Workload, diagnostic work-up and treatment of urinary tract infections in adults during out-of-hours primary care: a retrospective cohort study.

Bookmark this %label%

Urinary tract infections (UTIs) are one of the most common infections in primary care. Previous research showed that GPs find it challenging to diagnose UTIs and frequently divert from guidelines […]

» Read more

Measures of Organizational Culture and Climate in Primary Care: a Systematic Review.

Bookmark this %label%

Primary care is increasingly contributing to improving the quality of patient care. This has imposed significant demands on clinicians with rising needs and limited resources. Organizational culture and climate have […]

» Read more

A Roadmap for Institutionalizing Collaborative Care for Depression in a Large Integrated Healthcare System.

Bookmark this %label%

Collaborative models for depression have not been widely adopted throughout the USA, possibly because there are no successful roadmaps for implementing these types of models.To provide such a roadmap through […]

» Read more

Improving Blood Pressure Management in Primary Care Patients with Chronic Kidney Disease: a Systematic Review of Interventions and Implementation Strategies.

Bookmark this %label%

Chronic kidney disease (CKD) is widely prevalent, associated with morbidity and mortality, but may be lessened with timely implementation of evidence-based strategies including blood pressure (BP) control. Nonetheless, an evidence-practice […]

» Read more

Supporting GPs around euthanasia requests from people with dementia: a qualitative analysis of Dutch nominal group meetings.

Bookmark this %label%

Euthanasia has been regulated by law under strict conditions in the Netherlands since 2002. Since then the number of euthanasia cases has constantly increased, and increased exponentially for patients with […]

» Read more

Determinants of referral of women with urinary incontinence to specialist services: a national cohort study using primary care data from the UK.

Bookmark this %label%

Female urinary incontinence is underdiagnosed and undertreated in primary care. There is little evidence on factors that determine whether women with urinary incontinence are referred to specialist services. This study […]

» Read more

Evidence-based early stage type 2 diabetes follow-up in Belgian primary care practices: Impact of multi-professional teams and care protocols.

Bookmark this %label%

The aim of this research is to explore the current early-stage diabetes mellitus type 2 care in Belgian general practices. This, to find out if the care is provided according […]

» Read more

Risk factor management of type 2 diabetic patients in primary care in the Scandinavian countries between 2003 and 2015.

Bookmark this %label%

To observe and report population demography, comorbidities, risk factor levels and risk factor treatment in a sample of individuals treated for type 2 diabetes in primary care in Norway, Sweden […]

» Read more

Impact of lowering the risk threshold for statin treatment on statin prescribing: a descriptive study in English primary care.

Bookmark this %label%

In 2014, the National Institute for Health and Care Excellence (NICE) changed the recommended threshold for initiating statins from a 10-year risk of cardiovascular disease (CVD) of 20% to 10% […]

» Read more

Practice Transformation Support and Patient Engagement to Improve Cardiovascular Care: From EvidenceNOW Southwest (ENSW).

Bookmark this %label%

To improve cardiovascular care through supporting primary care practices’ adoption of evidence-based guidelines.A cluster randomized trial compared two approaches: (1) standard practice support (practice facilitation, practice assessment with feedback, health […]

» Read more

Low-Intensity Intervention Supports Diabetes Registry Implementation: A Cluster-Randomized Trial in the Ambulatory Care Outcomes Research Network (ACORN).

Bookmark this %label%

Previous research demonstrated that registries are effective for improving clinical guideline adherence for the care of patients with type 2 diabetes. However, registry implementation has typically relied on intensive support […]

» Read more

Primary Care Clinician Decision-Making Around Surveillance Colonoscopies in Older Adults with Prior Adenomas.

Bookmark this %label%

While guidelines recommend against routine colorectal cancer screening in adults >75 years and/or those with limited life expectancies, there is no clear guidance on when surveillance colonoscopies following prior adenoma […]

» Read more

Continuing professional education for general practitioners on chronic obstructive pulmonary disease: feasibility of a blended learning approach in Bangladesh.

Bookmark this %label%

Continuing medical education (CME) is essential to developing and maintaining high quality primary care. Traditionally, CME is delivered face-to-face, but due to geographical distances, and pressure of work in Bangladesh, […]

» Read more

Observational Study of the Downstream Consequences of Inappropriate MRI of the Lumbar Spine.

Bookmark this %label%

Contrary to guidelines, magnetic resonance imaging (MRI) is often ordered in the first 6 weeks of new episodes of uncomplicated non-specific low back pain.To determine the downstream consequences of early […]

» Read more

Avoiding misdiagnosis: expert consensus recommendations for the suspicion and diagnosis of transthyretin amyloidosis for the general practitioner.

Bookmark this %label%

Transthyretin amyloidosis (also known as ATTR amyloidosis) is a systemic, life-threatening disease characterized by transthyretin (TTR) fibril deposition in organs and tissue. A definitive diagnosis of ATTR amyloidosis is often […]

» Read more

Differences Between Current and Desired Physician Hypertension Management Roles Among Chinese American Seniors: a Qualitative Study.

Bookmark this %label%

Though patient-physician racial concordance correlates with better perceived shared decision-making, Chinese immigrants report low quality of care and have undertreated hypertension regardless of concordance.To inform efforts to change physician behavior […]

» Read more

Using Lean-Facilitation to Improve Quality of Hepatitis C Testing in Primary Care.

Bookmark this %label%

Lean management has been successfully employed in healthcare to improve outcomes and efficiencies. Facilitation is increasingly being used to support evidence-based practice uptake in healthcare. However, while both Lean and […]

» Read more

Concerns of Primary Care Clinicians Practicing in an Integrated Health System: a Qualitative Study.

Bookmark this %label%

Clinician well-being is a major priority for healthcare organizations. However, the impact of workplace environment on clinicians’ well-being is poorly understood. Integrated health systems are a particularly relevant type of […]

» Read more

Performance of the Framingham coronary heart disease risk score for predicting 10-year cardiac risk in adult United Arab Emirates nationals without diabetes: a retrospective cohort study.

Bookmark this %label%

Primary prevention guidelines recommend the use of the Framingham risk score (FRS) to estimate the 10-year coronary heart disease (CHD) risk in patients without diabetes for statin eligibility. However, the […]

» Read more

Understanding the role of GPs’ gut feelings in diagnosing cancer in primary care: a systematic review and meta-analysis of existing evidence.

Bookmark this %label%

Growing evidence for the role of GPs’ gut feelings in cancer diagnosis raises questions about their origin and role in clinical practice.To explore the origins of GPs’ gut feelings for […]

» Read more

GPs’ practice and attitudes to initiating isotretinoin for acne vulgaris in Ireland: a cross-sectional questionnaire survey in primary care.

Bookmark this %label%

Isotretinoin is prescribed in secondary care for severe acne vulgaris. Anecdotal reports suggest that GPs in Ireland currently initiate isotretinoin.To ascertain the prevalence and management of isotretinoin in Irish general […]

» Read more

Prevention of infection in asplenic adult patients by general practitioners in France between 2013 and 2016 : Care for the asplenic patient in general practice.

Bookmark this %label%

Guidelines that detail preventive measures against Streptococcus pneumoniae, Neisseria meningitidis, Haemophilus influenzae type b, and influenza are published annually in France to decrease the risk of severe infections in immunocompromised […]

» Read more

Improving the quality of antibiotic prescribing through an educational intervention delivered through the out-of-hours general practice service in Ireland.

Bookmark this %label%

Antibiotic resistance is a threat to our health and health systems. Up to 70% of antibiotics are prescribed in general practice. In Ireland, Out-of-hours (OOH) services are mostly provided by […]

» Read more

12-Month Evaluation of an EHR-Supported Staff Role Change for Provision of Tobacco Cessation Care in 8 Primary Care Safety-Net Clinics.

Bookmark this %label%

Guidelines urge primary care practices to routinely provide tobacco cessation care (i.e., assess tobacco use, provide brief cessation advice, and refer to cessation support). This study evaluates the impact of […]

» Read more

Development of type 2 diabetes mellitus quality indicators in general practice by a modified Delphi method in Beijing, China.

Bookmark this %label%

The service capacity of primary care has improved in China. General practice also takes growing responsibility in the management of type 2 diabetes mellitus, but there are concerns about the […]

» Read more

Implementing Office-Based Opioid Treatment Models in Primary Care.

Bookmark this %label%

Primary care practices are ideal sites for integrating medication-assisted treatment (MAT) for opioid use disorder, but little is known about how practices have achieved this. Our study aimed to describe […]

» Read more

Impact of Unannounced Standardized Patient Audit and Feedback on Care, Documentation, and Costs: an Experiment and Claims Analysis.

Bookmark this %label%

Meaningful variations in physician performance are not always discernible from the medical record.We used unannounced standardized patients to measure and provide feedback on care quality and fidelity of documentation, and […]

» Read more

Diabetes care knowledge and practice among primary care physicians in Southeast Nigeria: a cross-sectional study.

Bookmark this %label%

Due to the perennial shortage of diabetes specialists, primary care physicians (PCPs) constitute the largest diabetes care manpower in Nigeria. However, the competence of the PCPs to undertake this task […]

» Read more

General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.

Bookmark this %label%

General practitioners (GPs) increasingly manage patients with multimorbidity but report challenges in doing so. Patients describe poor experiences with health care systems that treat each of their health conditions separately, […]

» Read more
1 2 3 7