Compliance with the clinical guidelines for managing asthma by primary care physicians: An ambispective observational study

IntroductionTo the specialized attention arrives as preferred patients with minor diagnosis.ObjectiveWe do a relation between the type (normal/preferential) derivation of the first consultations and their corresponding diagnosis.MethodologyRetrospective observational study with data gathered during 3 months, which handle 2 variables: on the one hand, type of derivation and on the other, effected diagnosis.ResultsThe most frequent diagnosis found are adaptative disorders and affective disorders, corresponding to 45.45% and 9.1%, respectively of preferred leads.ConclusionsAlmost half of preferential queries (consultations) could be treated in first instance by primary care physicians releasing mental health care burden.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Change in Pain Severity With Open Label Venlafaxine Use in Patients With a Depressive Symptomatology: An Observational Study in Primary Care

European Psychiatry ◽

10.1016/j.eurpsy.2008.01.001 ◽

2008 ◽

Vol 23 (3) ◽

pp. 178-186 ◽

Cited By ~ 8

Author(s):

Stefan Begré ◽

Martin Traber ◽

Martin Gerber ◽

Roland von Känel

Keyword(s):

Primary Care ◽

Chronic Pain ◽

Depressive Symptoms ◽

Observational Study ◽

Primary Care Physicians ◽

Depressive Symptomatology ◽

Dose Finding ◽

Open Label ◽

Treatment Of Depression

AbstractPurpose.Venlafaxine has shown benefit in the treatment of depression and pain. Worldwide data are extensively lacking investigating the outcome of chronic pain patients with depressive symptoms treated by venlafaxine in the primary care setting. This observational study aimed to elucidate the efficacy of venlafaxine and its prescription by Swiss primary care physicians and psychiatrists in patients with chronic pain and depressive symptomatology.Subjects and methods.We studied 505 patients with depressive symptoms suffering from chronic pain in a prospective naturalistic Swiss community based observational trial with venlafaxine in primary care. These patients have been treated with venlafaxine by 122 physicians, namely psychiatrists, general practitioners, and internists.Results.On average, patients were treated with 143 ± 75 mg (0–450 mg) venlafaxine daily for a follow-up of three months. Venlafaxine proved to be beneficial in the treatment of both depressive symptoms and chronic pain.Discussion.Although side effects were absent in most patients, physicians might have frequently omitted satisfactory response rate of depression by underdosing venlafaxine. Our results reflect the complexity in the treatment of chronic pain in patients with depressive symptoms in primary care.Conclusion.Further randomized dose-finding studies are needed to learn more about the appropriate dosage in treating depression and comorbid pain with venlafaxine.

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Quality of follow-up monitoring of the adult population with grade 1-3 hypertension, with the exception of resistant hypertension, by primary care physicians in different Russian regions

Russian Journal of Cardiology ◽

10.15829/1560-4071-2021-4332 ◽

2021 ◽

Vol 26 (4) ◽

pp. 4332

Author(s):

O. M. Drapkina ◽

R. N. Shepel ◽

L. Yu. Drozdova ◽

A. M. Kalinina ◽

E. S. Bulgakova ◽

...

Keyword(s):

Primary Care ◽

Medical Care ◽

Resistant Hypertension ◽

Clinical Guidelines ◽

Primary Care Physicians ◽

Adult Population ◽

Russian Regions ◽

Target Values

In view of the high prevalence of hypertension (HTN) among Russian population, it becomes extremely important to meet the criteria for the medical care quality within the periodic examinations for this group of patients.Aim. To assess the quality of follow-up monitoring of the adult population with grade 1-3 hypertension, with the exception of resistant hypertension (RH), by primary care physicians in different Russian regions.Materials and methods. As part of working visits of the expert group from the National Medical Research Center for Therapy and Preventive Medicine in 38 Russian regions in the period from February 1, 2020 to December 15, 2020, an analysis of ambulatory records of patients with grade 1-3 hypertension was carried out. A total of 3614 ambulatory medical records (AMRs) were analyzed, of which the grade 1-3 hypertension, with the exception of RH, was revealed in 764 ones. The analysis of records was carried out using an original checklist. Statistical processing was carried out using the software package IBM SPSS Statistics 20 (USA) and Microsoft Office Excel 2016 (USA).Results. An analysis of 764 AMRs was performed. The mean age of patients was 63,9-11,2 (women, 64,7-11,3 years; men, 62,7-10,9 years). The majority (58,9%) of participants were women. Follow-up monitoring was established in a timely manner in 450 people (58,9%) of patients, of which there were 189 men (42%) and 261 women (58%). In 87,9% (n=672) of cases, the diagnosis formulation met the established clinical guidelines criteria. In 36 cases (4,7%), there was no evidence in favor of hypertension according to the current clinical guidelines. In 21,1% (n=161) of cases, the minimum recommended periodicity of visits was not observed. In last visits of 323 patients, the blood pressure did not reach the target values. AMRs did not contain information on low-density lipoprotein cholesterol (LDL-C) in 91б4% of cases (n=698). Among patients with a known level of LDL-C, the target values were achieved only in 15,2% of cases (n=10).Conclusion. Our analysis revealed the insufficient quality of outpatient medical care to hypertensive patients within the periodic examinations. Proposals are created for monitoring and measures to improve the quality of care for this category of patients.

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CLINICAL GUIDELINES FOR CONSTIPATION IN CHILDREN - ARE PRIMARY CARE PHYSICIANS TAKING NOTE?

Journal of Pediatric Gastroenterology and Nutrition ◽

10.1097/01.mpg.0000181873.72446.b9 ◽

2005 ◽

Vol 41 (4) ◽

pp. 498

Author(s):

Yoram Elitsur ◽

Autunm Morales ◽

Mary DiFillippo ◽

Chris McKeand

Keyword(s):

Primary Care ◽

Clinical Guidelines ◽

Primary Care Physicians

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Job satisfaction of primary care physicians in Switzerland: an observational study

Family Practice ◽

10.1093/fampra/cmw047 ◽

2016 ◽

Vol 33 (5) ◽

pp. 498-503 ◽

Cited By ~ 12

Author(s):

Katja Goetz ◽

Marianne Jossen ◽

Joachim Szecsenyi ◽

Thomas Rosemann ◽

Karolin Hahn ◽

...

Keyword(s):

Primary Care ◽

Job Satisfaction ◽

Observational Study ◽

Primary Care Physicians

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Sources of Information on Medicinal Products Among Physicians – A Survey Conducted Among Primary Care Physicians in Poland

Frontiers in Pharmacology ◽

10.3389/fphar.2021.801845 ◽

2022 ◽

Vol 12 ◽

Author(s):

Magdalena Zielińska ◽

Tomasz Hermanowski

Keyword(s):

Primary Care ◽

Clinical Guidelines ◽

Primary Care Physicians ◽

Demographic Data ◽

Sources Of Information ◽

Medicinal Products ◽

Using Data ◽

Credible Information ◽

Source Of Information ◽

Credible Source

Introduction: Primary care physicians need to have access to up-to-date knowledge in various fields of medicine and high-quality information sources, but little is known about the use and credibility of sources of information on medicinal products among Polish doctors. The main goal of this study was to analyze the sources of information on medicinal products among primary care physicians in Poland.Methods: A survey was conducted among 316 primary care physicians in Poland. The following information was collected: demographic data of participants, type and frequency of using data sources on medicinal products, barriers to access credible information, assessment of the credibility of the sources used, impact of a given source and other factors on prescription decisions.Results: The most frequently mentioned sources of information were medical representatives (79%), medical journals (78%) and congresses, conventions, conferences, and training (76%). The greatest difficulty in finding the latest information about medicinal products was the lack of time. The surveyed doctors considered clinical guidelines to be the most credible source of information, and this source also had the greatest impact on the choice of prescribed medicinal products.Conclusion: The study showed that clinicians consider clinical guidelines as the most credible source of information with the greatest impact on prescribing medicinal products. However, it is not the source most often mentioned by doctors for obtaining knowledge about medicinal products. There is a need to develop strategies and tools to provide physicians with credible sources of information.

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Awareness, management, and practice patterns of pediatric NAFLD by primary care physicians

Paediatrics & Child Health ◽

10.1093/pch/pxab057 ◽

2021 ◽

Author(s):

Victoria Lee-Kim ◽

Rachael Morkem ◽

David Barber ◽

Jennifer A Flemming ◽

Mohit Kehar

Keyword(s):

Primary Care ◽

Liver Disease ◽

Clinical Guidelines ◽

Primary Care Physicians ◽

Practice Patterns ◽

Dissemination And Implementation ◽

Lifestyle Modifications ◽

Nonalcoholic Fatty Liver ◽

The North ◽

Specialist Referral

Abstract Background Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in children. Primary-care physicians (PCPs) play a key role in identifying patients requiring specialist referral. In this study, we aim to determine PCPs’ practice patterns for paediatric NAFLD, as knowledge gaps have been reported for adult NAFLD. Methods A survey was sent to 60 PCPs in the Eastern Ontario Network from July 2019 to January 2020. Results Thirty-seven (62%) PCPs responded to the survey. Twenty-one incorrectly considered the prevalence of paediatric NAFLD to be ≤10%. The majority (35/36) cared for less than five paediatric NAFLD patients. Thirty-four (92%) were only ‘slightly familiar’ or ‘not familiar at all’ with paediatric NAFLD. Only one PCP routinely screens for NAFLD. Only one PCP was aware of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) clinical guidelines for paediatric NAFLD. Twenty-five (68%) correctly selected lifestyle modifications as a treatment option. Lack of confidence in the knowledge of NAFLD was the most common barrier for managing paediatric cases. Conclusion The majority of PCPs are not screening for paediatric NAFLD and are not familiar with its clinical spectrum, citing a lack of knowledge regarding NAFLD as the greatest barrier. This may cause delays in diagnosis and a presentation with advanced fibrosis at the time of specialist referral. Dissemination and implementation of clinical guidelines have the potential to improve knowledge and screening rates for NAFLD in children at the primary-care level.

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