Primary Health Care

Article Primary Health Care

Effectiveness of the spirometry-based motivational intervention to quit smoking: RESET randomised trial

Francisco Martin-Lujan, Antoni Santigosa-Ayala, Meritxell Palleja-Millan, Cristina Rey-Renones, Felipe Villalobos, Rosa Sola, RESET Study

Summary: Interventions involving brief counselling and detailed spirometry information in primary care can effectively increase smoking cessation rates among active smokers without known respiratory disease. Furthermore, smoking cessation is also influenced by the individual's stage of change.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Direct-to-patient digital diagnostics in primary care: Opportunities, challenges, and conditions necessary for responsible digital diagnostics

Maria Villalobos-Quesada, Kendall Ho, Niels H. Chavannes, Esther P. W. A. Talboom-Kamp

Summary: Digital diagnostics can be a tool to better respond to the challenges faced by primary care systems, while aligning with patients' and healthcare professionals' needs. However, it needs to be clarified how to determine the success of these interventions.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Transitioning from face-to-face to distance education. Part 2: A qualitative study in the former Yugoslavia during COVID-19

Davorina Petek, Irena Zakarija-Grkovic, Aleksandar Stepanovic, Marion Tomicic, Zlata Ozvacic Adzic, Venija Cerovecki, Igor Svab, Vesna Homar

Summary: The study revealed that Departments of Family Medicine in the former Yugoslavia successfully transitioned from face-to-face to distance education during COVID-19. Distance education offered flexible scheduling, innovative tools, and the possibility of self-directed learning. However, face-to-face education was still considered preferable for fostering interpersonal relations and teaching clinical skills. Educators should strive to strike a balance between innovative approaches and the preservation of personal experiences.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Editorial Material Primary Health Care

SERIES: eHealth in primary care. Part 6: Global perspectives: Learning from eHealth for low-resource primary care settings and across high-, middle- and low-income countries

Margot Rakers, Steven van de Vijver, Paz Bossio, Nic Moens, Michiel Rauws, Millicent Orera, Hongxia Shen, Cynthia Hallensleben, Evelyn Brakema, Nick Guldemond, Niels H. Chavannes, Maria Villalobos-Quesada

Summary: This article discusses the contributions and challenges of eHealth in low-resource primary care settings through four case studies. However, the development and implementation face challenges related to users, technology, finance, regulations, and evaluation. To overcome these challenges, six recommendations are formulated.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Series: Public engagement with research. Part 1: The fundamentals of public engagement with research

Steven Blackburn, Megan Clinch, Maarten de Wit, Albine Moser, Jette Primdahl, Esther van Vliet, Christine Walker, Fiona Stevenson

Summary: This article introduces the fundamentals of public engagement in primary care research, aiming to encourage and improve the researcher's awareness and practice of public engagement. Public engagement is considered a moral and ethical imperative for conducting high-quality research by an increasing number of researchers, funders, and patient organizations in Europe.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Development and validation of a clinical prediction rule for acute appendicitis in children in primary care

Guus Blok, Huib Burger, Johan van der Lei, Marjolein Berger, Gea Holtman

Summary: This study aims to develop and validate a clinical prediction rule for diagnosing acute appendicitis in children with acute abdominal pain. A prediction model based on gender, pain duration, nausea/vomiting, elevated temperature, abnormal bowel sounds, right lower quadrant tenderness, and peritoneal irritation was established and validated using retrospective data from 2010 to 2016. The model showed good discrimination and calibration, and can be used to improve clinical decision making and outcomes.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

How can primary care be secured in the long term? - a qualitative study from the perspective of general practitioners in Germany

Julian Wangler, Michael Jansky

Summary: This study investigates the opinions and suggestions of German GPs regarding primary care. Many interviewees express concerns about a future shortage of GPs and propose solutions such as establishing a primary care physician system, improving GP training, and reforming medical education. They also highlight the importance of multi-professional outpatient care centers and task shifting. While acknowledging progress, the interviewees emphasize the need for further action to ensure primary care.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Series: Public engagement with research. Part 4: Maximising the benefits of involving the public in research implementation

Laura Swaithes, Laura Campbell, Sibyl Anthierens, Magdalena Skrybant, Dieuwke Schiphof, Helen French, Maarten de Wit, Steven Blackburn, Krysia Dziedzic

Summary: This article emphasizes the important role of the public in implementing research in General Practice and Primary Care. It discusses how partnership working with patients and the public is crucial in transitioning from evidence-based knowledge to actual practice. Factors related to Primary Care research that make public engagement important are highlighted, as well as the potential benefits of involving patients and the public in improving health services through modeling and simulation studies. The article provides guiding principles for engaging with the public in implementation and includes illustrative case studies.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Review Primary Health Care

Impact of primary care physicians working part-time on patient care: A scoping review

Sebastian Kegreiss, Christian Studer, Patrick E. Beeler, Stefan Essig, Rebecca Tomaschek

Summary: This scoping review aimed to determine the impact of part-time work on primary care physicians (PCPs) on the quality of patient care. The study found that PCPs working part-time may negatively affect the access and continuity of care, but clinical outcomes and patient satisfaction are mostly unaffected or even improved. It suggests the need for approaches to mitigate these negative effects while maintaining positive outcomes.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

GPs' perceptions of pharmacists working in general practices: A mixed methods survey study

Eoin Hurley, Tony Foley, Elaine Walsh, Stephen Byrne, Kieran Dalton

Summary: This study explored general practitioners' perceptions of integrating pharmacists into practices in Ireland. The results showed that most doctors welcomed this role and believed that pharmacists could enhance patient safety. Doctors were highly supportive of pharmacists providing medicine information, but less supportive of pharmacists prescribing independently. The study also identified the challenges and anticipated outcomes of collaboration between doctors and pharmacists.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Validation of the Lithuanian multimorbidity treatment burden questionnaire (MTBQ) and its association with primary care patient characteristics

Olga Vasiliauskiene, Dovydas Vasiliauskas, Polly Duncan, Ausrine Kontrimiene, Lina Jaruseviciene, Aiste Cesnuleviciene, Gediminas Urbonas, Ida Liseckiene

Summary: This study aimed to validate the Lithuanian version of the Multimorbidity Treatment Burden Questionnaire (MTBQ) and found that the treatment burden scores of Lithuanian patients with multimorbidity were associated with quality of life, self-rated health scores, and the number of comorbidities.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Climate change mitigation: Qualitative analysis of environmental impact-reducing strategies in German primary care

Valeska Fehrer, Regina Poss-Doering, Aline Weis, Michel Wensing, Joachim Szecsenyi, Nicola Litke

Summary: The German healthcare system contributes 5.2% of the national greenhouse gases emissions, making it crucial to implement mitigation actions to reduce its carbon footprint. However, there is a lack of approaches to achieve this in German primary care. This study aimed to identify environmental impact-reducing strategies in German primary care practices.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Advance care planning among older adults in Belgium with Turkish backgrounds and palliative care needs: A qualitative interview study

Hakki Demirkapu, Lieve van den Block, Stephanie De Maesschalck, Aline De Vleminck, F. Zehra Colak, Dirk Devroey

Summary: There is a lack of knowledge and engagement in advance care planning among older Turkish-origin adults in Belgium requiring palliative care. This lack of engagement is linked to their family dynamics and religious beliefs.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Impact of a patient reminder letter from their general practitioners on influenza vaccination: A quasi-experimental study in Paris, France

Laurent Rigal, Loucine Sarkhanova, Pascaline Mourey, Sylvain Paquet, Virginie Ringa, Henri Panjo, Christine Gautier, Hector Falcoff

Summary: This study evaluated the impact of a reminder letter from general practitioners (GPs) on patients' influenza vaccination. The results showed that the intervention group, who received reminder letters, had a vaccination coverage of 14.7%, while the control group had a coverage of 1.7%. This suggests that reminder letters can help increase influenza vaccination coverage.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Video versus telephone for telehealth delivery: a cross-sectional study of Australian general practice trainees

Katie Fisher, Amanda Tapley, Anna Ralston, Andrew Davey, Alison Fielding, Mieke van Driel, Elizabeth Holliday, Jean Ball, Jason Dizon, Neil Spike, Lisa Clarke, Parker Magin

Summary: This study examines the prevalence and associations of video versus telephone consultations in Australian general practice (GP) registrars' practice. The findings show that telehealth consultations in Australia are mostly conducted via telephone, which is associated with socioeconomic disadvantage. Future research should focus on exploring barriers to videoconferencing use and implementing strategies to increase its uptake.

FAMILY PRACTICE (2023)

Article Primary Health Care

Promotion of nutritional behaviors in the prevention of cardiovascular diseases: application of the health belief model in primary health care centers

Nasrin Midjani, Fatemeh Alsadat Hossaini, Nader Sharifi

Summary: This study aimed to investigate the effect of educational intervention based on the Health Belief Model (HBM) on the promotion of nutritional behaviors to prevent cardiovascular diseases (CVD). The results showed that the educational intervention effectively improved participants' knowledge and HBM constructs related to CVD prevention. The findings suggest that implementing an educational intervention based on the HBM can successfully improve people's performance regarding CVD prevention behaviors.

BMC PRIMARY CARE (2023)

Article Primary Health Care

Exploring diagnostic events and first referrals in cancer patient pathways in primary care. A questionnaire survey

Gitte B. Lauridsen, Dorte E. Jarbol, Peter Thye-Ronn, Sanne Rasmussen, Kirubakaran Balasubramaniam, Jesper Lykkegaard

Summary: In the diagnostic processes of cancer in general practice, the patient's age, gender, and specificity of symptoms are associated with first referrals and potentially delaying events. Women are more likely to present with nonspecific symptoms and be initially diagnosed with other diseases instead of cancer. Men are more likely to be referred to a cancer patient pathway but have difficulties in compliance with follow-up agreements. Younger patients are less likely to be first referred to a cancer patient pathway.

FAMILY PRACTICE (2023)

Article Health Care Sciences & Services

Incidence of short-term community hospital stays and clinical profiles of patients: the Finnish Community Hospital Cohort Study

Henna Saari, Eija Lonnroos, Hannu Kautiainen, Simo Kokko, Olli-Pekka Ryynanen, Pekka Mantyselka

Summary: This study investigated the incidence rate of short-term community hospital stays and the features of care and patients in Finland. The findings showed that the incidence rate of short-term hospital stays increased sharply with age and was highest among women aged 75 years and above. Care was required for acute and chronic conditions common in older adults.

SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE (2023)

Article Primary Health Care

Trends in utilization of meniscal allograft transplantation between 2010 and 2019

Amil R. Agarwal, R. Timothy Kreulen, Abhay Mathur, Jacob D. Mikula, Teresa Doerre, Savyasachi C. Thakkar, Matthew J. Best

Summary: This study aimed to observe the trends in utilization of meniscus allograft transplantation (MAT), demographics and comorbidities of patients undergoing transplants, and reimbursements for this procedure between 2010 and 2019. The incidence of MAT and the population undergoing MAT have minimally increased, and future studies should aim to identify why the utilization of this surgery has not increased.

PHYSICIAN AND SPORTSMEDICINE (2023)