General practitioners’ perceptions of their practice of evidence-based chronic disease prevention interventions: a quantitative study in Shanghai, China.

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Epidemic chronic diseases pose significant challenges to the improvement of healthcare in China and worldwide. Despite increasing international calls for the inclusion of evidence-based decision-making (EBDM) processes in chronic disease […]

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Mobile-Enhanced Peer Support for African Americans with Type 2 Diabetes: a Randomized Controlled Trial.

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Peer support has been shown to improve diabetes self-management and control, but no standard exists to link peer support interventions to clinical care.To compare a community-based diabetes self-management education (DSME) […]

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Development of type 2 diabetes mellitus quality indicators in general practice by a modified Delphi method in Beijing, China.

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The service capacity of primary care has improved in China. General practice also takes growing responsibility in the management of type 2 diabetes mellitus, but there are concerns about the […]

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Clinical Decision Support Systems for Opioid Prescribing for Chronic Non-Cancer Pain in Primary Care: A Scoping Review.

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Clinical decision support systems (CDSSs) may help clinicians prescribe opioids for chronic noncancer pain (CNCP) more appropriately. This scoping review determined the extent and range of the current evidence on […]

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The Value of Treating Opioid Use Disorder in Family Medicine: From the Patient Perspective.

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Despite evidence demonstrating that medications for opioid use disorder (OUD) reduce morbidity and mortality, the majority of patients do not receive treatment. The National Academies of Science call for more […]

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Primary Care Physician Characteristics Associated with Prescribing Potentially Inappropriate Medication for Elderly Patients: Medicare Part D Data.

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Despite the high risk of adverse drug events associated with potentially inappropriate medications (PIMs), primary care physicians (PCPs) continue to prescribe them for the elderly. The objective of this study […]

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Patterns of Clinical Care Subsequent to Nonindicated Vitamin D Testing in Primary Care.

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Exponential increases in nonindicated, low-value vitamin D testing have been reported over the past 15 years. Downstream effects of such testing have not been well quantified.The purpose of this study […]

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The Impact of Social and Clinical Complexity on Diabetes Control Measures.

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In an age of value-based payment, primary care providers are increasingly scrutinized on performance metrics that assess quality of care, including the outcomes of their patient population in key areas […]

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Misdiagnosis of Diverticulitis After a Prior Diagnosis of Irritable Bowel Syndrome (IBS).

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Irritable bowel syndrome (IBS) and diverticulitis share clinical features. Misdiagnosed diverticulitis can cause unnecessary antibiotic therapy. Among IBS and non-IBS patients, we compared outpatient, clinically diagnosed (no computed tomography) diverticulitis […]

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Implementing Office-Based Opioid Treatment Models in Primary Care.

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Primary care practices are ideal sites for integrating medication-assisted treatment (MAT) for opioid use disorder, but little is known about how practices have achieved this. Our study aimed to describe […]

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Effects of Implementing a Comprehensive Opioid Reduction Protocol on Overall Opioid Prescribing Among Patients with Chronic, Non-Cancer Pain in a Rural Family Medicine Clinic: A Controlled Cross-over Trial.

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The opioid crisis presents many challenges for family practice providers in rural communities who treat patients with chronic non-cancer pain (CNCP). Unfortunately, evidence for effective opioid reduction strategies is sparse. […]

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The Ability of Practices to Report Clinical Quality Measures: More Evidence of the Size Paradox?

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To assess whether primary care practices with and without support from a larger organization differ in their ability to produce timely reports on cardiovascular disease quality measures.Although many primary care […]

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Diagnosis and Management of Atopic Dermatitis for Primary Care Providers.

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To provide primary care providers an up-to-date approach to the diagnosis and management of atopic dermatitis (AD).PubMed, Cochrane, and MEDLINE databases were searched for relevant meta-analyses, randomized controlled trials, systematic […]

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Prevalence and Impact of Comorbid Widespread Pain in Adults with Chronic Low Back Pain: A Registry-Based Study.

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Widespread pain (WP) is emerging as a key comorbid condition in patients with chronic low back pain (CLBP). This study measured the prevalence of comorbid WP in adults with CLBP, […]

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Paediatric contacts with the UK out-of-hours primary care service and contact outcomes: a regional service evaluation.

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Demand on hospital emergency departments for paediatric problems is increasing. However, the volume and nature of paediatric health demands placed on other parts of the urgent care system have not […]

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Relationship between the place of living and mortality in patients with advanced heart failure.

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Social and environmental factors in advanced heart failure (HF) patients may be crucial to cope with the end stages of the disease. This study analyzes health inequalities and mortality according […]

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Improving Equity Through Primary Care: Proceedings of the 2019 Toronto International Conference on Quality in Primary Care.

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Health equity allows people to reach their full health potential and receive high-quality care that is appropriate for them and their needs, no matter where they live, what they have, […]

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Inappropriate Antibiotic Allergy Documentation in Health Records: A Qualitative Study on Family Physicians’ and Pharmacists’ Experiences.

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It is hypothesized that 90% of antibiotic allergies documented in patients’ health records are not actual, potentially life threatening, type I allergies mediated by IgE. This distinction is important because […]

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Job stress among GPs: associations with practice organisation in 11 high-income countries.

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Job stress among GPs is an issue of growing concern.To investigate whether the structural and organisational features of GPs’ practices were associated with job stress in 11 countries.Secondary analysis of […]

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Transforming Primary Care for Lesbian, Gay, Bisexual, and Transgender People: A Collaborative Quality Improvement Initiative.

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Lesbian, gay, bisexual, and transgender (LGBT) people experience multiple disparities in access to care and health outcomes. We developed a quality improvement initiative, Transforming Primary Care for LGBT People, to […]

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Integrating molecular point-of-care testing for influenza into primary care: a mixed-methods feasibility study.

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Molecular point-of-care testing (POCT) for influenza in primary care could influence clinical care and patient outcomes.To assess the feasibility of incorporating influenza POCT into general practice in England.A mixed-methods study […]

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Effect of pre-existing conditions on bladder cancer stage at diagnosis: a cohort study using electronic primary care records in the UK.

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Pre-existing concurrent medical conditions (multimorbidity) complicate cancer diagnosis when they provide plausible diagnostic alternatives for cancer symptoms.To investigate associations in bladder cancer between: first, pre-existing condition count and advanced-stage diagnosis; […]

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Development and Validation of a County-Level Social Determinants of Health Risk Assessment Tool for Cardiovascular Disease.

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Social determinants of health (SDoH) have been linked to a variety of health conditions, but there are no multivariate measures of these determinants to estimate the risk of morbidity or […]

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Reorganisation of primary care for older adults during COVID-19: a cross-sectional database study in the UK.

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The coronavirus disease 2019 (COVID-19) pandemic has resulted in a rapid change in workload across healthcare systems. Factors related to this adaptation in UK primary care have not yet been […]

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What is the role of the practice nurse in the care of people living with dementia, or cognitive impairment, and their support person(s)?: a systematic review.

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The potential value of expanding the Practice Nurse role to include the recognition and management of dementia has been acknowledged. Practice Nurses are well-positioned to provide comprehensive dementia information and […]

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A pay for performance scheme in primary care: Meta-synthesis of qualitative studies on the provider experiences of the quality and outcomes framework in the UK.

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The Quality and Outcomes Framework (QOF) is an incentive scheme for general practice, which was introduced across the UK in 2004. The Quality and Outcomes Framework is one of the […]

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