Article
Primary Health Care
Ana Luisa Neves, Jako Burgers
Summary: This paper discusses the potential of digital health in delivering higher quality, safer, and more equitable care, with a focus on patient access to health records, big data analytics, and virtual care. The importance of evaluating digital interventions is emphasized, with the need to assess outcomes based on the dimensions of care quality and define populations for effective measures. Finally, five wishes for the future of digital care in General Practice are shared.
EUROPEAN JOURNAL OF GENERAL PRACTICE
(2022)
Review
Primary Health Care
Julie P. Phillips, Andrea L. Wendling, Jacob Prunuske, Molly E. Polverento, Christy J. W. Ledford, Deborah R. Erlich, Esther L. Guard, Amanda Kost, Iris Kovar-Gough, Amy L. Lee, Winston Liaw, Bich -May Nguyen, Morgan A. Pratte, Meghan F. Raleigh, Tomoko Sairenji, Dean A. Seehusen, Shelby Walker, Virginia Young, Christopher P. Morley
Summary: The United States, like many other nations, is facing a shortage of primary care physicians. Studies conducted in the US show that most quantitative studies are of low quality, with a focus on four common methodologic approaches and primarily examining effectiveness and impact, lacking planning and piloting studies. More qualitative methods and innovative approaches are needed in research on medical school interventions to support primary care specialty choice.
Article
Primary Health Care
Marco Marando, Tanja Fusi-Schmidhauser, Adriana Tamburello, Lorenzo Grazioli Gauthier, Elia Rigamonti, Gianluca Argentieri, Carla Puligheddu, Alberto Pagnamenta, Antonio Valenti, Marco Pons, Pietro Gianella
Summary: This study observed the condition of patients with SARS-CoV-2 pneumonia one year later and found that most patients still had abnormalities in radiological and functional aspects, and a decrease in health-related quality of life, despite showing progressive recovery.
NPJ PRIMARY CARE RESPIRATORY MEDICINE
(2022)
Article
Primary Health Care
Sandra Stengel, Catharina Roth, Amanda Breckner, Lara Cordes, Sophia Weber, Charlotte Ullrich, Frank Peters-Klimm, Michel Wensing
Summary: This study aimed to explore the responses of primary care practitioners during the early COVID-19 pandemic and analyze their impact on the resilience of the primary health care system. The study found that primary care practitioners demonstrated strong adaptability and resilience, but there were variations in the speed and scope of their responses. The establishment of Corona contact points was mainly driven by intrinsic motivation and self-initiative, although challenges such as lack of personal protective equipment and space constraints were identified. Primary care played an important role in coordination efforts, but regional capacity planning was needed.
Article
Primary Health Care
Robin Hao, Tyler Myroniuk, Taylor McGuckin, Donna Manca, Denise Campbell-Scherer, Darren Lau, Roseanne O. Yeung
Summary: This study evaluated treatment outcomes in diabetic patients and found that the use of SGLT2i and GLP-1RA was lower in patients with cardiorenal comorbidities. This reveals opportunities to improve prescribing for high-risk diabetic patients.
Article
Primary Health Care
Kabiul Haque, Peeyush Bhargava
Summary: Abdominal aortic aneurysm is a dangerous condition that requires timely detection and management through ultrasound screening. It is usually asymptomatic but has various risk factors and complications, such as hypertension, coronary artery disease, and smoking. Medical or surgical treatment options are available depending on the patient's condition and symptoms. The most serious complication is rupture, which necessitates emergency surgical intervention.
AMERICAN FAMILY PHYSICIAN
(2022)
Review
Primary Health Care
Sadhana Sharma, Bandana Kumari, Asgar Ali, Rajesh K. Yadav, Abhay K. Sharma, Krishan K. Sharma, Krishnan Hajela, Girish K. Singh
Summary: Mobile technology has played a significant role in the healthcare sector, improving time management and cost reduction, as well as providing convenience for patients. With advancements in mobile technologies and the increasing number of mobile users, new opportunities have emerged for patient care using mobile devices. Leveraging emerging information and communication technologies, particularly the Internet of Things, mobile technology can become a powerful tool to support healthcare and integrate different domains.
JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE
(2022)
Review
Primary Health Care
Daniel Jones, Erica Di Martino, Stephen H. Bradley, Blessing Essang, Scott Hemphill, Judy M. Wright, Cristina Renzi, Claire Surr, Andrew Clegg, Niek De Wit, Richard Neal
Summary: This systematic literature review highlighted uncertainty in the management of older adults with cancer symptoms. Patients and their families wished to be involved in decisions. Given the uncertainty regarding the optimum management of this group of patients, a shared decision-making approach is important.
BRITISH JOURNAL OF GENERAL PRACTICE
(2022)
Review
Primary Health Care
Yu-Yu Tien, Ming-Chieh Shih, Chiao-Pang Tien, Huei-Kai Huang, Yu-Kang Tu
Summary: This study investigated the effects of different urate-lowering therapies on asymptomatic hyperuricemia patients. The results showed that allopurinol and febuxostat had the best efficacy in lowering serum uric acid levels in both short-term and long-term follow-up. Allopurinol was also found to have renoprotective effects.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2022)
Article
Primary Health Care
Andrew Turner, Rebecca Morris, Lorraine McDonagh, Fiona Hamilton, Sarah Blake, Michelle Farr, Fiona Stevenson, Jon Banks, Helen Atherton, Dylan Rakhra, Gemma Lasseter, Gene Feder, Sue Ziebland, Emma Hyde, John Powell, Jeremy Horwood
Summary: A study conducted in multiple general practices in England found that online patient access to medical records can lead to unintended consequences, including negative impacts on patients' understanding of their healthcare and potential compromises in the quality and safety of medical records. Contrary to the assumption of reduced workload, online access actually introduced additional work for healthcare providers. Therefore, further efforts are needed to prepare medical records for sharing and to adequately support practices in managing the unintended consequences of online access.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Primary Health Care
Ravi Gupta, Anil Kapoor, Akash Singhal, Bharath Mali Patil, Parth Bansal
Summary: High-grade preoperative pivot shift test is associated with chronic ACL tear, concomitant lateral meniscus tear, and inferior clinical outcomes, with a lower rate of return to sports compared to low-grade pivot shift test.
PHYSICIAN AND SPORTSMEDICINE
(2022)
Letter
Primary Health Care
Yu Xiao, Xiao-hong Wu, Jia Chen, Fang-fei Xie
Review
Primary Health Care
Maria Soledad Gimenez-Campos, Pedro Pimenta-Fermisson-Ramos, Jose Israel Diaz-Cambronero, Rafael Carbonell-Sanchis, Eduardo Lopez-Briz, Vicente Ruiz-Garcia
Summary: This systematic review found lack of effectiveness of pregabalin and gabapentin in managing sciatica pain and disability. Therefore, routine clinical use of these medications cannot be supported.
Review
Primary Health Care
Antonio L. Aguilar-Shea, Javier A. M. D. Membrilla, Javier Diaz-de-Teran
Summary: Migraine ranks second among the world's causes of disability. Diagnosis is mainly based on medical history and clinical examination, without the need for imaging. Migraine can be categorized based on the presence of aura and the frequency of headaches. Treatment focuses on alleviating migraine symptoms and preventing its occurrence.
Article
Primary Health Care
Athena Ip, Georgia Black, Cecilia Vindrola-Padros, Claire Taylor, Sophie Otter, Madeleine Hewish, Afsana Bhuiya, Julie Callin, Angela Wong, Michael Machesney, Naomi J. Fulop, Cath Taylor, Katriina L. Whitaker
Summary: This study explored how patients' help-seeking experiences in primary care for colorectal cancer symptoms during COVID-19 were influenced by their socioeconomic status (SES). The findings indicated that lower SES participants expressed uncertainty in symptom appraisal and navigating services, while higher SES patients were more likely to use alternative methods of communication. COVID-19 exacerbated disparities between higher and lower SES groups.
BRITISH JOURNAL OF GENERAL PRACTICE
(2022)
Review
Endocrinology & Metabolism
Ahmad Fariz Malvi Zamzam Zein, Wilson Matthew Raffaello
Summary: This study synthesized the latest evidence and found that DPP-IV inhibitor is associated with reduced mortality in patients with COVID-19.
PRIMARY CARE DIABETES
(2022)
Review
Primary Health Care
Siddhartha Dutta, Tarun Kumar, Surjit Singh, Sneha Ambwani, Jaykaran Charan, Shoban B. Varthya
Summary: This study analyzed published case reports and clinical trials to identify the demographic, clinical, and predisposing factors for euglycemic diabetic ketoacidosis (euDKA) in patients receiving SGLT2 inhibitors. The results showed that middle-aged females with type 2 diabetes who were taking SGLT2 inhibitors along with metformin had an increased risk of DKA compared to other medications.
JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE
(2022)
Article
Primary Health Care
Alka Kumari Muthyam, M. Padma Reddy, Suhas Kulkarni, Adepu Srilatha, Kommuri Sahithi, Dantala Satyanarayana
Summary: The aim of this observational study was to determine the oral manifestations among COVID-19 patients. The most common symptoms during and after the disease included xerostomia, frequent aphthous ulcers, swallowing difficulty, and burning mouth. Early identification of oral symptoms in COVID-19 recovered or suspected cases can help diagnose high-risk groups, reduce transmission, and promote overall health.
JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE
(2022)
Review
Primary Health Care
Thomas Huyghe, Pedro E. Alcaraz, Julio Calleja-Gonzalez, Stephen P. Bird
Summary: This systematic review examines the underlying mechanisms of NBA game-play performance by investigating internal and external variables. Studies on contextual constraints received more attention than those on player constraints, with a focus on descriptive-observational research rather than interventional studies.
PHYSICIAN AND SPORTSMEDICINE
(2022)
Article
Primary Health Care
Ratna Dwi Wulandari, Agung Dwi Laksono, Yoyok Bekti Prasetyo, Nurhasmadiar Nandini
Summary: The study analyzed the relationship between socioeconomic status and hospital utilization among female workers in Indonesia, finding that female workers with better socioeconomic status are more likely to utilize hospitals.
JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH
(2022)
