Primary Health Care

Article Primary Health Care

U.S. medical student knowledge and interest in asylum seeker medical care

Porag J. Das, Kyra M. Sagal, Katherine L. Blanton, Anika S. Naidu, William Pavlis, Joshua W. Goyert, Christopher W. Reynolds, Florian Schmitzberger, Vidya Ramanathan, Michele Heisler

Summary: This study aims to understand the interest, experience, and knowledge of U.S. medical students in providing care for asylum seekers. The findings suggest that while medical students desire training in caring for asylum seekers, they feel unprepared and believe that their medical school curriculum needs improvement in this area.

EDUCATION FOR PRIMARY CARE (2022)

Review Primary Health Care

Post-acute and long-COVID-19 symptoms in patients with mild diseases: a systematic review

Sophie A. M. van Kessel, Tim C. Olde Hartman, Peter L. B. J. Lucassen, Cornelia H. M. van Jaarsveld

Summary: This systematic review examines the nature and frequency of persistent symptoms in patients after mild COVID-19 infection. The findings indicate that approximately one-third of patients with mild infections experience persistent symptoms after 3 weeks. Common persistent symptoms include fatigue, dyspnea, cough, chest pain, headache, decreased cognitive function, and olfactory dysfunction. Additionally, persistent symptoms can have significant consequences on work and daily functioning.

FAMILY PRACTICE (2022)

Article Primary Health Care

Conceptualizing, Contextualizing, and Operationalizing Race in Quantitative Health Sciences Research

Elle Lett, Emmanuella Asabor, Sourik Beltran, Ashley Michelle Cannon, Onyebuchi A. Arah

Summary: Differences in health outcomes across racial groups are commonly found in health disparities research. However, these studies often fail to connect these disparities with systemic racism, unintentionally supporting harmful narratives of biological essentialism or cultural inferiority. This paper highlights the pitfalls in quantitative population health research and provides recommendations for understanding racial health inequities appropriately.

ANNALS OF FAMILY MEDICINE (2022)

Article Primary Health Care

Continuity in general practice as predictor of mortality, acute hospitalisation, and use of out-of-hours care: a registry-based observational study in Norway

Hogne Sandvik, Oystein Hetlevik, Jesper Blinkenberg, Steinar Hunskaar

Summary: This study aims to analyze the association between continuity with a named regular general practitioner (RCP) and the use of out-of-hours services, acute hospital admission, and mortality. The results indicate that a longer duration of the RGP-patient relationship is associated with lower utilization of out-of-hours services, fewer acute hospital admissions, and lower mortality rates.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Article Primary Health Care

The State of Telehealth Before and After the COVID19 Pandemic

Julia Shaver

PRIMARY CARE (2022)

Review Primary Health Care

The effectiveness of teleconsultations in primary care: systematic review

Sara Carrillo de Albornoz, Kah-Ling Sia, Anthony Harris

Summary: Telephone and video consultations are as effective as face-to-face visits in improving clinical outcomes, but may not be suitable for all patients. Remote consultations save time in primary care, but require appropriate implementation and management.

FAMILY PRACTICE (2022)

Article Primary Health Care

How did general practices organize care during the COVID-19 pandemic: the protocol of the cross-sectional PRICOV-19 study in 38 countries

E. Van Poel, P. Vanden Bussche, Z. Klemenc-Ketis, S. Willems

Summary: The PRICOV-19 study investigates how GP practices are organized during the COVID-19 pandemic in 38 countries, including the shift in roles and tasks and the wellbeing of staff members. The results of this study can significantly contribute to better preparedness of primary health care systems across Europe for future major outbreaks of infectious diseases.

BMC PRIMARY CARE (2022)

Review Primary Health Care

GP wellbeing during the COVID-19 pandemic: a systematic review

Laura Jefferson, Su Golder, Claire Heathcote, Ana Castro Avila, Veronica Dale, Holly Essex, Christina van der Feltz Cornelis, Elizabeth McHugh, Thirimon Moe-Byrne, Karen Bloor

Summary: The COVID-19 pandemic has had a negative impact on the wellbeing of primary care doctors around the world, causing increased stress, burnout, anxiety, depression, decreased job satisfaction, and physical symptoms. Female and older doctors tend to have poorer psychological outcomes. There is significant variation in outcome measures and reporting practices.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Review Primary Health Care

Injury in CrossFit®: A Systematic Review of Epidemiology and Risk Factors

Miguel Rodriguez, Pablo Garcia-Calleja, Nicolas Terrados, Irene Crespo, Miguel Del Valle, Hugo Olmedillas

Summary: The overall prevalence of injuries among CrossFit practitioners is 35.3%, with the most commonly injured areas being the shoulder, spine, and knee. Risk factors associated with injuries include older age, male sex, higher BMI, previous injuries, lack of coach supervision, and experience in CrossFit.

PHYSICIAN AND SPORTSMEDICINE (2022)

Review Endocrinology & Metabolism

A systematic review and meta-analysis to compare the prevalence of depression between people with and without Type 1 and Type 2 diabetes

Aaisha Farooqi, Clare Gillies, Harini Sathanapally, Sophia Abner, Sam Seidu, Melanie J. Davies, William H. Polonsky, Kamlesh Khunti

Summary: Diabetes significantly impacts quality of life and mental health. The prevalence of depression is higher in individuals with Type 1 and Type 2 diabetes, especially in specialist care and low- and middle-income countries.

PRIMARY CARE DIABETES (2022)

Review Primary Health Care

Ensuring the continuation of routine primary care during the COVID-19 pandemic: a review of the international literature

Sethunya Matenge, Elizabeth Sturgiss, Jane Desborough, Sally Hall Dykgraaf, Garang Dut, Michael Kidd

Summary: The COVID-19 pandemic caused significant disruptions to routine primary care services, leading to the adoption of new approaches to ensure continuity. Primary care providers quickly implemented telehealth solutions and infection control measures to provide safe access to care, but faced challenges such as disparities in access to telehealth, difficulties in examining patients, shortages of personal protective equipment, and financial struggles for medical practices. Adequate support and guidance from authorities are crucial to optimize the delivery of comprehensive primary care during pandemics.

FAMILY PRACTICE (2022)

Article Primary Health Care

Impact of the COVID-19 Pandemic on Primary Health Care Disease Incidence Rates: 2017 to 2020

Antoni Siso-Almirall, Belchin Kostov, Encarna Sanchez, Jaume Benavent-Areu, Luis Gonzalez-de Paz

Summary: The COVID-19 pandemic has significantly impacted the incidence rates of common primary care diseases in Spain, mainly due to the prioritization of healthcare resources leading to a decrease in detection and management of chronic diseases.

ANNALS OF FAMILY MEDICINE (2022)

Article Primary Health Care

Trends and clinical characteristics of 57.9 million COVID-19 vaccine recipients: a federated analysis of patients' primary care records in situ using OpenSAFELY

Helen J. Curtis, Peter Inglesby, Caroline E. Morton, Brian MacKenna, Amelia Green, William Hulme, Alex J. Walker, Jessica Morley, Amir Mehrkar, Seb Bacon, George Hickman, Chris Bates, Richard Croker, David Evans, Tom Ward, Jonathan Cockburn, Simon Davy, Krishnan Bhaskaran, Anna Schultze, Christopher T. Rentsch, Elizabeth J. Williamson, Anna Rowan, Louis Fisher, Helen McDonald, Laurie Tomlinson, Rohini Mathur, Henry Drysdale, Rosalind M. Eggo, Kevin Wing, Angel Ys Wong, Harriet Forbes, John Parry, Frank Hester, Sam Harper, Shaun O'Hanlon, Alex Eavis, Richard Jarvis, Dima Avramov, Paul Griffiths, Aaron Fowles, Nasreen Parkes, Ian J. Douglas, Stephen Jw Evans, Liam Smeeth, Ben Goldacre

Summary: The first COVID-19 vaccination in the NHS of England was administered on 8 December 2020. This study aimed to describe trends and variations in vaccine coverage among different clinical and demographic groups in the first 100 days of the vaccine rollout. By 17 March 2021, 36.0% of patients had received a vaccine, with significant differences in vaccination rates among various demographic groups. Targeted efforts may be necessary to address lower vaccine coverage observed among certain key groups.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Review Primary Health Care

Primary Dysmenorrhea: Pathophysiology, Diagnosis, and Treatment Updates

Rania Itani, Lama Soubra, Samar Karout, Deema Rahme, Lina Karout, Hani M. J. Khojah

Summary: Primary dysmenorrhea is a common and disregarded complaint among young and adult females, negatively impacting their quality of life. It is characterized by physical and psychological symptoms, with diagnosis based on patients' history, symptoms, and physical examination. Treatment aims to improve the quality of life and can involve the use of nonsteroidal anti-inflammatory drugs, hormonal contraceptives, and non-pharmacological aids.

KOREAN JOURNAL OF FAMILY MEDICINE (2022)

Article Primary Health Care

Why do GPs rarely do video consultations? qualitative study in UK general practice

Trisha Greenhalgh, Emma Ladds, Gemma Hughes, Lucy Moore, Joseph Wherton, Sara E. Shaw, Chrysanthi Papoutsi, Sietse Wieringa, Rebecca Rosen, Alexander Rushforth, Sarah Rybczynska-Bunt

Summary: Video consultations are not widely used in general practice in the UK, despite efforts to promote their use. This study found that video consultations were either not adopted or quickly abandoned in most general practices. Many presenting problems in general practice can be adequately addressed by telephone, and in-person assessment is considered necessary for the remainder. Video consultations can add value in certain situations, such as out-of-hours services and nursing home consultations.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Review Endocrinology & Metabolism

Risk of incident diabetes post-COVID-19: A systematic review and meta-analysis

Mainak Banerjee, Rimesh Pal, Sulagna Dutta

Summary: It remains unclear whether newly diagnosed diabetes during acute COVID-19 persists in the post-acute COVID phase. This meta-analysis aimed to summarize available literature and estimate the risk of developing incident diabetes following hospital discharge or at least 28 days after COVID-19 diagnosis. The analysis showed a 59% higher risk of developing incident diabetes in the post-acute COVID-19 phase compared to healthy controls. Similar results were observed when comparing COVID-19 to severity matched non-COVID-19 respiratory tract infections.

PRIMARY CARE DIABETES (2022)

Article Primary Health Care

COVID-19 vaccine acceptance and hesitancy among primary healthcare workers in Singapore

Sky Wei Chee Koh, Yiyang Liow, Victor Weng Keong Loh, Seaw Jia Liew, Yiong-Huak Chan, Doris Young

Summary: COVID-19 vaccine acceptance is high among primary healthcare workers in Singapore, with a rate close to 95%. Vaccine acceptance is not significantly influenced by factors such as gender, age, profession, years in healthcare, living alone, chronic diseases, self-perceived risk, or previous influenza vaccination. Personal protection and job-related risk are the top reasons for vaccine acceptance.

BMC PRIMARY CARE (2022)

Review Primary Health Care

A quality assessment of YouTube content on shoulder instability

Christine M. Etzel, Steven L. Bokshan, Timothy A. Forster, Brett D. Owens

Summary: The study found that YouTube videos on shoulder instability are of low quality, accuracy, and reliability, highlighting the need for care providers to be cautious with information obtained from this platform.

PHYSICIAN AND SPORTSMEDICINE (2022)

Article Primary Health Care

The effects of home confinement on physical activity level and mental status in professional football players during COVID-19 outbreak

Gurhan Donmez, Omer Ozkan, Yigitcan Menderes, Serife Seyma Torgutalp, Levend Karacoban, Nevzad Denerel, Savas Kudas

Summary: The study assessed the psychological impacts of lockdown and similar restrictions on professional football players during the coronavirus pandemic. Results showed that one fourth of the players completed the online survey, with the majority maintaining high physical activity levels. Correlations were found between marital status, walking activity, self-quarantine days, and mental health status of the players.

PHYSICIAN AND SPORTSMEDICINE (2022)

Article Primary Health Care

Continuity of GP care for patients with dementia: impact on prescribing and the health of patients

Joao Delgado, Philip H. Evans, Denis Pereira Gray, Kate Sidaway-Lee, Louise Allan, Linda Clare, Clive Ballard, Jane Masoli, Jose M. Valderas, David Melzer

Summary: The study found that higher continuity of GP care (CGPC) is associated with a reduced risk of potentially inappropriate prescribing (PIP) and adverse health outcomes (AHOs) in patients with dementia. Patients who consistently consult the same doctor have safer prescribing and lower rates of major adverse events.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)