A National Survey on Patient Provider Agreements When Prescribing Opioids for Chronic Pain.

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Many national guidelines recommend the use of patient provider agreements (PPAs) when prescribing opioids for chronic pain. There are no standards for PPA content, readability, or administration processes.Conduct a national […]

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Prevalence of postural hypotension in primary, community and institutional care: a systematic review and meta-analysis.

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Postural hypotension (PH), the reduction in blood pressure when rising from sitting or lying 0to standing, is a risk factor for falls, cognitive decline and mortality. However, it is not […]

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“We’re in good hands there.” – Acceptance, barriers and facilitators of a primary care-based health coaching programme for children and adolescents with mental health problems: a qualitative study (PrimA-QuO).

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11.5 % of girls and 17.8 % of boys are affected by a mental health problem (MHP). The most prevalent problem areas are behavioural problems (girls/boys in %: 11.9/17.9), emotional […]

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Converting habits of antibiotic use for respiratory tract infections in German primary care (CHANGE-3) – process evaluation of a complex intervention.

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Antimicrobial resistance remains a global challenge. In Germany, the national health agenda supports measures that enhance the appropriate, guideline-oriented use of antibiotics. The study “Converting Habits of Antibiotic Use for […]

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General practitioners’ approaches to prostate-specific antigen testing in the north-east of the Netherlands.

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There is wide variation in clinical practice for the early detection of prostate cancer, not least because of the ongoing debate about the benefits of prostate-specific antigen (PSA) testing. In […]

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General practitioners’ approaches to prostate-specific antigen testing in the north-east of the Netherlands.

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There is wide variation in clinical practice for the early detection of prostate cancer, not least because of the ongoing debate about the benefits of prostate-specific antigen (PSA) testing. In […]

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Respiratory infections in children: an appropriateness study of when parents should home care or seek medical help.

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Children with respiratory tract infections (RTIs) use more primary care appointments than any other group, but many parents are unsure if, and when, they should seek medical help and report […]

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Management of chlamydia and gonorrhoea infections diagnosed in primary care using a centralised nurse-led telephone-based service: mixed methods evaluation.

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Up to 18% of genital Chlamydia infections and 9% of Gonorrhoea infections in England are diagnosed in Primary Care. Evidence suggests that a substantial proportion of these cases are not […]

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GP’s perspectives on laboratory test use for monitoring long-term conditions: an audit of current testing practice.

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We have shown previously that current recommendations in UK guidelines for monitoring long-term conditions are largely based on expert opinion. Due to a lack of robust evidence on optimal monitoring […]

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There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary care.

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Liver cancer rates are rising and hepatitis C virus (HCV) is the primary cause. The CDC recommends a one-time HCV screening for all persons born 1945-1965 (baby boomers). However, 14% […]

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GPs’ perspectives on acne management in primary care: a qualitative interview study.

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Acne is a common skin condition, affecting most adolescents at some point. While guidelines recommend topical treatments first-line, long courses of oral antibiotics are commonly prescribed.To explore GPs’ perspectives on […]

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Increasing system-wide implementation of opioid prescribing guidelines in primary care: findings from a non-randomized stepped-wedge quality improvement project.

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Clinician utilization of practice guidelines can reduce inappropriate opioid prescribing and harm in chronic non-cancer pain; yet, implementation of “opioid guidelines” is subpar. We hypothesized that a multi-component quality improvement […]

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The elephant in the room: an exploratory study of hypertensive disorders of pregnancy (HDP) management in Indonesian primary care settings.

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Indonesia has the highest maternal mortality rate in South East Asia, that a third of the mortality is caused by hypertensive disorders of pregnancy (HDP), including preeclampsia and eclampsia. Research […]

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Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study.

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People with severe mental illness experience physical health significantly worse than the general population. Physical health monitoring is shared between primary care and secondary mental healthcare services, though there is […]

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BRCA-Related Cancer Genetic Counseling is Indicated in Many Women Seeking Primary Care.

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Guidelines updated by the United States Preventive Services Task Force (USPSTF) in 2019 recommend referral to genetic counseling for asymptomatic women that have a family history of cancers potentially associated […]

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Patient “Catastrophizing” Associated with Expectations of Opioid Prescriptions for Acute Pain Control.

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The prescription of opioids for acute pain may be a driving factor in chronic opioid abuse. We examined patients’ characteristics associated with the expectation of the receipt of opioid prescriptions […]

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Systematic review of clinical effectiveness, components, and delivery of pulmonary rehabilitation in low-resource settings.

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Pulmonary rehabilitation (PR) is a guideline-recommended multifaceted intervention that improves the physical and psychological well-being of people with chronic respiratory diseases (CRDs), though most of the evidence derives from trials […]

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First line drug treatment for hypertension and reductions in blood pressure according to age and ethnicity: cohort study in UK primary care.

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To study whether treatment recommendations based on age and ethnicity according to United Kingdom (UK) clinical guidelines for hypertension translate to blood pressure reductions in current routine clinical care.Observational cohort […]

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

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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 […]

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

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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 […]

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

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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 […]

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

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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 […]

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

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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 […]

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Implementation of Primary Palliative Care in five Belgian regions: A qualitative study on early identification of palliative care needs by general practitioners.

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To deliver optimal palliative care, a Care Pathway for Primary Palliative Care (CPPPC) was developed. This CPPPC was implemented by general practitioners (GPs) in territories of five Belgian palliative care […]

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Implementation of Primary Palliative Care in five Belgian regions: A qualitative study on early identification of palliative care needs by general practitioners.

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To deliver optimal palliative care, a Care Pathway for Primary Palliative Care (CPPPC) was developed. This CPPPC was implemented by general practitioners (GPs) in territories of five Belgian palliative care […]

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

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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 […]

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

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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 […]

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

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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 […]

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