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Results: 258
Persistent inequalities in Hospice at Home provision.
OBJECTIVE: To describe the nature and scope of a new Hospice at Home (H@H) service and to identify its equality of provision. METHODS: Case note review of patients supported by a H@H service for 1 year from September 2012 to...
health inequalities Home Care Services hospice and palliative care nursing Palliative Care Primary Health Care Female Health Care Surveys Health Services Accessibility Healthcare Disparities Home Care Services Hospice Care Hospice and Palliative Care Nursing Humans Male Neoplasms Referral and Consultation Socioeconomic Factors
Clinical effectiveness and cost-effectiveness of issuing longer versus shorter duration (3-month vs. 28-day) prescriptions in patients with chronic conditions
Céline Miani, Adam Martin, Josephine Exley, Brett Doble, Ed Wilson, Rupert Payne, Anthony Avery, Catherine Meads, Anne Kirtley, Molly Morgan Jones, Sarah King
May 03, 2018
BACKGROUND: To reduce expenditure on, and wastage of, drugs, some commissioners have encouraged general practitioners to issue shorter prescriptions, typically 28 days in length; however, the evidence base for this...
Missed opportunities in prevention of cardiovascular disease in primary care
Antihypertensive Agents Primary Health Care Primary Prevention risk Secondary Prevention Statins Adult Aged Antihypertensive Agents Cardiovascular Diseases Cross-Sectional Studies Early Diagnosis Female General Practice Guideline Adherence Humans Hydroxymethylglutaryl-CoA Reductase Inhibitors Male Middle Aged Practice Guidelines as Topic Primary Prevention Retrospective Studies Risk Assessment United Kingdom Young Adult
Living in uncertain times
Stephen Barclay, Katherine Froggatt, Clare Crang, Elspeth Mathie, Melanie Handley, Steve Iliffe, Jill Manthorpe, Heather Gage, Claire Goodman
Nov 19, 2018
BACKGROUND: Older people living in care homes often have limited life expectancy. Practitioners and policymakers are increasingly questioning the appropriateness of many acute hospital admissions and the quality of end-of-life...
care homes dying trajectories end-of-life care Palliative Care Primary Health Care advance care planning Aged Aged 80 and over Attitude of Health Personnel England Frail Elderly Health Services Research Homes for the Aged Hospitalization Humans Nursing Homes Policy Making Primary Health Care Professional-Patient Relations Prospective Studies qualitative research Terminal Care
Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4)
Richard J McManus, Jonathan Mant, Marloes Franssen, Alecia Nickless, Claire Schwartz, James Hodgkinson, Peter Bradburn, Andrew Farmer, Sabrina Grant, Sheila M Greenfield, Carl Heneghan, Susan Jowett, Una Martin, Siobhan Milner, Mark Monahan, Sam Mort, Emma Ogburn, Rafael Perera-Salazar, Syed Ahmar Shah, Ly-Mee Yu, Lionel Tarassenko, FD Richard Hobbs, TASMINH4 investigators
May 18, 2018
BACKGROUND: Studies evaluating titration of antihypertensive medication using self-monitoring give contradictory findings and the precise place of telemonitoring over self-monitoring alone is unclear. The TASMINH4 trial aimed to...
Differences in objectively measured physical activity and sedentary behaviour between white Europeans and south Asians recruited from primary care
Gregory JH Biddle, Charlotte L Edwardson, Alex V Rowlands, Melanie J Davies, Danielle H Bodicoat, Wendy Hardeman, Helen Eborall, Stephen Sutton, Simon Griffin, Kamlesh Khunti, Thomas Yates
Feb 07, 2019
A future in primary care research
Sudeh Cheraghi-Sohi, Marieke Perry, Emma Wallace, Katharine A Wallis, Adam Wa Geraghty, Karlijn J Joling, Fiona L Hamilton, Albine Moser, Andrew D Pinto, Jenni Burt
Mar 16, 2018
The future of primary care research (PCR) has recently undergone critical analyses from major thought leaders in the field, resulting in a mixed view of its prospects.(1-3) In response, as members of the Oxford International...
A scoping review of the potential for chart stimulated recall as a clinical research method.
BACKGROUND: Chart-stimulated recall (CSR) is a case-based interviewing technique, which is used in the assessment of clinical decision-making in medical education and professional certification. Increasingly, clinical...
Chart stimulated recall Decision Making General Practice qualitative research SCOPING REVIEW Clinical Competence Clinical Decision-Making Female Guideline Adherence Humans Interviews as Topic Male Medical Records Mental Recall Primary Health Care qualitative research Reproducibility of Results Research Design
Evaluating clinician acceptability of the prototype CanRisk tool for predicting risk of breast and ovarian cancer
Stephanie Archer, Chantal Babb de Villiers, Fiona Scheibl, Tim Carver, Simon Hartley, Andrew Lee, Alex P Cunningham, Douglas F Easton, Jennifer G McIntosh, Jon Emery, Marc Tischkowitz, Antonis C Antoniou, Fiona M Walter
Mar 06, 2020
Opportunities and barriers for providing HIV testing through community health centers in mainland China
Jason J Ong, Ming Hui Peng, William W Wong, Ying-Ru Lo, Michael R Kidd, Martin Roland, Shan Zhu Zhu, Sun Fang Jiang
Jan 03, 2020
BACKGROUND: Primary care may be an avenue to increase coverage of HIV testing but it is unclear what challenges primary healthcare professionals in low- and middle-income countries face. We describe the HIV testing practices in...
China Community Health Centre HIV PRIMARY CARE testing Adult Attitude of Health Personnel China Community Health Centers Cross-Sectional Studies Diagnostic Tests Routine Education Medical Education Nursing Female HIV HIV Infections Humans insurance health Reimbursement Logistic Models Male Mass Screening Middle Aged Nurses Physicians Primary Health Care Risk Factors Serologic Tests Surveys and Questionnaires
Long-term effects of intensive multifactorial therapy in individuals with screen-detected type 2 diabetes in primary care
Simon J Griffin, Guy EHM Rutten, Kamlesh Khunti, Daniel R Witte, Torsten Lauritzen, Stephen J Sharp, Else-Marie Dalsgaard, Melanie J Davies, Greg J Irving, Rimke C Vos, David R Webb, Nicholas J Wareham, Annelli Sandbæk
Jan 15, 2020
Prevalence of and recovery from common mental disorder including psychotic experiences in the UK Primary Care Improving Access to Psychological Therapies (IAPT) Programme.
Clare Knight, Debra Russo, Jan Stochl, Tim Croudace, David Fowler, Nick Grey, Nesta Reeve, Peter B Jones, Jesus Perez
Apr 30, 2020
Investigating the relationship between consultation length and patient experience
Natasha Elmore, Jenni Burt, Gary Abel, Frances A Maratos, Jane Montague, John Campbell, Martin Roland
Nov 14, 2016
Appointments and Schedules communication General Practice physician–patient relations Primary Health Care Appointments and Schedules Cross-Sectional Studies England Female Humans Male Middle Aged patient satisfaction Physician-Patient Relations Primary Health Care Referral and Consultation Surveys and Questionnaires Time Factors
When is referral from primary care to specialist services appropriate for survivors of stroke? A modified RAND-appropriateness consensus study.
BACKGROUND:There is guidance in the United Kingdom about what long-term care stroke survivors should receive, but a lack of guidance about who should deliver it and where this care should take place. This is a key issue given...
Published by: BMC family practice
Patient and practitioner views on a combined face-to-face and digital intervention to support medication adherence in hypertension
Miranda Van Emmenis, James Jamison, Aikaterini Kassavou, Wendy Hardeman, Felix Naughton, Charlotte A'Court, Stephen Sutton, Helen Eborall
Apr 01, 2022
OBJECTIVES: To explore patients' and healthcare practitioners' (HCPs) views about non-adherence to hypertension medication and potential content of a combined very brief face-to-face discussion (VBI) and digital intervention...
Predicting COVID-19 progression from diagnosis to recovery or death linking primary care and hospital records in Castilla y León (Spain).
This paper analyses COVID-19 patients' dynamics during the first wave in the region of Castilla y León (Spain) with around 2.4 million inhabitants using multi-state competing risk survival models. From the date registered as the...
Humans Disease Progression Calibration Hospital Records Confidence Intervals Proportional Hazards Models Probability Reproducibility of Results Comorbidity Adolescent Adult Aged Aged 80 and over Middle Aged Child Child Preschool Infant Infant Newborn Hospitals Primary Health Care Spain Female Male Young Adult covid-19
Published by: PLOS ONE
Viral Reflections
Mary Augusta Brazelton
Aug 02, 2021
Public health in China has become a global concern as a consequence of the outbreak and worldwide spread of COVID-19. This article examines the historical place of China in international and global health. Contrary to prevalent...
Delivering screening programmes in primary care
Rakesh Narendra Modi, Sarah Kelly, Sarah Hoare, Alison Powell, Isla Kuhn, Juliet Usher-Smith, Jonathan Mant, Jenni Burt
Apr 07, 2021
INTRODUCTION: Screening programmes represent a considerable amount of healthcare activity. As complex interventions, they require careful delivery to generate net benefit. Much screening work occurs in primary care. Despite...
Time for correct diagnosis and categorisation of heart failure in primary care
Heart failure (HF) affects approximately 900 000 people in the UK and is a leading cause of hospitalisation, accounting for 5% of emergency admissions. Correct identification of patients with HF holds promise for ensuring that...
What happens to patient experience when you want to see a doctor and you get to speak to a nurse? Observational study using data from the English General Practice Patient Survey.
Charlotte AM Paddison, Gary A Abel, Jenni Burt, John L Campbell, Marc N Elliott, Valerie Lattimer, Martin Roland
Mar 12, 2018
OBJECTIVES: To examine patient consultation preferences for seeing or speaking to a general practitioner (GP) or nurse; to estimate associations between patient-reported experiences and the type of consultation patients actually...
Health Services Research patient experience PRIMARY CARE quality In health care Adolescent Adult Aged Aged 80 and over Appointments and Schedules England Female General Practice Humans Linear Models Logistic Models Male Middle Aged Nurse's Role Patient Preference patient satisfaction Physician's Role Primary Health Care Referral and Consultation Surveys and Questionnaires Workforce Young Adult
The use of a risk assessment and decision support tool (CRISP) compared with usual care in general practice to increase risk-stratified colorectal cancer screening
Jennifer G Walker, Finlay Macrae, Ingrid Winship, Jasmeen Oberoi, Sibel Saya, Shakira Milton, Adrian Bickerstaffe, James G Dowty, Richard De Abreu Lourenço, Malcolm Clark, Louise Galloway, George Fishman, Fiona M Walter, Louisa Flander, Patty Chondros, Driss Ait Ouakrim, Marie Pirotta, Lyndal Trevena, Mark A Jenkins, Jon D Emery
Sep 05, 2018
BACKGROUND: Australia and New Zealand have the highest incidence rates of colorectal cancer worldwide. In Australia there is significant unwarranted variation in colorectal cancer screening due to low uptake of the...
colorectal cancer screening Decision support Faecal occult blood test General Practice Precision Medicine Precision screening PRIMARY CARE Risk assessment tool risk-stratified screening Aged Clinical Trials Phase II as Topic Colorectal Neoplasms Decision Support Techniques Early Detection of Cancer Female General Practice Humans Male Middle Aged Multicenter Studies as Topic Predictive Value of Tests Primary Health Care Prognosis Randomized Controlled Trials as Topic Risk Assessment Risk Factors Time Factors Victoria
Prevalence and costs of treating uncomplicated stage 1 hypertension in primary care
Antihypertensive Agents cardiovascular disease risk Guidelines Primary Prevention Adult Aged Antihypertensive Agents Cardiovascular Diseases Cost-Benefit Analysis Cross-Sectional Studies England Female General Practice Humans Hypertension Male Middle Aged Practice Guidelines as Topic prevalence Primary Health Care Primary Prevention
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