This study is an economic evaluation of a general practice-based nurse-led education programme for patients with osteoarthritis of the knee. The OAK study failed to demonstrate improvements in knowledge, self-efficacy in arthritis management, or health outcomes after 1 year. Not only were the differences not statistically significant, they were not consistent in direction. The cost analysis showed a highly significant increase in costs for the patients randomised to receive the education programme. There was no evidence that the costs of the educational intervention were offset by reduced utilisation of other health services during the period of follow-up. This evidence lends support to contention that general practice-based patient education programmes for knee osteoarthritis are not a cost-effective use of healthcare resources. However further evidence is required before this can be confirmed.. ...
BACKGROUND: Nursing in Australian general practice has grown rapidly over the last decade in response to government initiatives to strengthen primary care. There are limited data about how this expansion has impacted on the nursing role, scope of practice and workforce characteristics. This study aimed to describe the current demographic and employment characteristics of Australian nurses working in general practice and explore trends in their role over time. METHODS: In the nascence of the expansion of the role of nurses in Australian general practice (2003-2004) a national survey was undertaken to describe nurse demographics, clinical roles and competencies. This survey was repeated in 2009-2010 and comparative analysis of the datasets undertaken to explore workforce changes over time. RESULTS: Two hundred eighty four nurses employed in general practice completed the first survey (2003/04) and 235 completed the second survey (2009/10). Significantly more participants in Study 2 were ...
Advance care planning (ACP) can offer benefits to patients and their families, especially when delivered in outpatient settings, but uptake remains low. Common barriers for health professionals include a perceived lack of time and adequate training, experience, and confidence in conducting ACP. Patient-reported barriers include a lack of awareness of ACP or discomfort initiating or engaging in discussions about end-of-life. We aimed to explore patients perspectives of an ACP intervention designed to address common barriers to uptake in the general practice setting. We provided training and support to doctors and general practice nurses (GPNs) to initiate and lead ACP discussions at their respective practices (2014 to 2015). Following the intervention, we conducted interviews with patients to explore their experience of engaging in ACP in the general practice setting. Thematic analysis was used to inductively code transcripts and identify key themes from semi-structured interviews with patients. Six
Health promotion in the general practice setting.: Two major studies of health promotion interventions in the general practice setting appear to show that nurse
Background: General practitioners (GPs) conduct the majority of STI/HIV (sexually transmitted infections/human immunodeficiency virus) testing in men. Given the overall low prevalence of STI in general practice, GPs undertake targeted risk assessment and testing of their patients. Little, however, is known about the extent of STI and HIV risk assessment in general practice, the consistency of questioning or the extent to which GPs identify patients with risk behaviours. Aim: To explore STI and HIV testing strategies for men by general practitioners (family medicine doctors). Methodology: This study employs a cross-sectional survey of GP testing patterns adjoining a qualitative, multiple-case study, drawing on semi-structured interviews with seventeen GPs from the Wellington region. The testing behaviour of two cohorts of GPs is studied - those who frequently test for STI/HIV and those who infrequently test - stratified by practice size, the location and GP gender. Results: This study provides ...
INTRODUCTION: Children who have missed or delayed immunisations are at greater risk of vaccine-preventable diseases and getting their first scheduled dose on time strongly predicts subsequent complete immunisation. Developing a relationship with an infants parents and general practice staff soon after birth followed by a systematic approach can reduce the number of delayed first immunisations. AIM: To assess the effectiveness of a general practice-based pre-call intervention to improve immunisation timeliness. METHODS: Clustered controlled trial of general practices in a large urban district randomised to either delivery of pre-call intervention to all babies at aged four weeks or usual care. RESULTS: Immunisation timeliness for infants receiving the primary series of immunisations among their nominated Auckland general practices was higher than expected at 98% for the six week event. The intervention was statistically but not clinically significant. Coverage was significantly lower among infants with
Background. In the past, psychiatric in-patients suffered increased cardiovascular and respiratory mortality. The present study investigated whether increased risks persist among patients in the community and are being addressed in general practice. Method. A survey of 101 long-term mentally ill adults in 16 general practices in the South...
A total of 457 patients were included (mean age 56 years, 52% female). The dropout rate was 24% in the intervention (NP) group and 20% in the usual care (GP) group. In both groups, approximately 60% of participants achieved weight maintenance after 3 years. The change in weight over 3 years was -1.1 in the NP group and -0.5 in the GP group (p = 0.34). There was no significant difference in mean weight change or change in waist circumference. Fasting glucose was lower among those in the NP group (-0.02) compared with the GP group (0.10) (p = 0.02). No difference between groups was observed for changes in lipids or blood pressure.. ...
In Liverpool, nurses working in general practice are actively engaged in the drive to improve care and reduce unwarranted variation, using the NHS England RightCare programme
After an initial period of decline, spending on general practice has increased by nearly 12% since 2010. Challenges remain: the Government is struggling with GP numbers, and demand pressures are rising as long-term conditions become more prevalent. New ways of working are emerging to face these challenges but there are signs that more patients are facing difficulties accessing general practice. Spending in general practice has increased by nearly 12% in real terms since 2009.
Find 43 local General Practice Physicians practicing in Wilmington, DE. Read 11 ratings and reviews to help find the best doctor in your area.
Connect with Dr. Tejas Ozarkar, General Practice, PA. Video chat, send a message, ask a text question, or make a virtual appointment on the doctors Virtual Practice on HealthTap.
Ardens are working in collaboration to provide templates & reports for the GP Pennine Alliance for their 6 EMIS practices and 20 SystmOne practices. This has provided benefits for working at scale as one central administrator now sends out invitations on behalf of all of the practices. The practices are then all using either an EMIS or SystmOne template which match each other. The combined reports that are subsequently generated from EMIS and SystmOne have helped ensure both accurate payment and evaluation of the NHS Health Checks that are provided.. Shotgun Licence Templates & ...
Visit findatopdoc.com for all information on Dr. Dr. Melinda L. Wagner, DMD, Dentist | General Practice in Red Bank, NJ, 07701. Profile, Reviews, Appointments, Insurances.
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A funding agreement has been executed with the Central Wheatbelt Division of General Practice to establish the Wheatbelt GP Super Clinic in Northam. For more information please telephone the Central Wheatbelt Division of General Practice on (08) 9621 1530 ...
The aim of this years theme Knowing the Business is to encourage and support finance professionals to develop their understanding and knowledge of healthcare and to support their clinical colleagues in achieving effective transformational change for th...
Medical Protection litigation solicitor Suzanne Tate looks at a claim involving a missed diagnosis of sepsis and the work of Medical Protection in successfully defending seven GP members
Dr Rena Downing Dr Downing has worked at The Quays for the last 5 years and has recently retired. Dr Downing has worked in the nhs for 40 years. We wish her well in her retirement
They just sodding come back!!! Prescribing 3/5 days instead of 7 just leads to an increased workload for the GP practice or the OOH service, so thats why we do it PHE or whoever is moaning about GPs this week.... ...
TY - JOUR. T1 - An Australian general practice based strategy to improve chronic disease prevention, and its impact on patient reported outcomes. T2 - Evaluation of the preventive evidence into practice cluster randomised controlled trial. AU - Harris, Mark Fort. AU - Parker, Sharon M. AU - Litt, John. AU - van Driel, Mieke. AU - Russell, Grant. AU - Mazza, Danielle. AU - Jayasinghe, Upali W. AU - Smith, Jane. AU - Del Mar, Chris. AU - Lane, Riki. AU - Denney-Wilson, Elizabeth. AU - Preventive Evidence into Practice Partnership Group. PY - 2017/9/8. Y1 - 2017/9/8. N2 - BACKGROUND: Implementing evidence-based chronic disease prevention with a practice-wide population is challenging in primary care.METHODS: PEP Intervention practices received education, clinical audit and feedback and practice facilitation. Patients (40‑69 years) without chronic disease from trial and control practices were invited to participate in baseline and 12 month follow up questionnaires. Patient-recalled receipt of GP ...
This is the first study to investigate practice related factors that may affect access to routine postpartum care in general practice. A high proportion of the practices involved in the study undertook antenatal shared care and all provided community postpartum care for mothers and infants on a regular basis.. The majority of consultations were allocated 15 minutes or less with solo GP practices having significantly higher odds of longer consultations for mothers. While quality of postpartum care cannot be assessed by consultation time alone, previous studies have found that GP consultations for either the mother or infant often take longer than 15 minutes [13], and take longer than anticipated [14]. It has also been found that short and rushed consultations were an impediment to women seeking care and to discussing issues of concern with the GP [14]. This problem is accentuated if an appointment is only made for either the mother or the infant, although both mother and infant need to be seen. ...
AS many as 8,400 heart attacks may have been prevented in the first five years of the NHS Health Check programme, a new study suggests.
The answers you give for this questionnaire will be used by Norfolk County Council as part of the evaluation and monitoring process for NHS Health Checks. The data you submit will only be used for the stated evaluation and not passed on to any other parties or used for other purposes. Thank you for your time and help ...
BACKGROUND: In recent years there have been difficulties with recruitment in the United Kingdom (UK) to principalships in general practice. AIM: To compare recruitment trends in cohorts defined by year of qualification and to report attitudes of young doctors about the attractiveness of a career in general practice. DESIGN OF STUDY: Cohort studies. SETTING: UK medical qualifiers in the years 1974, 1977, 1983, 1988, 1993, and 1996. METHOD: Postal questionnaire surveys conductedfrom 1975 to 1999. RESULTS: Five years after qualification, 23.8% of 1993 qualifiers were in UK general practice, compared with 25.9% and 32.8% of 1988 and 1983 qualifiers respectively. Six per cent of responders in the 1993 cohort were general practitioner (GP) principals, compared with 10% of the 1988 cohort and 20% of the 1983 cohort. Ten years after qualification, 37.7% of 1988 qualifiers and 42.7% of 1983 qualifiers were in UK general practice. Older GPs had lower job satisfaction than their contemporaries in hospital practice
Patients who consult their GP for persistent medically unexplained symptoms differ significantly from other general practice patients and from patients who consult the GP in comparable rates but for medical diagnoses. After adjustment for demographic characteristics and chronic diseases, MUPS patients reported significantly more distress and impaired quality of life, they felt socially more isolated, and were less positive about the quality of GP-care. No significant differences were found with respect to lifestyle, coping style and trust in health care.. Consistent with prior studies, patients with persistent MUPS reported increased psychological problems and more functional impairments in different aspects of their lives when compared with other general practice patients [3, 6]. The worse health status reported by MUPS patients was not affected by differences in unhealthy habits, such as decreased levels of physical activity, increased levels of alcohol consumption or smoking behavior, since ...
The results of our RCT showed that attendance after a mailed invitation to patients aged 40-75 for CVRA was low (15.9%) and that a $25 monetary incentive did not lead to a statistically significantly increase in attendance, although there was an absolute difference in attendance between the two groups of 6.8%. We also found that GPs in this study tended to underestimate their patients CVD risk based on available information in the medical records, that participants in the intervention and control groups had similar perceptions of their future CVD risk and that almost half the participants from one practice would not have had a CVRA without the prompt provided by the invitation letter.. Our desired behaviour was attendance for CVRA, which has been promoted recently [7]. Although the cost-effectiveness of CVRA is yet to be determined CVRA can facilitate the management of individual patients [8]. We could have chosen the 45-49 year old health check, a separate item number in the Australian fee for ...
Discussion. Our study has quantified the sizeable independent impact of a range of GP, patient and encounter characteristics on consultation length (irrespective of variation in other factors), particularly GP age and sex, patient age and socioeconomic status, and the management of chronic, psychosocial and female genital problems. This is the first time, to our knowledge, that the individual contributions of these variables to consultation length have been quantified in Australian general practice.. The demonstrated effects are independent of each other and are therefore additive. For example, a consultation with a GP who is female, FRACGP-qualified, 65 years old, an Australian graduate, working in a small rural area will on average be 4.7 minutes longer than one with a GP who is male, not FRACGP-qualified, younger and an overseas graduate, working in a metropolitan area.. To that extra 4.7 minutes, we can add the time generated by the patient and by the content of the consultation. If the ...
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Madam, We read with interest a recent article comparing the expectations and experiences of STI care in general practice(1). The need for appropriate sexual health services in primary care is clear especially when recent data show the prevalence of HIV-1 to have reached 2 per 1000 in 37 primary care trusts (PCTs) in England(2). Patients interviewed in the study by Sutcliffe et al had initially presented to general practice and were either recruited directly or had been advised to attend a genito-urinary medicine (GUM) clinic and were recruited there. Patients were recruited from areas of both high sexual health need and differing ethic diversity, but were fundamentally a self- selected group of patients who preferred to attend their GP over the GUM clinic. It could be argued that they differ from GUM clinic attendees in two unmentioned ways: Firstly, the median number of sexual partners in the 3 months prior to presentation in this study was 1 compared to ,1 for our clinic, which likely equates ...
Find 57 local General Practice Physicians practicing in Milwaukee, WI. Read 7 ratings and reviews to help find the best doctor in your area.
Welcome to the Perfusion General Practice jobs section. Below is a list of all jobs that match the specialty you have selected. Select any job to see more information. Register or log in to apply for any job. ...
Depression and its separate clinical expression can be diagnosed in a general practice setting by screening measures, observation and refined symptom assessment, as well as by interview of corroborative witnesses, especially relatives.
Dear Patient,. We would be grateful if you would complete this survey about your general practice.. Your practice wants to provide the highest standard of care. Feedback from this survey will enable the practice to identify areas that may need improvement. Your opinions are therefore very valuable.. Please answer ALL of the questions that apply to you. There are no right or wrong answers and staff will NOT be able to identify your individual responses.. Thank you.. ...
We used Cox regression stratified by age at diagno- sis (quartiles) and calendar year of prescription to account for secular trends in events under study. Alter-native models stratifying by either age at diagnosis The general practice research database comprises clin- (continuous) or duration of diabetes or adjusting for ical and prescribing data from anonymised patient age at diagnosis (continuous) resulted in similar risk based clinical records of about five million people.17 18 estimates. Censoring was at the end of each period of We obtained data on patients aged 35-90 years with an constant prescription (or the end of the study). As met- episode of care between 1 January 1990 and 31 Decem- formin is advocated as first line pharmacotherapy for ber 2005 and a diagnostic (Read) code associated with type 2 diabetes we compared the risk associated with a clinical or referral event for diabetes. We excluded each drug or drug class with that of metformin those records with multiple or missing date ...
Connect with Dr. Vernon Barton, MD, General Practice, Payette, ID. Video chat, send a message, ask a text question, or make a virtual appointment on the doctors Virtual Practice on HealthTap.
For the purposes of the General Practice trial, PoCT was defined as pathology testing performed by or on behalf of a medical practitioner at the time of consultation, allowing the results to be used to make immediate, informed decisions about patient care.
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Fingerprint Dive into the research topics of Moderately overweight and obese patients in general practice: A population based survey. Together they form a unique fingerprint. ...
Visit findatopdoc.com for all information on Dr. Jacob Clifford Abbott D.D.S., Dentist | General Practice in FORT WORTH, TX, 76179. Profile, Reviews, Appointments, Insurances.
General Practice and Clinical phramacy deals with patient care that optimizes the use of medication and promotes health, wellness, and disease prevention.. ...
You can find out about the GP practices which are members of Milton Keynes CCG on the NHS Choices website here.. You can download a map showing the location of the GP practices across Milton Keynes or look at an online map showing Milton Keynes practices (opens a link to Google maps) or look on the practice entry below. ...
Experts get chosen first. Why be a generalist when you can be an expert? General practitioners are just that- they provide generalized care. Generalized healthcare is not bad- but it is also certainly not elite. When you graduated school did you imagine that you would be average, or did you have a dream of serving…. Keep reading…. ...
New Zealand Doctor | News, opinion, jobs and education for general practice Keeping general practice and primary care up to date with daily independent news, opinion and education. Published by The Health Media.
Palpitations are an unpleasant awareness of the beating of the heart. By definition it does not always imply racing of the heart but any sensation in the chest, such as pounding, flopping, skipping, jumping, thumping or fluttering of the heart. The problem requires careful attention and reassurance (if appropriate) because heartbeat is regarded as synonymous with life. To the practitioner it may simply represent anxiety or it could be a prelude to a cardiac arrest. In many circumstances prompt referral to a cardiologist is imperative. ...
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Meet Researchers, Scientists, Doctors, Deans, Nursing professionals, Society members, and Association members at Advanced Nursing Research Conference on April 01-02,2020, Paris, France
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But the emerging evidence on the lasting effects meditation has on our neuro-anatomy, particularly our brains is, perhaps, the most fascinating research...