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[PMID]:28448697
[Au] Autor:Maust DT; Blow FC; Wiechers IR; Kales HC; Marcus SC
[Ad] Endereço:Department of Psychiatry, University of Michigan, NCRC 016-222W, 2800 Plymouth Rd, Ann Arbor, MI 48109. maustd@umich.edu.
[Ti] Título:National Trends in Antidepressant, Benzodiazepine, and Other Sedative-Hypnotic Treatment of Older Adults in Psychiatric and Primary Care.
[So] Source:J Clin Psychiatry;78(4):e363-e371, 2017 Apr.
[Is] ISSN:1555-2101
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe how use of antidepressants, benzodiazepines, and other anxiolytic/sedative-hypnotics among older adults (age ≥ 65 years) has changed over time among visits to primary care providers and psychiatrists. METHODS: Data were from the National Ambulatory Medical Care Survey (years 2003-2005 and 2010-2012), a nationally representative cross-section of outpatient physician visits. Analysis focused on visits to primary care providers (n = 14,282) and psychiatrists (n = 1,095) at which an antidepressant, benzodiazepine, or other anxiolytic/sedative-hypnotic was prescribed, which were stratified by demographic and clinical characteristic (including ICD-9-CM diagnosis) and compared across study intervals. Odds of medication use were calculated for each stratum, adjusting for demographic and clinical characteristics. RESULTS: The visit rate by older adults to primary care providers where any of the medications were prescribed rose from 16.4% to 21.8% (adjusted odds ratio [AOR] = 1.43, P < .001) while remaining steady among psychiatrists (75.4% vs 68.5%; AOR = 0.69, P = .11). Primary care visits rose for antidepressants (9.9% to 12.3%; AOR = 1.28, P = .01) and other anxiolytic/sedative-hypnotics (3.4% to 4.7%; AOR = 1.39, P = .01), but the largest growth was among benzodiazepines (5.6% to 8.7%; AOR = 1.62, P < .001). Among patients in primary care, increases primarily occurred among men, non-Hispanic white patients, and those with pain diagnoses as well as those with no mental health or pain diagnoses. CONCLUSIONS: From 2003 to 2012, use of the most common psychotropic medications among older adults seen in primary care increased, with concentration among patients with no mental health or pain diagnosis. As the population of older adults grows and receives mental health treatment in primary care, it is critical to examine the appropriateness of psychotropic use.
[Mh] Termos MeSH primário: Antidepressivos/uso terapêutico
Benzodiazepinas/uso terapêutico
Hipnóticos e Sedativos/uso terapêutico
Médicos de Atenção Primária/estatística & dados numéricos
Atenção Primária à Saúde/estatística & dados numéricos
Psiquiatria/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Masculino
Médicos de Atenção Primária/tendências
Atenção Primária à Saúde/tendências
Psiquiatria/tendências
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antidepressive Agents); 0 (Hypnotics and Sedatives); 12794-10-4 (Benzodiazepines)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.4088/JCP.16m10713


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[PMID]:29292924
[Au] Autor:Nyhlén L; Modig S
[Ad] Endereço:SUS Primärvård/ VO Omkretsen - Lomma vårdcentral Lomma, Sweden SUS Primärvård/ VO Omkretsen - Lomma vårdcentral Lomma, Sweden.
[Ti] Título:Tidsbrist största hindret för att utföra basal läke­medelsgenomgång - Enkätstudie till primärvårdsläkare i Region Skåne..
[So] Source:Lakartidningen;114, 2017 Nov 09.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Ab] Resumo:Clinical medication reviews can be useful in improving pharmacotherapy for elderly. This study aimed to investigate the view and knowledge of clinical medication reviews among primary care physicians in order to identify perceived barriers and facilitating factors. Data were collected via a questionnaire given to primary care physicians in southern Sweden. Eight out of ten of the respondents were familiar with the concept of clinical medication review, and four out of ten of these, used the method on a regular basis. Lack of time was identified as the greatest impeding factor. Although necessary for a medication review, medication reconciliation was often lacking. Regardless of the theoretical knowledge of medications which are potentially inappropriate for elderly, the respondents still perceived difficulties in decisions made for the individual patient. Further education about medication reviews should be offered to primary care physicians, irrespective of time in the profession.
[Mh] Termos MeSH primário: Reconciliação de Medicamentos
Médicos de Atenção Primária
[Mh] Termos MeSH secundário: Adulto
Idoso
Atitude do Pessoal de Saúde
Competência Clínica
Feminino
Clínicos Gerais
Seres Humanos
Masculino
Reconciliação de Medicamentos/métodos
Reconciliação de Medicamentos/normas
Reconciliação de Medicamentos/utilização
Meia-Idade
Médicos de Família
Inquéritos e Questionários
Suécia
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE


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[PMID]:28449709
[Au] Autor:Sandelowsky H; Krakau I; Modin S; Ställberg B; Nager A
[Ad] Endereço:Division of Family Medicine and Primary Care, NVS, Karolinska Institutet, Alfred Nobels Allé 23, D2, Huddinge, Stockholm, 14183, Sweden. hanna.sandelowsky@ki.se.
[Ti] Título:Case Method in COPD education for primary care physicians: study protocol for a cluster randomised controlled trial.
[So] Source:Trials;18(1):197, 2017 Apr 27.
[Is] ISSN:1745-6215
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a common cause of morbidity and mortality worldwide. It is often undiagnosed and insufficiently managed. Effective forms of continuing medical education (CME) for primary care physicians (PCPs) are necessary to ensure the implementation of guidelines in clinical practice and, thus, improve patients' health. METHODS: In this study, we will measure the effects of CME by Case Method and compare them against those of traditional lectures and no CME at all through an unblinded, cluster randomised controlled trial (CRCT). Thirty-three primary health care centres (PHCCs) in Stockholm, Sweden, with a total of 180 PCPs will be involved. Twenty-two primary PHCCs, will be cluster-randomised into: an intervention group who will receive CME by Case Method (n = 11) and a control group who will receive traditional lectures (n = 11). The remaining PHCCs (n = 11) will be a reference group and will receive no CME. From the intervention and control groups, 460 randomly selected patients with COPD in GOLD stages 2 and 3 will participate, while no patients will be recruited from the reference group. For the patients, smoking status, actual treatment and urgent visits to a health provider due to airway problems will be registered. For the PCPs, professional competence (i.e. knowledge and management skills) in COPD, will be measured using a questionnaire based on current guidelines and guideline implementation problems in clinical practice which has previously been described by the authors. Data will be collected at baseline and at follow-up, which will be after 1.5 years for the patients, and 1 year for the PCPs. Statistical methods for individual-level and cluster-level analyses will be used. DISCUSSION: COPD is considered a particularly complex clinical challenge involving managing multimorbidity, symptom adaptation, and lifestyle problematisation. Case Method in CME for PCPs may contribute to a better understanding of the impact of COPD on patients' lives and, thus, improve their management of it. The present study is expected to contribute scientific knowledge about indicators for an effective CME in COPD that is tailor-made to primary care physicians. TRIAL REGISTRATION: ClinicalTrials.gov, identifier: NCT02213809 . Registered on 10 August 2014. Protocol version: Issue date: May 2014.
[Mh] Termos MeSH primário: Protocolos Clínicos
Educação Médica Continuada/métodos
Médicos de Atenção Primária/educação
Doença Pulmonar Obstrutiva Crônica/diagnóstico
[Mh] Termos MeSH secundário: Seres Humanos
Avaliação de Resultados (Cuidados de Saúde)
Tamanho da Amostra
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1186/s13063-017-1889-4


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[PMID]:29368480
[Au] Autor:Mohammed Y; Qazi ZN; Shuler FD; Garabekyan T
[Ti] Título:Hip Pain in the Pre-Arthritic Patient: A Guide for the Primary Care Physician.
[So] Source:W V Med J;112(5):48-53, 2016 Sep-Oct.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Adolescents and young adults (less than 30 years of age) with pre-arthritic hip pain constitute a diagnostic dilemma for the primary care physician. The most common underlying diagnoses range from benign muscle strains/joint sprains to stress reactions, insufficiency fractures, and tears involving the articular cartilage/labrum in the setting of femoroacetabular impingement, a hip shape abnormality that is present in up to 90% of this age group. Undetected or left untreated these seemingly innocuous disorders can result in significant loss of function and, in some cases, irreversible joint damage. Despite sharing common predisposing factors, many of the above diagnoses can be identified with a focused history and physical examination. Conservative management may be safely initiated without advanced imaging, reserving orthopaedic consultation for refractory cases or more serious diagnoses. The presented focused hip clinical examination has 98% sensitivity in localizing intra-articular hip pathology and will be helpful to direct appropriate referrals. This article will serve as a guide for primary care physicians undertaking the difficult task of evaluating and treating a young patient with hip pain.
[Mh] Termos MeSH primário: Artralgia/terapia
Terapia por Exercício
Articulação do Quadril/patologia
Exame Físico
Médicos de Atenção Primária
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Adolescente
Artralgia/diagnóstico por imagem
Artralgia/etiologia
Terapia por Exercício/métodos
Impacto Femoroacetabular/complicações
Guias como Assunto
Seres Humanos
Medição da Dor
Satisfação do Paciente
Exame Físico/métodos
Modalidades de Fisioterapia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


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[PMID]:28460530
[Au] Autor:McGrail MR; Wingrove PM; Petterson SM; Humphreys JS; Russell DJ; Bazemore AW
[Ad] Endereço:School of Rural Health, Northways Rd Churchill VIC 3842 Australia. matthew.mcgrail@monash.edu.
[Ti] Título:Measuring the attractiveness of rural communities in accounting for differences of rural primary care workforce supply.
[So] Source:Rural Remote Health;17(2):3925, 2017 Apr-Jun.
[Is] ISSN:1445-6354
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Many rural communities continue to experience an undersupply of primary care doctor services. While key professional factors relating to difficulties of recruitment and retention of rural primary care doctors are widely identified, less attention has been given to the role of community and place aspects on supply. Place-related attributes contribute to a community's overall amenity or attractiveness, which arguably influence both rural recruitment and retention relocation decisions of doctors. This bi-national study of Australia and the USA, two developed nations with similar geographic and rural access profiles, investigates the extent to which variations in community amenity indicators are associated with spatial variations in the supply of rural primary care doctors. METHODS: Measures from two dimensions of community amenity: geographic location, specifically isolation/proximity; and economics and sociodemographics were included in this study, along with a proxy measure (jurisdiction) of a third dimension, environmental amenity. Data were chiefly collated from the American Community Survey and the Australian Census of Population and Housing, with additional calculated proximity measures. Rural primary care supply was measured using provider-to-population ratios in 1949 US rural counties and in 370 Australian rural local government areas. Additionally, the more sophisticated two-step floating catchment area method was used to measure Australian rural primary care supply in 1116 rural towns, with population sizes ranging from 500 to 50 000. Associations between supply and community amenity indicators were examined using Pearson's correlation coefficients and ordinary least squares multiple linear regression models. RESULTS: It was found that increased population size, having a hospital in the county, increased house prices and affluence, and a more educated and older population were all significantly associated with increased workforce supply across rural areas of both countries. While remote areas were strongly linked with poorer supply in Australia, geographical remoteness was not significant after accounting for other indicators of amenity such as the positive association between workforce supply and coastal location. Workforce supply in the USA was negatively associated with fringe rural area locations adjacent to larger metropolitan areas and characterised by long work commutes. The US model captured 49% of the variation of workforce supply between rural counties, while the Australian models captured 35-39% of rural supply variation. CONCLUSIONS: These data support the idea that the rural medical workforce is maldistributed with a skew towards locating in more affluent and educated areas, and against locating in smaller, poorer and more isolated rural towns, which struggle to attract an adequate supply of primary care services. This evidence is important in understanding the role of place characteristics and rural population dynamics in the recruitment and retention of rural doctors. Future primary care workforce policies need to place a greater focus on rural communities that, for a variety of reasons, may be less attractive to doctors looking to begin or remain working there.
[Mh] Termos MeSH primário: Recursos Humanos em Saúde/organização & administração
Médicos de Atenção Primária/provisão & distribuição
Atenção Primária à Saúde/organização & administração
Distribuição Espacial da População/estatística & dados numéricos
Serviços de Saúde Rural/recursos humanos
[Mh] Termos MeSH secundário: Austrália
Meio Ambiente
Acesso aos Serviços de Saúde
Seres Humanos
Isolamento Social
Fatores Socioeconômicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.22605/RRH3925


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[PMID]:27770385
[Au] Autor:Hwang AS; Atlas SJ; Hong J; Ashburner JM; Zai AH; Grant RW; Hong CS
[Ad] Endereço:Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Gray Bigelow 730, 55 Fruit Street, Boston, MA, 02114, USA. ahwang1@partners.org.
[Ti] Título:Defining Team Effort Involved in Patient Care from the Primary Care Physician's Perspective.
[So] Source:J Gen Intern Med;32(3):269-276, 2017 Mar.
[Is] ISSN:1525-1497
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A better understanding of the attributes of patients who require more effort to manage may improve risk adjustment approaches and lead to more efficient resource allocation, improved patient care and health outcomes, and reduced burnout in primary care clinicians. OBJECTIVE: To identify and characterize high-effort patients from the physician's perspective. DESIGN: Cohort study. PARTICIPANTS: Ninety-nine primary care physicians in an academic primary care network. MAIN MEASURES: From a list of 100 randomly selected patients in their panels, PCPs identified patients who required a high level of team-based effort and patients they considered complex. For high-effort patients, PCPs indicated which factors influenced their decision: medical/care coordination, behavioral health, and/or socioeconomic factors. We examined differences in patient characteristics based on PCP-defined effort and complexity. KEY RESULTS: Among 9594 eligible patients, PCPs classified 2277 (23.7 %) as high-effort and 2676 (27.9 %) as complex. Behavioral health issues were the major driver of effort in younger patients, while medical/care coordination issues predominated in older patients. Compared to low-effort patients, high-effort patients were significantly (P < 0.01 for all) more likely to have higher rates of medical (e.g. 23.2 % vs. 6.3 % for diabetes) and behavioral health problems (e.g. 9.8 % vs. 2.9 % for substance use disorder), more frequent primary care visits (10.9 vs. 6.0 visits), and higher acute care utilization rates (25.8 % vs. 7.7 % for emergency department [ED] visits and 15.0 % vs. 3.9 % for hospitalization). Almost one in five (18 %) patients who were considered high-effort were not deemed complex by the same PCPs. CONCLUSIONS: Patients defined as high-effort by their primary care physicians, not all of whom were medically complex, appear to have a high burden of psychosocial issues that may not be accounted for in current chronic disease-focused risk adjustment approaches.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Assistência ao Paciente/métodos
Médicos de Atenção Primária
Atenção Primária à Saúde/organização & administração
[Mh] Termos MeSH secundário: Fatores Etários
Doença Crônica/terapia
Estudos de Coortes
Continuidade da Assistência ao Paciente/organização & administração
Feminino
Seres Humanos
Masculino
Meia-Idade
Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos
Padrões de Prática Médica
Risco Ajustado
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE
[do] DOI:10.1007/s11606-016-3897-6


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[PMID]:29443676
[Au] Autor:Provenzano AM
[Ad] Endereço:From the MGH Chelsea Health Center, Chelsea, and Harvard Medical School, Boston - both in Massachusetts.
[Ti] Título:Caring for Ms. L. - Overcoming My Fear of Treating Opioid Use Disorder.
[So] Source:N Engl J Med;378(7):600-601, 2018 Feb 15.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Buprenorfina/uso terapêutico
Antagonistas de Entorpecentes/uso terapêutico
Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico
Relações Médico-Paciente
Médicos de Atenção Primária/psicologia
[Mh] Termos MeSH secundário: Medo
Feminino
Redução do Dano
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Nm] Nome de substância:
0 (Narcotic Antagonists); 40D3SCR4GZ (Buprenorphine)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1715093


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[PMID]:29195577
[Au] Autor:Wu G; Consunji M; Nelson RA; Yeung K; Sun C; Kim JY; Raz DJ
[Ad] Endereço:Division of Thoracic Surgery, City of Hope, Duarte, California. Electronic address: geena.wu@mihs.org.
[Ti] Título:Perspectives on Managing Solitary Pulmonary Nodules: A Survey of Primary Care Physicians.
[So] Source:Semin Thorac Cardiovasc Surg;29(3):391-405, 2017 Autumn.
[Is] ISSN:1532-9488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Primary care physicians (PCPs) may be involved in the evaluation of solitary pulmonary nodules (SPNs) detected through lung cancer screening. Little is known about their perspectives on the management or the referral of SPN. Using the American Medical Association's Physician Masterfile, we randomly surveyed 1384 PCPs between January and October 2015 with an 18% response rate. A subset analysis was performed on SPN management and referral practices of PCP. These results and those relating to practice characteristics were compared between family practice and internal medicine physicians. Responders and nonresponders did not differ by demographic characteristics. A total of 137 (55.5%) PCPs reported feeling confident in managing the workup of imaging-detected SPN. However, only 53 PCPs (21.3%) were inclined to manage the evaluation and follow-up of SPN. There was no significant difference between family practice and internal medicine physicians with regard to years in practice, size of practice, or referral to specialists. Family practitioners and internists similarly disagreed or were neutral to self-managing SPN (P = 0.60). Internists were twice as likely to express confidence as family practitioners (odds ratio 1.95, 95% confidence interval 1.09-3.48). Among all PCPs, 75.4% would refer management of these patients to a pulmonologist, 28.9% to a surgeon, and 24.2% to an oncologist. Confidence did not predict lung cancer screening practices. Although more than half of PCPs expressed confidence in the workup of SPN, most preferred referral to specialists. Additional research is needed to understand barriers to PCP management of incidental SPN in the effort to facilitate lung cancer screening.
[Mh] Termos MeSH primário: Neoplasias Pulmonares/terapia
Médicos de Atenção Primária
Padrões de Prática Médica
Avaliação de Processos (Cuidados de Saúde)
Nódulo Pulmonar Solitário/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Atitude do Pessoal de Saúde
Competência Clínica
Feminino
Pesquisas sobre Serviços de Saúde
Conhecimentos, Atitudes e Prática em Saúde
Disparidades em Assistência à Saúde
Seres Humanos
Modelos Logísticos
Neoplasias Pulmonares/diagnóstico por imagem
Neoplasias Pulmonares/patologia
Masculino
Meia-Idade
Razão de Chances
Médicos de Atenção Primária/psicologia
Encaminhamento e Consulta
Nódulo Pulmonar Solitário/diagnóstico por imagem
Nódulo Pulmonar Solitário/patologia
Especialização
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE


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[PMID]:28470329
[Au] Autor:Ale O; Braimoh RW
[Ad] Endereço:Department of Medicine, Faculty of Clinical Sciences, University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria. Email: gokeale@yahoo.com.
[Ti] Título:Awareness of hypertension guidelines and the diagnosis and evaluation of hypertension by primary care physicians in Nigeria.
[So] Source:Cardiovasc J Afr;28(2):72-76, 2017 Mar/Apr.
[Is] ISSN:1680-0745
[Cp] País de publicação:South Africa
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The availability of numerous hypertension guidelines seems not to have impacted significantly on the burden of hypertension. We evaluated awareness of hypertension guidelines among primary-care physicians (PCPs) in Nigeria and its relationship to hypertension diagnosis and work up. METHODS: Anonymous self-administered questionnaires were filled in by PCPs categorised into two groups: hypertension guideline aware (GA) and unaware (GU). RESULTS: The 403 participating PCPs had a mean age and experience of 40 ± 11.34 and 14 ± 11.10 years, respectively, with 46.7% (n = 188) of them being GA. Out of the 19 questions assessed, GA and GU PCPs performed better in seven and two questions, respectively, while the two subgroups had a similar performance in 10 questions. The performance of the PCPs in government and private practice was similar. CONCLUSIONS: There is a gap between guideline recommendations and hypertension care in Nigeria that is further widened by PCPs' unawareness of the guidelines. Popularising hypertension guidelines among PCPs may significantly improve hypertension care and reduce the burden of disease.
[Mh] Termos MeSH primário: Conscientização
Determinação da Pressão Arterial/normas
Pressão Sanguínea
Fidelidade a Diretrizes/normas
Conhecimentos, Atitudes e Prática em Saúde
Hipertensão/diagnóstico
Médicos de Atenção Primária/normas
Guias de Prática Clínica como Assunto/normas
Padrões de Prática Médica/normas
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Hipertensão/epidemiologia
Hipertensão/fisiopatologia
Masculino
Meia-Idade
Nigéria/epidemiologia
Médicos de Atenção Primária/psicologia
Valor Preditivo dos Testes
Lacunas da Prática Profissional/normas
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.5830/CVJA-2016-048


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[PMID]:28940908
[Au] Autor:Signorelli C; Wakefield CE; Fardell JE; Thornton-Benko E; Emery J; McLoone JK; Cohn RJ; ANZCHOG Survivorship Study Group
[Ad] Endereço:Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia.
[Ti] Título:Recruiting primary care physicians to qualitative research: Experiences and recommendations from a childhood cancer survivorship study.
[So] Source:Pediatr Blood Cancer;65(1), 2018 Jan.
[Is] ISSN:1545-5017
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Primary care physicians (PCPs) are essential for healthcare delivery but can be difficult to recruit to health research. Low response rates may impact the quality and value of data collected. This paper outlines participant and study design factors associated with increased response rates among PCPs invited to participate in a qualitative study at Sydney Children's Hospital, Australia. PROCEDURE: We invited 160 PCPs by post, who were nominated by their childhood cancer patients in a survey study. We followed-up by telephone, email, or fax 2 weeks later. RESULTS: Without any follow-up, 32 PCPs opted in to the study. With follow-up, a further 42 PCPs opted in, with email appearing to be the most effective method, yielding a total of 74 PCPs opting in (46.3%). We reached data saturation after 51 interviews. On average, it took 34.6 days from mail-out to interview completion. Nonrespondents were more likely to be male (P = 0.013). No survivor-related factors significantly influenced PCPs' likelihood of participating. Almost double the number of interviews were successfully completed if scheduled via email versus phone. Those requiring no follow-up did not differ significantly to late respondents in demographic/survivor-related characteristics. CONCLUSION: PCP factors associated with higher opt in rates, and early responses, may be of interest to others considering engaging PCPs and/or their patients in cancer-related research, particularly qualitative or mixed-methods studies. Study resources may be best allocated to email follow-up, incentives, and personalization of study documents linking PCPs to patients. These efforts may improve PCP participation and the representativeness of study findings.
[Mh] Termos MeSH primário: Pesquisa Biomédica
Neoplasias
Seleção de Pessoal
Médicos de Atenção Primária
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Adulto
Sobreviventes de Câncer
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171129
[Lr] Data última revisão:
171129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170924
[St] Status:MEDLINE
[do] DOI:10.1002/pbc.26762



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