Use of doxazosin GITS by primary care physicians: an observational study in patients with hypertension

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.

Download Full-text

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.

Download Full-text

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

Download Full-text

Assessing the impact of colonoscopy complications on use of colonoscopy among primary care physicians and other connected physicians: an observational study of older Americans

BMJ Open ◽

10.1136/bmjopen-2016-014239 ◽

2017 ◽

Vol 7 (6) ◽

pp. e014239 ◽

Cited By ~ 1

Author(s):

Nancy L Keating ◽

A James O’Malley ◽

Jukka-Pekka Onnela ◽

Bruce E Landon

Keyword(s):

Primary Care ◽

Observational Study ◽

Primary Care Physicians ◽

Older Americans ◽

The Impact

Download Full-text

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

Revista Clínica Española (English Edition) ◽

10.1016/j.rceng.2019.11.006 ◽

2020 ◽

Author(s):

M. Roman-Rodriguez ◽

J. Molina-Paris ◽

A. Fernandez-Sanchez ◽

Mohsen Abedianzadeh Timar ◽

Jesús Acha Domínguez ◽

...

Keyword(s):

Primary Care ◽

Observational Study ◽

Clinical Guidelines ◽

Primary Care Physicians

Download Full-text

Communication between patients and primary care physicians after behavioural weight loss: an observational study

Primary Health Care Research & Development ◽

10.1017/s1463423619000124 ◽

2019 ◽

Vol 20 ◽

Author(s):

Jocelyn E. Remmert ◽

Adam G. Tsai ◽

Savannah R. Roberts ◽

Meghan L. Butryn

Keyword(s):

Blood Pressure ◽

Primary Care ◽

Weight Loss ◽

Observational Study ◽

Primary Care Physicians ◽

Weight Changes ◽

Initial Weight ◽

Initial Weight Loss ◽

Care Appointment ◽

Primary Care Appointment

Abstract Primary care physicians can play a key role in supporting patients after behavioural weight loss, though little is known about communication between patients and physicians during this time. Adults (n=139) in a behavioural weight loss trial (delivered outside of primary care) who attended a primary care appointment after an initial weight loss period were surveyed to assess weight-related communication at their most recent appointment. Most participants (78%) reported discussing weight with their physician. Participants who discussed weight, compared to those who did not, lost more weight, had higher blood pressure, and were more likely to be male. Most (89%) reported that their physician was supportive of their weight loss, but only a few participants (6.9%) reported that their physician gave feedback on medical parameters. Areas for improvement identified include physicians providing universal support for modest weight changes and providing interpretation of medical measurements that changed due to weight loss.

Download Full-text

Metformin related adverse events: A prospective observational study in health care centers of western Odisha

Journal of Pharmacovigilance and Drug Research ◽

10.53411/jpadr.2020.1.2.5 ◽

2020 ◽

Vol 1 (2) ◽

pp. 32-34

Author(s):

Sanjeeb Kumar Kar ◽

Susovita Khuntia ◽

Shubhrata Nayak

Keyword(s):

Primary Care ◽

Health Care ◽

Adverse Events ◽

Observational Study ◽

Adverse Drug Reactions ◽

Primary Care Physicians ◽

Prospective Observational Study ◽

Drug Reactions ◽

Primary Health Care Centers ◽

Health Care Centers

Introduction: The most common adverse drug reactions were lactic acidosis followed by hypoglycemia, hypersensitivity reactions, nausea, decreased appetite, vomiting, weakness, and diarrhea. Objectives: The study was done to explore the management of the patients having diabetes by primary care physicians, and the adverse reactions associated with the dose regimens. This study provided information regarding the adverse drug reactions that could be developed in any patient and increases the risk to the patient. Methods: A qualitative In-Depth Interview study was conducted among the primary care physicians at ten primary health care centers at Sambalpur city of Odisha, India. The data were analyzed using content analysis. This was a prospective observational study (March 2019 - September 2019) among diabetes patients receiving metformin. Data were collected and analyzed to find out the demographic characteristics, causality, and severity of adverse events with metformin regimens. Results: It was seen that 8 % of cases could be assessed as certain and 24 % could be assessed as probable. Most (60 %) cases were assessed as possible. Severity assessment of ADRs by modified Hart wig and Siegel's severity Scale (n=143) indicates 64% of the case were mild and 34% of cases are moderately severe. Conclusions: Hence with an aim of patient safety quality of the drug formulations has to be improved that could ultimately improve drug safety.

Download Full-text

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

American Journal of Law & Medicine ◽

10.1017/s0098858800002586 ◽

2003 ◽

Vol 29 (4) ◽

pp. 489-524

Author(s):

Brent Pollitt

Keyword(s):

Primary Care ◽

Mental Illness ◽

Nurse Practitioners ◽

Primary Care Physicians ◽

American Psychological Association ◽

The United States ◽

Psychotropic Medications ◽

American Psychological ◽

Training Requirements ◽

Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

Download Full-text