Article
Medicine, General & Internal
Elizabeth Cecil, Lindsay Helen Dewa, Richard Ma, Azeem Majeed, Paul Aylin
Summary: The study found that although participants believed reminders were important in their clinical systems, an average of 70% of reminders were ignored. Factors influencing their reaction to reminders included experience, consultation styles, and interests. Negative consequences of using reminders included increased workload, costs, and compromising healthcare providers' behavior.
Article
Urology & Nephrology
Matthew T. James, Tayler D. Scory, Ellen Novak, Braden J. Manns, Brenda R. Hemmelgarn, Aminu K. Bello, Pietro Ravani, Bhavneet Kahlon, Jennifer M. MacRae, Paul E. Ronksley
Summary: Nurse practitioner care for CKD patients is associated with better guideline-concordant care than primary care alone or nephrologist care, with clinical outcomes that are similar or better than primary care alone and similar to care by nephrologists.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Article
Public, Environmental & Occupational Health
Maryam Kebbe, Susan A. Jebb, Rachna Begh, Anna Christian-Brown, Hannah Wheat, Amanda Farley, Amanda Lewis, Paul Aveyard
Summary: GPs' thoughts and practices on providing opportunistic weight loss interventions improved after educational training and application, but barriers still existed outside of the trial.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Medicine, General & Internal
Sonia Khano, Lena Sanci, Susan Woolfenden, Yvonne Zurynski, Kim Dalziel, Siaw-Teng Liaw, Douglas Boyle, Gary L. Freed, Cecilia Moore, Michael Hodgins, Jane Le, Tammy Meyers Morris, Stephanie Germano, Karen Wheeler, Raghu Lingam, Harriet Hiscock
Summary: Australia's current healthcare system for children is unsustainable and inequitable. This study aims to evaluate a novel, integrated GP-paediatrician model of care to improve GP quality of care, reduce hospital burden, and ensure children receive appropriate care.
Article
Multidisciplinary Sciences
Clair Le Boutillier, Haroon Ahmed, Vishal C. Patel, Mark McPhail, Ben Carter, Christopher Ward, Vanessa Lawrence
Summary: This study explores the implementation of secondary care-initiated treatment in primary care, focusing on dose titration and ongoing treatment of carvedilol. The findings highlight the importance of clear communication, specific guidance, and collaboration with patients for successful implementation.
Article
Environmental Sciences
Monica Solanes-Cabus, Eugeni Paredes, Esther Limon, Josep Basora, Iris Alarcon, Irene Veganzones, Laura Conangla, Nuria Casado, Yolanda Ortega, Jordi Mestres, Jordi Acezat, Joan Deniel, Joan Josep Cabre, Daniel Sanchez Ruiz, Marcos Sanchez, Aroa Illa, Ignasi Vinas, Juan Jose Montero, Francesc Xavier Cantero, Anna Rodriguez, Francisco Martin, Montserrat Bare, Rosa Ripolles, Montse Castellet, Joan Lozano, Antoni Siso-Almirall
Summary: This survey aimed to understand the future work model of general practitioners and the changes in primary healthcare centers due to the COVID-19 pandemic. The results showed that a majority of family doctors felt they spent too much time on administrative tasks, opposed call center systems, believed in their responsibility for home care, supported continuity of care as a fundamental value, and advocated for primary healthcare to provide complementary tests and first hospital visits. The survey responses provide important insights for the future development of primary healthcare.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2023)
Article
Multidisciplinary Sciences
John Paul Magadi, Monica Akinyi Magadi
Summary: This study aims to improve understanding of factors contributing to persistent ethnic disparities in patient satisfaction in England. The findings indicate that ethnic minority patients consistently report lower satisfaction with their primary health care in recent years, primarily due to supply factors rather than patient characteristics. These findings have important implications for health care system policy and practice in England.
Article
Public, Environmental & Occupational Health
H. B. Menz, C. Harrison, C. Bayram
Summary: The study found that GP referral to podiatrists in Australia significantly increased after the introduction of Medicare funding, mainly targeting older patients with conditions such as diabetes. Further research is needed to determine whether this policy has improved outcomes and is cost-effective.
Article
Geriatrics & Gerontology
Annicka G. M. van der Plas, Julia E. A. P. Schellekens, Jolien J. Glaudemans, Bregje D. Onwuteaka-Philipsen
Summary: General Practitioners (GPs) play a crucial role in the care of older people in the Netherlands and are in a good position to have Advance Care Planning (ACP) conversations. This study found that ACP conversations can be beneficial for the doctor-patient relationship.
Article
Multidisciplinary Sciences
Lisa Peter, Judith Stumm, Cornelia Waescher, Lisa Kuempel, Christoph Heintze, Susanne Doepfmer
Summary: The study aims to investigate the feasibility of cooperation between GP practices and community care points, by referring multi-morbid patients with social care needs to the points and reporting back the consultation results. The primary outcome is to assess the practicality and acceptability of the cooperation, while the secondary outcome is to evaluate changes in health-related quality of life, social support, and satisfaction with care among the participating patients.
Article
Health Policy & Services
Yang Yu, Aizhen Ye, Cen Chen, Weidong Dai, Xu Liu
Summary: This study found that participating in the contracted family doctor system increases patients' utilization of primary care general practitioners, particularly for those with chronic conditions. The findings have important policy implications for policymakers to develop and promote the hierarchical medical system through the implementation of the contracted family doctor system.
INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT
(2022)
Review
Nursing
Eleanor Turi, Amy McMenamin, Supakorn Kueakomoldej, Ellen Kurtzman, Lusine Poghosyan
Summary: The purpose of this study is to assess the effectiveness of nurse practitioners (NPs) in treating patients with anxiety, depression, and substance use disorders in primary care settings. The results show that NP evidence-based care and prescribing are comparable to that of physicians, and NP-led collaborative care is associated with symptom reduction. However, more high-quality evidence is needed to evaluate the effectiveness of NP care for mental health conditions in primary care settings.
Article
Public, Environmental & Occupational Health
Caroline White, Elisabeth Alton
Summary: Supporting residents in care homes is an important but often overlooked aspect of the GP role. This study found that care home residents have complex health needs, often with multiple long-term conditions. Communication difficulties and reliance on others were identified as challenges for GPs. Navigating relationships with various stakeholders in care homes was also highlighted as a key aspect of the GP's work in this setting.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2022)
Review
Medicine, General & Internal
Katherine Huerne, Carolyn Ells, Roland Grad, Kristian B. Filion, Mark J. Eisenberg
Summary: This study aims to provide an ethical framework for primary care providers on cannabis-impaired driving. The ethical approach for primary care practitioners can be summarized as the duty to always inform, provide care through prevention and harm reduction strategies, and report when necessary.
ANNALS OF MEDICINE
(2023)
Article
Health Care Sciences & Services
Tao Zhang, Xiaohe Wang
Summary: This study in China found that informational continuity and relational continuity with general practitioners are positively associated with more frequent visits to GPs, while managerial continuity may reduce visits to specialists. High continuity of GP care should be emphasized when designing the Chinese GP system.
Article
Immunology
Ben B. Hui, Thilini N. Padeniya, Nic Rebuli, Richard T. Gray, James G. Wood, Basil Donovan, Qibin Duan, Rebecca Guy, Jane S. Hocking, Monica M. Lahra, David A. Lewis, David M. Whiley, David G. Regan, Kate L. Seib
Summary: This study used a mathematical model to assess the potential impact of a Neisseria gonorrhoeae vaccine among MSM. The results indicate that even a vaccine of modest efficacy can substantially reduce the prevalence of gonorrhea in this population, but its impact may be reduced if it is ineffective at preventing oropharyngeal infection.
JOURNAL OF INFECTIOUS DISEASES
(2022)
Article
Family Studies
Louise Bourchier, Helen Bittleston, Jane Hocking, Jacqueline Coombe
Summary: Pubic hair grooming is associated with body image and sexual behavior. COVID-19 restrictions have impacted access to sexual partners and beauty salons. Female participants were more likely to change their grooming practices. Changes in oral sex frequency were associated with changes in grooming practices. Most individuals who changed their grooming practices reported a decrease, attributed to lack of partners, inability to access beauticians, and the mental health effects of the pandemic. Partner expectations played a role in the negative consequences of reduced grooming, with women being more affected.
CULTURE HEALTH & SEXUALITY
(2023)
Article
Family Studies
Wen Liu, Madeleine S. Y. Lim, Henrietta Williams, Meredith Temple-Smith
Summary: Compared to their non-Chinese peers in Australia, Chinese international students have lower rates of effective contraceptive use, which leads to higher unintended pregnancy rates. Limited research has been conducted to explore the decision-making of Chinese international students in Australia regarding contraceptive choices. This study conducted semi-structured interviews with 18-25-year-old Chinese international students to explore the factors influencing their contraceptive choices. The findings highlight the cultural value of "cherishing" as an important factor influencing Chinese students' decision-making around contraception.
CULTURE HEALTH & SEXUALITY
(2023)
Editorial Material
Medicine, General & Internal
Stephanie C. Munari, Jane L. Goller, Margaret E. Hellard, Jane S. Hocking
MEDICAL JOURNAL OF AUSTRALIA
(2022)
Article
Public, Environmental & Occupational Health
Xianglong Xu, Eric P. F. Chow, Christopher K. Fairley, Marcus Chen, Ivette Aguirre, Jane Goller, Jane Hocking, Natalie Carvalho, Lei Zhang, Jason J. Ong
Summary: This study aimed to identify determinants and predict re-testing and re-infection within 1 year among heterosexuals with chlamydia, in order to identify potential candidates for patient-delivered partner therapy (PDPT). The results showed a low re-testing rate and high re-infection rate. Further interventions are needed to improve re-testing rates, reduce re-infection rates, and better target individuals suitable for PDPT.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Computer Science, Information Systems
Carol El-Hayek, Siamak Barzegar, Noel Faux, Kim Doyle, Priyanka Pillai, Simon J. Mutch, Alaina Vaisey, Roger Ward, Lena Sanci, Adam G. Dunn, Margaret E. Hellard, Jane S. Hocking, Karin Verspoor, Douglas I. R. Boyle
Summary: This study evaluated the suitability of four automated de-identification tools for Australian general practice progress notes and found that existing off-the-shelf solutions required modification to be applicable in this context. Philter showed the most promise with high recall and flexibility, but extensive revisions of its pattern matching rules and dictionaries are necessary.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2023)
Article
Public, Environmental & Occupational Health
Amelia Margaret Wardley, Henrietta Williams, Jacqueline Coombe, Cassandra Caddy, Christopher Kincaid Fairley, Jane Simone Hocking
Summary: This study assessed the attitudes of MSM towards 3-monthly chlamydia and gonorrhoea screening through interviews. While participants were hesitant about reducing the screening frequency, changes may be acceptable if transparent communication, presenting the benefits and harms of screening and treatment, was delivered by a trusted healthcare professional.
Article
Family Studies
Cassandra Caddy, Meredith Temple-Smith, Jacqueline Coombe
Summary: Managing fertility and sexual and reproductive health involves numerous responsibilities, mainly shouldered by women. This study investigates how reproductive responsibilities are defined and negotiated between heterosexual casual and long-term partners. Men often feel conflicted about their desire to be involved and not impede their partner's agency.
CULTURE HEALTH & SEXUALITY
(2023)
Article
Health Care Sciences & Services
Ethan Trey Cardwell, Teralynn Ludwick, Christopher Fairley, Christopher Bourne, Shanton Chang, Jane S. Hocking, Fabian Y. S. Kong
Summary: This study systematically identified and assessed web-based STI/HIV testing services in Australia. The study found considerable variability in the quality and reliability of these services, and it is important for Australia to develop national standards to ensure the standard of care offered by these services is appropriate to protect users from the impact of inappropriate tests.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
Melis Gezer, Barbara Hunter, Jane S. S. Hocking, Jo-Anne Manski-Nankervis, Jane L. L. Goller
Summary: This study explored clinicians' views towards a proposed digital intervention for supporting STI care in Australian general practice. The results showed that the clinicians generally had a positive attitude towards the digital intervention, believing that it could improve care and support management. However, factors such as insensitivity to patient context and time constraints were identified as barriers to the use and implementation of the intervention.
Article
Medicine, General & Internal
Jane S. Hocking, Cathy Watson, Patty Chondros, Susan M. Sawyer, Jemimah Ride, Meredith Temple-Smith, Douglas Boyle, Rachel Skinner, George C. Patton, Megan S. C. Lim, Jane Pirkis, Caroline Johnson, Sara Newton, Amelia Wardley, Grant Blashki, Rebecca Guy, Kim Dalziel, Lena Sanci
Summary: Adolescence is a critical period for physical, cognitive, social, and emotional development, as well as the onset of mental health conditions, substance use disorders, and sexual and reproductive health risks. This trial aims to test the effectiveness and cost-effectiveness of a fee-for-service for annual health assessments for young people in detecting and managing health risk behaviors and conditions. The study will be conducted in Australian general practices and will involve 42 practices randomly assigned to either receive a rebate payment or no rebate. The primary outcome will be the annual rate of recorded risk behaviors and health conditions, while secondary outcomes include patient management activities and cost-effectiveness evaluation.
Article
Health Care Sciences & Services
Michelle Raggatt, Cassandra J. C. Wright, Rachel Sacks-Davis, Paul M. Dietz, Margaret E. Hellard, Jane S. Hocking, Megan S. C. Lim
Summary: This study aims to determine the effectiveness of a web-based peer network survey in recruiting adolescent peer networks by comparing two reimbursement strategies. The experimental group will receive additional vouchers for each referred participant who completes the study, while the control group will only be reimbursed for their own survey completion. The outcomes of this trial will improve the recruitment of young people to web-based network studies of sensitive health issues.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Public, Environmental & Occupational Health
Wen Fang, Jacqueline Coombe, Jane S. Hocking, Helen Bittleston
Summary: In early 2020, the Australian government implemented lockdown restrictions to prevent the spread of COVID-19. The study investigates the impact of these lockdowns on sexual desire and enjoyment of sex among Australian women. An online survey was conducted in August 2020, with respondents asked about the impact of COVID-19 on their sexual desire and/or enjoyment. Factors associated with desire were analyzed using statistical tests, while free-text responses were analyzed qualitatively. Results showed that lockdowns had a significant impact on sexual desire, with mental health, living arrangements, and reduced ability to meet sexual partners being key reasons for this impact.
Article
Health Care Sciences & Services
Helen Bittleston, Jane S. Hocking, Jacqueline Coombe, Meredith Temple-Smith, Jane L. Goller
Summary: This research examines the receptiveness of young Australians to discussing sexual health with general practitioners (GPs). The study found that school-based sex education and GP-patient relationships are key factors in promoting sexual health among young people.
AUSTRALIAN JOURNAL OF PRIMARY HEALTH
(2023)