Are different groups of patients with stroke more likely to be excluded from the new UK general medical services contract? A cross-sectional retrospective analysis of a large primary care population

This study investigated associations between inflammatory markers, sickness behaviour, health anxiety and self-rated health in 311 consecutive primary care patients. Poor self-rated health was associated with high sickness behaviour ( ρ = 0.28, P < 0.001; ρ = 0.42, P = 0.003) and high health anxiety ( ρ = 0.31, P < 0.001; ρ = –0.32, P = 0.003). High levels of interleukin 6 were associated with poor self-rated health in men ( ρ = 0.26, P = 0.009). Low levels of interleukin-6 were associated with poor self-rated health in women ( ρ = –0.15, P = 0.04), but this association was non-significant when adjusted for health anxiety ( ρ = –0.08, P = 0.31). These results are consistent with the theory that interoceptive processes draw on both inflammatory mediators and the state of sickness behaviour in inferring health state.

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Awareness of and attitudes towards infertility and its treatment: a cross-sectional survey of men in a United States primary care population

Asian Journal of Andrology ◽

10.4103/1008-682x.132782 ◽

2014 ◽

Vol 16 (6) ◽

pp. 858 ◽

Cited By ~ 6

Author(s):

Wayland Hsiao ◽

ChadWM Ritenour ◽

Dipak Vashi ◽

RobertS Gerhard ◽

Michael Goodman

Keyword(s):

United States ◽

Primary Care ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Primary Care Population

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The Association between Serum Magnesium Levels and Depression in an Adult Primary Care Population

Nutrients ◽

10.3390/nu11071475 ◽

2019 ◽

Vol 11 (7) ◽

pp. 1475 ◽

Cited By ~ 3

Author(s):

Emily K. Tarleton ◽

Amanda G. Kennedy ◽

Gail L. Rose ◽

Abigail Crocker ◽

Benjamin Littenberg

Keyword(s):

Primary Care ◽

Depressive Symptoms ◽

Serum Magnesium ◽

Magnesium Supplementation ◽

Cross Sectional ◽

Primary Care Population ◽

Patient Health ◽

Sectional Analysis ◽

The Relationship ◽

Univariate Analyses

Depression is common, places a large burden on the patient, their family and community, and is often difficult to treat. Magnesium supplementation is associated with improved depressive symptoms, but because the mechanism is unknown, it is unclear whether serum magnesium levels act as a biological predictor of the treatment outcome. Therefore, we sought to describe the relationship between serum magnesium and the Patient Health Questionnaire (PHQ, a measure of depression) scores. A cross-sectional analysis of medical records from 3604 adults (mean age 62 years; 42% men) seen in primary care clinics between 2015 and 2018, with at least one completed PHQ were included. The relationship between serum magnesium and depression using univariate analyses showed a significant effect when measured by the PHQ-2 (−0.19 points/mg/dL; 95% CI −0.31, −0.07; P = 0.001) and the PHQ-9 (−0.93 points/mg/dL; 95% CI −1.81, −0.06; P = 0.037). This relationship was strengthened after adjusting for covariates (age, gender, race, time between serum magnesium and PHQ tests, and presence of diabetes and chronic kidney disease) (PHQ-2: −0.25 points/mg/dL; 95% CI −3.33, −0.09; P < 0.001 and PHQ-9: −1.09 95% CI −1.96 −0.21; P = 0.015). For adults seen in primary care, lower serum magnesium levels are associated with depressive symptoms, supporting the use of supplemental magnesium as therapy. Serum magnesium may help identify the biological mechanism of depressive symptoms and identify patients likely to respond to magnesium supplementation.

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Patient motives for contacting out-of-hours care in Denmark: a cross-sectional study

10.21203/rs.2.10729/v1 ◽

2019 ◽

Author(s):

Linda Huibers ◽

Anders H Carlsen ◽

Grete Moth ◽

Helle C Christensen ◽

Ingunn S Riddervold ◽

...

Keyword(s):

Primary Care ◽

Emergency Medical Services ◽

Healthcare Service ◽

Service Providers ◽

Patient Characteristics ◽

Medical Services ◽

Cross Sectional ◽

Out Of Hours ◽

Emergency Medical ◽

Acute Healthcare

Abstract Background Patients in need of acute healthcare do not always contact the most suitable healthcare service provider. Contacting out-of-hours primary care for an urgent problem may delay care, whereas contacting emergency medical services for a non-urgent problem could ultimately affect patient safety. More insight into patient motives for contacting a specific healthcare provider may help optimise patient flows. This study aims to explore patient motives for contacting out-of-hours primary care and the emergency medical services in Denmark. Methods We conducted a cross-sectional observational study by sending a questionnaires to patients contacting out-of-hours primary care and emergency medical services, both of which can be directly contacted by patients, in two of five Danish regions in 2015. As we aimed to focus on the first access point, the emergency department was not included. The questionnaire included items on patient characteristics, health problem and 26 pre-defined motives. Descriptive analyses of patient characteristics and motives were conducted, stratified by the two healthcare service providers. Factors associated with contacting each of the two service providers were explored in a modified Poisson regression analysis, and adjusted risk ratios were calculated. Results Three key motives for contacting the two service providers were identified: ‘unpleasant symptoms’, ‘perceived need for prompt action’ and ‘perceived most suitable healthcare provider’. Other important motives were ‘need arose outside office hours’ and ‘wanted to talk to a physician’ (out-of-hours primary care) and ‘expected need for ambulance’ and ‘worried’ (emergency medical services). Higher probability of contacting the emergency medical services versus out-of-hours primary care was seen for most motives relating to own assessment and expectations, previous experience and knowledge, and own needs and wishes. Lower probability was seen for most motives relating to perceived barriers and benefits. Conclusions Patient motives for contacting the two healthcare service providers were partly overlapping. The study contributes with new knowledge on the complex decision-making process of patients in need of acute healthcare. This knowledge could help optimise existing healthcare services, such as patient safety and the service level, without increasing healthcare costs.

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ID: 3521418 LOW PREVALENCE OF SCREENING ENDOSCOPY FOR BARRETT’S ESOPHAGUS IN HIGH RISK GERD PATIENTS IN A LARGE PRIMARY CARE POPULATION

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2021.03.602 ◽

2021 ◽

Vol 93 (6) ◽

pp. AB287-AB288

Author(s):

Swathi Eluri ◽

Sumana Reddy ◽

Corey J. Ketchem ◽

Manaswita Tappata ◽

Hanna G. Nettles ◽

...

Keyword(s):

Primary Care ◽

High Risk ◽

Barrett’S Esophagus ◽

Barrett's Esophagus ◽

Primary Care Population ◽

Screening Endoscopy ◽

Low Prevalence ◽

Large Primary

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Multimorbidity and patterns of chronic conditions in a primary care population in Switzerland: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2016-013664 ◽

2017 ◽

Vol 7 (6) ◽

pp. e013664 ◽

Cited By ~ 17

Author(s):

Anouk Déruaz-Luyet ◽

A Alexandra N'Goran ◽

Nicolas Senn ◽

Patrick Bodenmann ◽

Jérôme Pasquier ◽

...

Keyword(s):

Primary Care ◽

Chronic Conditions ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Primary Care Population

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Implementation and process evaluation of three interventions to promote screening mammograms delivered for 4 years in a large primary care population

Translational Behavioral Medicine ◽

10.1007/s13142-017-0497-x ◽

2017 ◽

Vol 7 (3) ◽

pp. 547-556 ◽

Cited By ~ 2

Author(s):

Roger Luckmann ◽

Mary Jo White ◽

Mary E. Costanza ◽

Christine F. Frisard ◽

Caroline Cranos ◽

...

Keyword(s):

Primary Care ◽

Process Evaluation ◽

Primary Care Population ◽

Screening Mammograms ◽

Large Primary

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Nicotine dependence levels in pre and during pandemic and its correlations with COVID-19 phobia among healthy men during controlled social life: a sample of primary care population

10.22541/au.162392739.98272769/v1 ◽

2021 ◽

Author(s):

GÜLAY YILMAZEL

Keyword(s):

Primary Care ◽

Nicotine Dependence ◽

Social Life ◽

Percentage Change ◽

Intention To Quit ◽

Online Questionnaire ◽

Cross Sectional ◽

Healthy Men ◽

Primary Care Population ◽

Very High

BACKGROUND: This study aims to determine nicotine dependence levels in pre and during pandemic and its correlations with COVID-19 phobia among healthy men during controlled social life: a sample of primary care population. METHODS: This cross-sectional study was conducted with 472 healthy men in Çorum, Black Sea Region, Turkey between February 2019 and October 2020. An online questionnaire was used to collect data including demographic profile, smoking behavior, intention to quit, Fagerström Nicotine Dependence test (FTND) pre and during COVID-19 pandemic and COVID-19 phobia scale. RESULTS: In this study, a percentage change of +6.2, +0.8, +1.9, -2.7, -5.1 was found in very low, low, medium, high and very high dependence categories respectively between pre-pandemic and during controlled social life in pandemic. A percentage change of +2.8 was seen in terms of intention to quit smoking. The mean score for COVID-19 phobia was 65.9 ± 15.8 and almost two-thirds of the participants (62%) had medium and high COVID-19 phobia. Men with high/very high dependence had significantly more COVID-19 phobia than the other two groups. There was a significant correlation between FTND scores and COVID-19 phobia. CONCLUSIONS: There were considerable changes in dependence levels and COVID-19 phobia was more common in high/very high dependence group. Controlled social life should be considered a golden opportunity for predicting levels of nicotine dependence and will bring benefit for lower smoking prevalence. COVID-19, Nicotine dependence, Phobia, men, Primary health care.

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Patient motives for contacting out-of-hours care in Denmark: a cross-sectional study

10.21203/rs.2.10729/v2 ◽

2020 ◽

Author(s):

Linda Huibers ◽

Anders H Carlsen ◽

Grete Moth ◽

Helle C Christensen ◽

Ingunn S Riddervold ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Emergency Medical Services ◽

Service Providers ◽

Care Service ◽

Health Care Service ◽

Medical Services ◽

Cross Sectional ◽

Out Of Hours ◽

Emergency Medical

Abstract Background Patients in need of acute health care do not always contact the most suitable health care service provider. Contacting out-of-hours primary care for an urgent problem may delay care, whereas contacting emergency medical services for a non-urgent problem could ultimately affect patient safety. More insight into patient motives for contacting a specific health care provider may help optimise patient flows. This study aims to explore patient motives for contacting out-of-hours primary care and the emergency medical services in Denmark.Methods We conducted a cross-sectional observational study by sending a questionnaire to patients contacting out-of-hours primary care and emergency medical services, both of which can be directly contacted by patients, in two of five Danish regions in 2015. As we aimed to focus on the first access point, the emergency department was not included. The questionnaire included items on patient characteristics, health problem and 26 pre-defined motives. Descriptive analyses of patient characteristics and motives were conducted, stratified by the two health care service providers. Factors associated with contacting each of the two service providers were explored in a modified Poisson regression analysis, and adjusted risk ratios were calculated.Results Three key motives for contacting the two service providers were identified: ‘unpleasant symptoms’, ‘perceived need for prompt action’ and ‘perceived most suitable health care provider’. Other important motives were ‘need arose outside office hours’ and ‘wanted to talk to a physician’ (out-of-hours primary care) and ‘expected need for ambulance’ and ‘worried’ (emergency medical services). Higher probability of contacting the emergency medical services versus out-of-hours primary care was seen for most motives relating to own assessment and expectations, previous experience and knowledge, and own needs and wishes. Lower probability was seen for most motives relating to perceived barriers and benefits.Conclusions Patient motives for contacting the two health care service providers were partly overlapping. The study contributes with new knowledge on the complex decision-making process of patients in need of acute health care. This knowledge could help optimise existing health care services, such as patient safety and the service level, without increasing health care costs.

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