Primary Health Care

Article Primary Health Care

Unintended consequences of online consultations: a qualitative study in UK primary care

Andrew Turner, Rebecca Morris, Dylan Rakhra, Fiona Stevenson, Lorraine McDonagh, Fiona Hamilton, Helen Atherton, Michelle Farr, Sarah Blake, Jon Banks, Gemma Lasseter, Sue Ziebland, Emma Hyde, John Powell, Jeremy Horwood

Summary: The unintended consequences of online consultations in primary care include restricting patient access to care, creating additional work and dissatisfaction for some staff, and leading to a more transactional style of medicine due to the nature of asynchronous communication. These challenges must be recognized and addressed to make effective use of online consultation tools.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Review Primary Health Care

Prevalence of burnout among GPs: a systematic review and meta-analysis

Christo Karuna, Victoria Palmer, Anthony Scott, Jane Gunn

Summary: This study reviewed the existing literature on burnout among general practitioners (GPs) and determined the prevalence of GP burnout worldwide. The results showed that moderate to high levels of burnout exist among GPs globally, but there is considerable heterogeneity in the prevalence estimates due to variations in how burnout is characterized and operationalized.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Article Primary Health Care

The COVID lockdown and its effects on soft tissue injuries in Premier League Athletes

Brian J. Mannino, Teren Yedikian, Edward Stephen Mojica, Andrew Bi, Michael Alaia, Guillem Gonzalez-Lomas

Summary: There was an increase in injuries and a decrease in time to first injury during the COVID-impacted 2020-2021 season in the English soccer league. The shortened time between games may be linked to athlete injuries.

PHYSICIAN AND SPORTSMEDICINE (2023)

Article Primary Health Care

Burnout and Commitment to Primary Care: Lessons From the Early Impacts of COVID-19 on the Workplace Stress of Primary Care Practice Teams

Erin L. Kelly, Amy Cunningham, Randa Sifri, Oriana Pando, Kelsey Smith, Christine Arenson

Summary: This study investigated the strategies of clinical and administrative staff in primary care service delivery during COVID-19. The findings revealed that COVID-19 necessitated adaptations in all aspects of primary care service delivery, leading to increased job demands. However, staff coped with workplace stress through active cognitive reframing and received increased support from management and colleagues, which offset some of the stress and provided new development opportunities.

ANNALS OF FAMILY MEDICINE (2022)

Review Primary Health Care

SARS, MERS and CoVID-19: An overview and comparison of clinical, laboratory and radiological features

Manas Pustake, Isha Tambolkar, Purushottam Giri, Charmi Gandhi

Summary: The article provides a summary of the coronavirus outbreaks in the 21st century, with a focus on comparing Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Severe Acute Respiratory Distress Syndrome, and Middle East Respiratory Syndrome (MERS). The similarities and differences between these coronaviruses are emphasized, and the importance of understanding these viruses and the diseases they cause for future preparedness is highlighted.

JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE (2022)

Article Primary Health Care

Does wearing a mask while exercising amid COVID-19 pandemic affect hemodynamic and hematologic function among healthy individuals? Implications of mask modality, sex, and exercise intensity

Mehdi Ahmadian, Mohammad Ghasemi, Nafiseh Nasrollahi Borujeni, Samaneh Afshan, Masoumeh Fallah, Hamed Ayaseh, Mohammad Pahlavan, Seyedeh Maedeh Nabavi Chashmi, Tahereh Haeri, Fattaneh Imani, Foruzan Zahedmanesh, Abolfazl Akbari, Khadijeh Nasiri, Valiollah Dabidi Roshan

Summary: The study investigated the effects of wearing different types of masks (surgical vs. N95) on hemodynamic and hematologic function in males and females during different exercise intensities. The results showed that there were no significant differences in hemodynamic and hematologic function post-exercise based on mask modality, and wearing a surgical mask during exercise was deemed safe.

PHYSICIAN AND SPORTSMEDICINE (2022)

Article Primary Health Care

Clinical risk in remote consultations in general practice: findings from in-COVID- 19 pandemic qualitative research

Rebecca Rosen, Sietse Wieringa, Trisha Greenhalgh, Claudia Leone, Sarah Rybczynska-Bunt, Gemma Hughes, Lucy Moore, Sara E. Shaw, Joseph Wherton, Richard Byng

Summary: This study develops a taxonomy of risks associated with remote consultations in general practice based on qualitative sub-study data. The COVID-19 pandemic has brought changes and risks to various aspects of remote consultations, including practice set-up and organization, communication and the clinical relationship, quality of clinical care, increased burden on patients, reduced opportunities for screening and managing social determinants of health, and workforce. Mitigating these risks requires actively implementing measures such as digital inclusion strategies, enhanced safety-netting, and training and support for staff.

BJGP OPEN (2023)

Review Primary Health Care

Cerebral Venous Sinus Thrombosis Following COVID-19 Vaccination: A Systematic Review

Vikash Jaiswal, Gaurav Nepal, Patricia Dijamco, Angela Ishak, Mehak Dagar, Zouina Sarfraz, Nishat Shama, Azza Sarfraz, Kriti Lnu, Saloni Mitra, Preeti Agarwala, Sidra Naz, David Song, Akash Jaiswal

Summary: This study systematically reviewed the characteristics, clinical findings, treatment, and outcomes of patients developing cerebral venous sinus thrombosis (CVST) post-COVID-19 vaccination. The analysis included 80 CVST cases, with a mortality rate of 39.24%. There was no significant relationship between mortality and age, sex, vaccine type, platelet count, and comorbidities such as hypertension and diabetes mellitus. However, mortality was associated with the duration of onset of CVST symptoms after vaccination. Patients with CVST post-COVID-19 vaccination were more likely to survive if treated with an anticoagulant. Patients who developed intracranial hemorrhage or thrombosis in the cortical vein were more likely to die.

JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH (2022)

Article Primary Health Care

Colchicine for COVID-19 in the community (PRINCIPLE): a randomised, controlled, adaptive platform trial

Jienchi Dorward, Ly-Mee Yu, Gail Hayward, Benjamin R. Saville, Oghenekome Gbinigie, Oliver Van Hecke, Emma Ogburn, Philip H. Evans, Nicholas P. B. Thomas, Mahendra G. Patel, Duncan Richards, Nicholas Berry, Michelle A. Detry, Christina Saunders, Mark Fitzgerald, Victoria Harris, Milensu Shanyinde, Simon de Lusignan, Monique Andersson, Christopher C. Butler, F. D. Richard Hobbs

Summary: This study aimed to determine the effects of colchicine on recovery time and hospitalization/death related to COVID-19. The results showed that colchicine did not reduce recovery time or decrease the risk of hospitalization/death related to COVID-19 among participants in the community.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Review Primary Health Care

Key recommendations for primary care from the 2022 Global Initiative for Asthma (GINA) update

Mark L. Levy, Leonard B. Bacharier, Eric Bateman, Louis-Philippe Boulet, Chris Brightling, Roland Buhl, Guy Brusselle, Alvaro A. Cruz, Jeffrey M. Drazen, Liesbeth Duijts, Louise Fleming, Hiromasa Inoue, Fanny W. S. Ko, Jerry A. Krishnan, Kevin Mortimer, Paulo M. Pitrez, Aziz Sheikh, Arzu Yorgancioglu, Helen K. Reddel

Summary: The Global Initiative for Asthma (GINA) was established in 1993 to improve asthma awareness, prevention and management worldwide. GINA develops evidence-based resources for clinicians and its guidance is adopted by national asthma guidelines in many countries. GINA is funded independently and supports individualized assessment and treatment for asthma.

NPJ PRIMARY CARE RESPIRATORY MEDICINE (2023)

Review Primary Health Care

The use of non-steroidal anti-inflammatory drugs (NSAIDs) in COVID-19

Pamela Kushner, Bill H. McCarberg, Laurent Grange, Anton Kolosov, Anela Lihic Haveric, Vincent Zucal, Richard Petruschke, Stephane Bissonnette

Summary: This narrative literature review examined the relationship between NSAID use and COVID-19 outcomes. The findings indicate that NSAIDs do not increase the risk of SARS-CoV-2 infection or worsen outcomes in patients with COVID-19. Current recommendations from major public health authorities support the use of NSAIDs for pain relief and fever reduction during the pandemic.

NPJ PRIMARY CARE RESPIRATORY MEDICINE (2022)

Review Primary Health Care

What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review

Alexandra R. Davidson, Jaimon Kelly, Lauren Ball, Mark Morgan, Dianne P. Reidlinger

Summary: This integrative review analyzed the experiences and perceptions of patients with chronic conditions in primary care regarding Interprofessional Collaborative Practice. The results showed that patients overwhelmingly had positive experiences of Interprofessional Collaborative Practice and considered it appropriate for chronic condition management. Additionally, the patient role in managing their chronic condition was closely linked to their experience.

BMC PRIMARY CARE (2022)

Article Primary Health Care

Burnout, Professional Self-Efficacy, and Life Satisfaction as Predictors of Job Performance in Health Care Workers: The Mediating Role of Work Engagement

Deisy Bernales-Turpo, Roy Quispe-Velasquez, Diony Flores-Ticona, Jacksaint Saintila, Percy G. Ruiz Mamani, Salomon Huancahuire-Vega, Mardel Morales-Garcia, Wilter C. Morales-Garcia

Summary: This study aimed to analyze the mediating role of work engagement in the relationship between job burnout, professional self-efficacy, life satisfaction, and job performance in Peruvian health care workers. The results showed that professional self-efficacy and life satisfaction were positive predictors of work engagement, while burnout was a negative predictor. The consistent mediation of work engagement had a positive effect on job performance.

JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH (2022)

Article Primary Health Care

Haemoglobin and red cell distribution width levels in internal medicine patients indicate recurrent hospital admission during COVID-19

Burcin Atak Tel, Gizem Kahveci, Satilmis Bilgin, Ozge Kurtkulagi, Tuba Taslamacioglu Duman, Muhammed Demirkol, Gulali Aktas

Summary: This study compared the characteristics, medical diagnoses, and laboratory data of patients referred to internal medicine outpatient clinics during the COVID-19 pandemic. It was found that patients with cancer were more likely to have multiple hospital admissions, and a correlation was observed between decreased hemoglobin and increased red cell distribution width with the number of admissions.

FAMILY MEDICINE AND PRIMARY CARE REVIEW (2022)

Article Endocrinology & Metabolism

The impact of the COVID pandemic on primary care diabetes services in the UK: A cross-sectional national survey of views of health professionals delivering diabetes care

Samuel Seidu, Clare Hambling, Patrick Holmes, Kevin Fernando, Nigel S. Campbell, Sarah Davies, Kamlesh Khunti

Summary: The COVID-19 pandemic has significantly impacted primary care diabetes services in the UK, leading to difficulties in providing routine care and increased workload for healthcare professionals. Failure to restore primary care services to pre-pandemic levels may result in an overworked and emotionally drained workforce, as well as worse outcomes for patients.

PRIMARY CARE DIABETES (2022)

Article Primary Health Care

Non-speculum sampling approaches for cervical screening in older women: randomised controlled trial

Rebecca Landy, Tony Hollingworth, Jo Waller, Laura A. Marlow, Jane Rigney, Thomas Round, Peter D. Sasieni, Anita W. W. Lim

Summary: This study evaluated whether offering non-speculum clinician-taken sampling and self-sampling increases the cervical cancer screening uptake in women aged 50-64 who do not regularly attend screenings. The study found that offering these two options significantly increases the screening uptake and there are differences in screening modality preference among women of different ethnic backgrounds.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Article Primary Health Care

The psychological impact of COVID-19 among primary care physicians in the province of Verona, Italy: a cross-sectional study during the first pandemic wave

Antonio Lasalvia, Giulio Rigon, Carlo Rugiu, Claudia Negri, Franco Del Zotti, Francesco Amaddeo, Chiara Bonetto

Summary: General practitioners (GPs) working with COVID-19 patients experience significant pressure and may develop adverse mental health outcomes. A study conducted in Italy found that a considerable proportion of GPs reported symptoms of post-traumatic distress, anxiety, depression, and burnout. Female GPs, those working in rural settings, and those with less professional experience were more likely to experience anxiety and depression.

FAMILY PRACTICE (2022)

Article Primary Health Care

A Meta-Analysis on the Safety and Immunogenicity of COVID-19 Vaccines

Rasha Ashmawy, Noha A. Hamdy, Yasir Ahmed Mohammed Elhadi, Sulafa T. Alqutub, Ola Fahmy Esmail, Marwa Shawky Mohammed Abdou, Omar Ahmed Reyad, Samar O. El-Ganainy, Basma Khairy Gad, Ahmed El-Sayed Nour El-Deen, Ahmed Kamal, Haider ElSaieh, Ehab Elrewiny, Ramy Shaaban, Ramy Mohamed Ghazy

Summary: The meta-analysis aimed to identify the safety and immunogenicity of SARS-CoV-2 vaccines in published trials. The findings showed that the immunogenicity ranged from 63% to 93% depending on the time of antibody measurement. The incidence of adverse effects was low.

JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH (2022)

Article Primary Health Care

Disruptions in standard care: anterior cruciate ligament reconstruction outcomes during the SARS-COV2 pandemic

Donghoon Lee, Adam J. Lencer, Brian S. Gibbs, Ryan W. Paul, Fotios P. Tjoumakaris

Summary: Despite disruptions in care, anterior cruciate ligament reconstruction patients have excellent 1-year outcomes during the pandemic. Telehealth follow-up appointments may be appropriate for anterior cruciate ligament reconstruction patients beyond the pandemic and do not seem to adversely affect short-term patient reported outcome measures.

PHYSICIAN AND SPORTSMEDICINE (2022)

Article Primary Health Care

Immersion-Crystallization: a valuable analytic tool for healthcare research

Jeffrey M. Borkan

FAMILY PRACTICE (2022)