation screening […]» Read more
Benchmarking of provider competencies and current training for prevention and management of obesity among family medicine residency programs: a cross-sectional survey.
U.S. physicians lack training in caring for patients with obesity. For family medicine, the newly developed Obesity Medicine Education Collaborative (OMEC) competencies provide an opportunity to compare current training with […]» Read more
Alignment between the patient’s cancer worry and the GP’s cancer suspicion and the association with the interval between first symptom presentation and referral: a cross-sectional study in Denmark.
General practitioners (GPs) have a key role in the diagnosis of cancer. It is crucial to identify factors influencing the decision to refer for suspected cancer. The aim of this […]» Read more
Consultations and antibiotic treatment for urinary tract infections in Norwegian primary care 2006-2015, a registry-based study.
Extensive use of antibiotics and the resulting emergence of antimicrobial resistance is a major health concern globally. In Norway, 82% of antibiotics is prescribed in primary care and one in […]» Read more
To evaluate intermediate care for knee and hip osteoarthritis (KHOA) in the general practice that incorporate specialist services into general practice to prevent unnecessary referrals to hospitals.We used a mixed […]» Read more
General practitioners’ experiences of emergency care and treatment planning in England: a focus group study.
Emergency Care and Treatment Plans are recommended for all primary care patients in the United Kingdom who are expected to experience deterioration of their health. The Recommended Summary Plan for […]» Read more
Doctor-patient communication skills: a survey on knowledge and practice of Iranian family physicians.
Communication skills are fundamental to successful medical practice and can greatly impact patient satisfaction, compliance and outcomes. This study evaluated knowledge and practice of doctor- patient communication among the urban […]» Read more
Chronic obstructive pulmonary disease as a risk factor in primary care: a Canadian retrospective cohort study.
Chronic obstructive pulmonary disease (COPD) is a complex disease that is predicted to be the third most common cause of death by 2030. In Canada, the care and management of […]» Read more
Learning health systems have been gaining traction over the past decade. The purpose of this study was to understand the spread of learning health systems in primary care, including where […]» Read more
The effect of COVID-19 pandemic and lockdown on consultation numbers, consultation reasons and performed services in primary care: results of a longitudinal observational study.
The aims of our study were to describe the effect of the COVID-19 pandemic and lockdown on primary care in Germany regarding the number of consultations, the prevalence of specific […]» Read more
Integrating Harm Reduction into Outpatient Opioid Use Disorder Treatment Settings : Harm Reduction in Outpatient Addiction Treatment.
Opioid use disorder (OUD) is increasingly recognized as a chronic, relapsing brain disease whose treatment should be integrated into primary care settings alongside other chronic conditions. However, abstinence from all […]» Read more
Physicians and patients report frustration after primary care visits for chronic pain. The need to shift between multiple clinical topics to address competing demands during visits may contribute to this […]» Read more
Early detection of cutaneous complications of insulin therapy in type 1 and type 2 diabetes mellitus.
Subcutaneous insulin therapy is associated with important injection site complications, which can influence insulin pharmacokinetics resulting in glycemic fluctuations above and below target levels for blood glucose.Our objective was to […]» Read more
Baseline characteristics and comparability of older multimorbid patients with polypharmacy and general practitioners participating in a randomized controlled primary care trial.
Recruiting general practitioners (GPs) and their multimorbid older patients for trials is challenging for multiple reasons (e.g., high workload, limited mobility). The comparability of study participants is important for interpreting […]» Read more
Therapeutic inertia in proteinuria management among type 2 diabetes (T2DM) patients in primary care settings: prevalence and associated risk factors.
Therapeutic inertia (TI), defined as physicians’ failure to increase therapy when treatment goals are unmet, is an impediment to chronic disease management. This study aimed to identify the prevalence of […]» Read more
Use of acute care services by adults with a migrant background: a secondary analysis of a EurOOHnet survey.
High demands create pressure on acute care services, such as emergency medical services (EMS), emergency departments (ED) and out-of-hours primary care (OOH-PC) services. A variety of patient- and organisational factors […]» Read more
A steep increase in healthcare seeking behaviour in the last months before colorectal cancer diagnosis.
Timely recognition of colorectal cancer related symptoms is essential to reduce time to diagnosis. This study aims to investigate the primary healthcare use preceding a colorectal cancer diagnosis.From a cohort […]» Read more
Can social capital play a role in contracting services of family doctors in China? Reflections based on an integrative review.
The family doctors’ contract service problem is not about government management alone, but an interaction of a complex social environment. Consequently, the effect of contracted services of family doctors not […]» Read more
Implementation of a patient centred medical home (PCMH) initiative in general practices in New South Wales, Australia.
With an ageing population and an increase in chronic disease burden in Australia, Patient Centred Medical Home (PCMH) models of care have been identified as potential options for primary care […]» Read more