Article
Medicine, General & Internal
Elizabeth Schniedewind, Ryan P. Lindsay, Steven Snow
Summary: Patients who can hear are nearly 2 times more likely to secure primary care medical or dental appointments compared to patients who are deaf, according to a cross-sectional study with 8 simulated patients. Requests for interpretation services by deaf patients were associated with a significant portion of unsuccessful appointment requests. These findings suggest that deaf patients may experience reduced access to care at primary medical and dental clinics.
Article
Computer Science, Information Systems
Jie Zhong, Jonelle Boafo, Abraham A. Brody, Bei Wu, And Tina Sadarangani
Summary: Our study revealed that communication between PCPs and ADCs is currently cumbersome and ineffective. Stakeholders characterized current communication as infrequent, delayed, incomplete, unreliable, irrelevant, and generic. Bidirectional, relevant, succinct, and interdisciplinary communication is needed to elevate the standard of care for persons living with dementia.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Public, Environmental & Occupational Health
Sean N. Halpin, Michael Konomos, Kathryn Roulston
Summary: Patients, caregivers, and nurses utilize videos during in-person education by discussing video content, asking questions, and referencing video content prior to repeating information. The study demonstrates the positive impact of videos on patient involvement and understanding of treatment plans.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Immunology
Morana Tomljenovic, Goranka Petrovic, Natasa Antoljak, Lisa Hansen
Summary: Primary health care workers in Croatia play a crucial role in vaccine recommendations and uptake. A study conducted among physicians and nurses in a specific region of Croatia found that nurses were more likely to be vaccine-hesitant compared to physicians, and predictors of vaccine hesitancy included profession, uncertainty about measles and HPV vaccines, and experiencing serious adverse events following immunization. Intervention to increase vaccination knowledge and confidence among primary health care workers, especially nurses, is crucial to improve vaccine coverage.
Article
Public, Environmental & Occupational Health
Saskia Briede, Tessa C. van Charldorp, Karin A. H. Kaasjager
Summary: This study aims to explore the frequency, timing, and methods of care decision discussions in internal medicine outpatient clinics and draw insights from these observations. The findings reveal that care decision discussions are relatively rare and are often introduced at the end of the "treatment and course of the disease" phase without a designated phase for their introduction. Establishing common ground and clarifying relevance require significant interactive effort. The study highlights three dilemmas that need to be addressed and suggests that physician training should focus on tackling these challenges.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Public, Environmental & Occupational Health
Huanhuan Jia, Xihe Yu, Hairui Jiang, Jianxing Yu, Peng Cao, Shang Gao, Panpan Shang, Bayuzhen Qiang
Summary: This study investigated the willingness and influencing factors of medical personnel to seek employment at primary health care institutions (PHCIs). The results showed that family, remuneration, individual development, and job responsibility were closely related to the willingness of medical personnel to seek employment at PHCIs. Additionally, the internal and external environment of PHCIs also played an important role.
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
(2022)
Article
Health Care Sciences & Services
Janette Dill, Jennifer Craft Morgan, Emmeline Chuang
Summary: This study examines the use of career ladders for medical assistants (MAs) in primary care practices as a mechanism for increasing wages and career opportunity for MAs. The research found that career ladders can provide MAs with more opportunities for career advancement and result in yearly income increases ranging from $3000 to $10,000 after participating in the career ladder programs.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Health Care Sciences & Services
Melissa B. Gilkey, Wei Yi Kong, Qian Huang, Brigid K. Grabert, Peyton Thompson, Noel T. Brewer
Summary: The study found that most PCPs support adolescent telehealth, believing it improves access to care and provides high-quality nursing. They generally support continuing to offer adolescent telehealth after the pandemic ends, as well as the reimbursement of telehealth visits by health insurance companies.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Medicine, General & Internal
Khulud Alharbi, Thomas Blakeman, Harm van Marwijk, David Reeves
Summary: This study aimed to explore the implementation of the 'frailty identification and management' contract in GP practices in England. Results showed that implementation outcomes were influenced by various factors, with practices targeting assessments towards severely frail individuals, potentially overlooking moderately frail patients. Variations in implementation were strongly associated with CCGs, suggesting the need for greater CCG engagement for fuller contract implementation.
Article
Education & Educational Research
Karin Bjorklund, Terese Stenfors, Gunnar H. Nilsson, Charlotte Leanderson
Summary: This study explores the experience of multisource feedback (MSF) in medical students' clinical learning in primary healthcare. The findings suggest that MSF, provided directly after a patient encounter using the Patient Feedback in Clinical Practice (PFCP) questionnaire, can be an effective learning activity for medical students. The MSF provides diverse perspectives and facilitates clinical and communication learning for students and peers. Additionally, it enhances clinical supervisors' feedback on communication skills.
BMC MEDICAL EDUCATION
(2022)
Article
Public, Environmental & Occupational Health
Jaime Kristoffer Punzalan, Monserrat Guingona, Mary Germeyn Punzalan, Fortunato Cristobal, Annika Frahsa, Harvy Joy Liwanag
Summary: This study explored the integration of primary care and public health in medical students' training in Zamboanga Peninsula, Philippines. By requiring medical students to serve rural communities during their training, the curriculum facilitated the integration of primary care and public health activities. This integration not only influenced the personal orientations of medical students, but also had a positive impact on the health situation in communities.
INTERNATIONAL JOURNAL OF PUBLIC HEALTH
(2023)
Article
Veterinary Sciences
Sue M. Neal
Summary: Access to primary care physicians and veterinary care are correlated, as areas with low access to primary care physicians also have low access to veterinary care. This research fills the gap in understanding the intersection of disparities of access to human health care and veterinary care and provides implications for increasing collaboration and finding solutions within the One Health framework.
VETERINARY SCIENCES
(2023)
Article
Public, Environmental & Occupational Health
Laura Jenkins, Ruth Parry, Christina Faull
Summary: Assessing pain intensity is crucial in palliative care, and self-report pain intensity scales are commonly used. This study examines the administration and responses to these scales in everyday palliative care, finding that patients often report multiple aspects of pain and doctors support them. However, misunderstandings can arise from these scales, requiring skillful resolution from doctors to maintain the therapeutic relationship.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Health Care Sciences & Services
Jade Avery, Dennis Dwan, Gillian Sowden, Matthew Duncan
Summary: The study retrospectively analyzed psychiatric eConsults placed by primary care providers in a rural academic medical center and found that depression and anxiety were the most common diagnoses. Primary care providers most frequently asked about medication management, and the majority of recommendations were implemented.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Public, Environmental & Occupational Health
Daphne C. Erkelens, Tessa C. van Charldorp, Vera V. Vinck, Loes T. Wouters, Roger A. Damoiseaux, Frans H. Rutten, Dorien L. Zwart, Esther de Groot
Summary: The study explores the impact of questioning methods during telephone triage on the interaction between patients and triage nurses. Results indicate that poorly designed questions or ambiguous complaints can lead to interactional difficulties, suggesting a need for triage nurses to change their questioning methods to enhance interaction.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Health Care Sciences & Services
Katherine Sawyer, Kim Fredman Stein, Pamela Jacobsen, Tom P. Freeman, Anna K. M. Blackwell, Chris Metcalfe, David Kessler, Marcus R. Munafo, Paul Aveyard, Gemma M. J. Taylor
Summary: This study aimed to understand participants' views and experiences of receiving a novel smoking cessation intervention. The results showed that the majority of people accepted the integrated smoking cessation and mental health treatment, but there were also some implementation barriers.
HEALTH EXPECTATIONS
(2023)
Article
Public, Environmental & Occupational Health
Charlotte Albury, Madeleine Tremblett, Helena Webb, Rachna Begh, Rebecca Barnes, Wendy Lawrence, Nichola Walmsley, Deborah Groenewald, Marise Caunter, Dipti Patel
Summary: The analysis of clinician-patient telephone consultations revealed that informing individuals about the process and potential for Accompanied Medical Escort (AME) could enhance their understanding and enable informed decision making before traveling. Clear steps for clinicians to facilitate this were identified.
JOURNAL OF TRAVEL MEDICINE
(2023)
Article
Endocrinology & Metabolism
Annika Theodoulou, Jamie Hartmann-Boyce, Jordan Gorenberg, Jason L. L. Oke, Ailsa R. R. Butler, Anastasios Bastounis, Susan A. A. Jebb, Paul Aveyard
Summary: Behavioral weight management programs can lead to weight loss, but subsequent weight regain may negatively affect mental health outcomes. A meta-analysis of 47 studies found that these programs did not harm mental health and may actually improve some dimensions of it. However, the association between weight change and changes in depression and/or anxiety scores over time was inconclusive.
Article
Substance Abuse
Adrian H. Taylor, Tom P. Thompson, Adam Streeter, Jade Chynoweth, Tristan Snowsill, Wendy Ingram, Michael Ussher, Paul Aveyard, Rachael L. Murray, Tess Harris, Lynne Callaghan, Colin Green, Colin J. Greaves, Lisa Price, Siobhan Creanor
Summary: Behavioral support can effectively reduce smoking and increase physical activity for smokers who are unmotivated to quit, but it does not have long-term effects on smoking cessation and physical activity.
Article
Psychiatry
Charlotte Lee, Felicity Waite, Carmen Piernas, Paul Aveyard
Summary: This study aimed to develop an intervention to improve uptake and engagement with a mainstream weight management program for people with serious mental illness (SMI). The intervention included attending a 12-week mainstream weight management program and receiving online adjunct support and regular check-ins. Preliminary results showed that the intervention was feasible and acceptable, warranting further trials.
Article
Health Care Sciences & Services
Amelia Talbot, Tori Ford, Sara Ryan, Kamal R. Mahtani, Charlotte Albury
Summary: This study explores the role of the Twitter community in the context of treatment-resistant depression (TRD). The findings indicate that Twitter serves as a platform for individuals with TRD to share experiences, symptoms, and recommendations. However, it also highlights the potential risks of sharing misinformation and the perceived lack of knowledge and support from general practitioners (GPs).
HEALTH EXPECTATIONS
(2023)
Article
Health Care Sciences & Services
Adrian H. Taylor, Tom P. Thompson, Adam Streeter, Jade Chynoweth, Tristan Snowsill, Wendy Ingram, Michael Ussher, Paul Aveyard, Rachael L. Murray, Tess Harris, Colin Green, Jane Horrell, Lynne Callaghan, Colin J. Greaves, Lisa Price, Lucy Cartwright, Jonny Wilks, Sarah Campbell, Dan Preece, Siobhan Creanor
Summary: This study examined the effect of motivational support for smokers who wanted to reduce smoking but not quit immediately. The intervention, which aimed to increase physical activity and reduce smoking, did not lead to significant increases in prolonged abstinence. Additionally, the intervention was not cost-effective.
HEALTH TECHNOLOGY ASSESSMENT
(2023)
Article
Endocrinology & Metabolism
Dimitrios A. Koutoukidis, Emma Barron, Richard Stevens, Paul Aveyard, Jonathan Valabhji, Susan A. Jebb
Summary: This study found that people who start a weight management program in January tend to lose more weight compared to those who start at other times of the year, with a difference ranging from 12% to 30%.
Editorial Material
Medicine, Research & Experimental
Katie Mellor, Charlotte Albury, Susan J. Dutton, Sandra Eldridge, Sally Hopewell
Summary: This commentary presents a proposed set of recommendations for progression criteria in external randomised pilot trials, aimed at guiding researchers in decision-making at different stages of the trials. The recommendations provide a useful resource for researchers and suggest further research to evaluate their impact on established guidelines for trial design, conduct, analysis, and reporting.
PILOT AND FEASIBILITY STUDIES
(2023)
Article
Medicine, General & Internal
Charlotte Albury, Helena Webb, Elizabeth Stokoe, Sue Ziebland, Constantinos Koshiaris, Joseph J. Lee, Paul Aveyard
Summary: This study examined the relationship between language used in clinical visits and patient weight loss. The results showed that presenting weight loss treatment as a positive opportunity was associated with greater treatment uptake and weight loss.
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Endocrinology & Metabolism
Dimitrios A. Koutoukidis, Ferenc E. Mozes, Susan A. Jebb, Jeremy W. Tomlinson, Michael Pavlides, Francesca Saffioti, Rosemary Huntriss, Paul Aveyard, Jeremy F. Cobbold
Summary: The study demonstrates that a low-energy diet is a highly adherent, safe, and effective treatment for nonalcoholic steatohepatitis (NASH).
Article
Public, Environmental & Occupational Health
Anisa Hajizadeh, Laura Heath, Aryati Ahmad, Maryam Kebbe, Susan Anne Jebb, Paul Aveyard, Gemma Hughes
Summary: Clinical trials have shown that providing advice and support for weight management can lead to meaningful weight loss. However, in real-world clinical settings, the offering of weight management advice is often low. Using Strong Structuration Theory, this study explored how weight stigma and professional responsibilities influenced clinicians in primary care to raise (or not) the issue of excess weight with patients. The findings suggest a tension between clinical guidelines and the lived experience of patients, resulting in an absence of weight management advice and potentially reinforcing weight stigma.
SOCIAL SCIENCE & MEDICINE
(2023)
Review
Public, Environmental & Occupational Health
Emily Hoyle, Henrietta Davies, Jana Bourhill, Nia Roberts, Joseph J. J. Lee, Charlotte Albury
Summary: Hand-hygiene interventions in school settings have been found to effectively reduce infection-related absence, especially for respiratory and gastrointestinal infections. Results from a meta-analysis of 9 studies with 11 papers showed that school-based interventions significantly reduced such absences. The number and type of behavior change techniques used in the interventions were found to be important factors in their success.
JOURNAL OF PUBLIC HEALTH-HEIDELBERG
(2023)
