International journal of pediatric otorhinolaryngology
Video-otoscopy performed by a health care facilitator and assessed asynchronously by a general practitioner had similar or better accuracy compared to face-to-face otoscopy performed by a general practitioner.
Schmerz (Berlin, Germany)
Comprehensive pain documentation by the patients themselves is possible by means of a computer-based program. Back pain is the main problem in patients visiting a pain specialist. Invasive methods are the mainstay of treatment approaches. The psychosocial background of chronic pain seems to be underestimated in the treatment.
Archives of physical medicine and rehabilitation
Adherence to guideline-recommended care for acute low back pain was poor. Most participants do not complete the advised paracetamol regimen. Higher perceived risk of persistence of complaints, lower baseline disability, and participants not claiming workers' compensation were independently associated with nonadherence.
Human resources for health
Over the next 20 years, South Australia's GP workforce is predicted to remain fairly balanced. However, exogenous changes, such as increased demand for GP services may require policy intervention to address associated workforce shortfalls. The workforce model presented in this paper should be updated at regular intervals to inform the need for poli...
Heart, lung & circulation
Patients at high risk of FH can be identified by a simple electronic screening method in general practice. Clinical data entry is variable in general practice. Targeted screening enables clinical assessment of patients at risk of cardiovascular disease and using the DLCNS will enable primary care to increase identification of FH. Approximately one ...
An accurate, formalised reference database detailing the principles of the somatic treatment of psychiatric unit in-patients should be established. Our results indicate the necessity of a referring physician in each psychiatric department.
BMC family practice
These findings highlight specific New Zealand barriers to the delivery of primary care to patients living with multimorbidity. There is a need to develop, implement and nationally evaluate a revised version of Care Plus that takes account of these barriers.
L’échographie ne se profile plus seulement comme un acte diagnostique délégué à un spécialiste, mais comme un outil utilisé en situation de soin par le clinicien pour guider la décision. Si ce changement de paradigme a bien pris pied dans une discipline comme les urgences, par exemple, des initiatives émergent ça et là pour adopter ce nouvel outil ...
BMJ quality & safety
The great majority of clinician reviewers 'successfully' applied the TRM, uncovering important but previously undetected PSIs, which prompted care teams to take action during and after the trigger reviews. The method and data generated have the potential to drive improvements in related care processes at the practice, regional and national health s...
The introduction of guidelines for MUS in Italian primary care settings would promote a collaborative clinical approach to MUS and more formal training on this topic.