Diabetes care knowledge and practice among primary care physicians in Southeast Nigeria: a cross-sectional study

ObjectivesTo determine the level of knowledge and practice of evidence-based medicine (EBM) and the attitudes towards it and to identify the factors associated with its practice among primary care practitioners in Selangor, Malaysia.SettingThis cross-sectional study was conducted in randomly selected health clinics in Selangor. Data were collected from primary care physicians using self-administered questionnaires on knowledge, practice and attitudes regarding EBM.ParticipantsThe study included 225 respondents working in either government or private clinics. It excluded house officers and those working in public and private universities or who were retired from practice.ResultsA total of 32.9% had a high level of EBM knowledge, 12% had a positive attitude towards EBM and 0.4% had a good level of its practice. The factors significantly associated with EBM practice were ethnicity, attitude, length of work experience as a primary care practitioner and quick access to online reference applications on mobile phones.ConclusionsAlthough many physicians have suboptimal knowledge of EBM and low levels of practising it, majority of them have a neutral attitude towards EBM practice. Extensive experience as a primary care practitioner, quick access to online references on a mobile phone and good attitude towards EBM were associated with its practice.

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Sources of psychological distress among primary care physicians during the COVID-19 pandemic’s first wave in Spain: a cross-sectional study

Primary Health Care Research & Development ◽

10.1017/s1463423621000566 ◽

2021 ◽

Vol 22 ◽

Author(s):

Ana Cebrián-Cuenca ◽

José Joaquín Mira ◽

Elena Caride-Miana ◽

Antonio Fernández-Jiménez ◽

Domingo Orozco-Beltrán

Keyword(s):

Primary Care ◽

Psychological Distress ◽

Primary Care Physicians ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

Multivariate Linear Regression Analysis ◽

Sectional Study ◽

Rt Pcr ◽

Cross Sectional ◽

Protective Measures

Abstract Background: The COVID-19 pandemic is affecting people worldwide. In Spain, the first wave was especially severe. Objectives: This study aimed to identify sources and levels of distress among Spanish primary care physicians (PCPs) during the first wave of the pandemic (April 2020). Methods: A cross-sectional study was conducted using a survey that included sociodemographic data, a description of working conditions related to distress [such as gaps in training in protective measures, cleaning, and hygiene procedures in work setting, unavailability of personal protective equipments (PPEs) and COVID-19 RT-PCR test, and lack of staff due to be infected] and a validated scale, the ‘Self-applied Acute Stress Scale’ (EASE). The survey was answered by a non-probability sampling of PCPs working in family healthcare centres from different regions of Spain. Analysis of variance and multivariate linear regression analysis were performed. Results: In all, out of 518 PCP participants, 123 (23.7%) obtained high psychological distress scores. Only half of them had received information about the appropriate use of PPE. PCP characteristics associated with higher levels of distress include female gender [1.69; 95% confidence interval (CI) 0.54, 2.84]; lack of training in protective measures (1.96; 95% CI 0.94, 2.99); unavailable COVID-19 RT-PCR for health care workers after quarantine or COVID-19 treatment (−0.77 (−1.52, −0.02). Reinforcing disinfection of the work environment (P < 0.05), availability of PPEs (P < 0.05), and no healthcare professional was infected (P < 0.05) were related to the lowest distress score. Conclusions: A better understanding of the sources of distress among PCPs could prevent its effect on future outbreaks.

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Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland

International Journal of Public Health ◽

10.1007/s00038-019-01259-4 ◽

2019 ◽

Vol 64 (7) ◽

pp. 1075-1083 ◽

Cited By ~ 3

Author(s):

Alexander Leonhard Braun ◽

Emanuele Prati ◽

Yonas Martin ◽

Charles Dvořák ◽

Kali Tal ◽

...

Keyword(s):

Colorectal Cancer ◽

Primary Care ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-033443 ◽

2020 ◽

Vol 10 (1) ◽

pp. e033443 ◽

Cited By ~ 1

Author(s):

Osamah Al-gassimi ◽

Hassan Bin Usman Shah ◽

Rawan Sendi ◽

Heba A Ezmeirlly ◽

Lauren Ball ◽

...

Keyword(s):

Primary Care ◽

Chronic Disease ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Nutrition Knowledge ◽

Sectional Study ◽

Cross Sectional ◽

Knowledge And Skills ◽

Nutrition Care ◽

Dietary Behaviours

ObjectivesPrimary care physicians have an opportunity to support healthy dietary behaviours of patients by providing nutrition care. However, it is unclear whether primary care physicians in the Kingdom of Saudi Arabia (KSA) are sufficiently competent in nutrition. This study aimed to assess the nutrition competence of primary care physicians in KSA and identify whether nutrition competence is associated with the provision of nutrition care to patients living with diet-related chronic disease.DesignA cross-sectional study.SettingChronic disease clinics across 48 primary care centres under the Ministry of Health in the city of Jeddah, KSA.Participants90 primary care physicians completed the survey (response rate: 98%). General practitioners and family medicine residents, specialists, and consultants actively working in chronic disease clinics between February and May 2019 were included.Primary and secondary outcome measuresPrimary outcome measure was nutrition competence of primary care physicians measured via the validated nutrition competence (NUTCOMP) questionnaire.ResultsPrimary care physicians perceived themselves as competent in nutrition care but their reported provision of nutrition care was limited. Confidence in their nutrition knowledge and skills elicited the lowest mean scores of 25.8 (±5.4) out of 35 and 29 (±5.2) out of 40, respectively. The reported provision of nutrition care was closely correlated with physicians’ confidence in their nutrition knowledge (r=0.57) and communication (r=0.52). Three factors were identified as predicting whether physicians provide nutrition care to patients: confidence in counselling about nutrition (p<0.001), having previous nutrition education (p=0.005) and a higher professional qualification (p=0.008).ConclusionsPrimary care physicians felt confident in providing nutrition care to patients living with diet-related chronic disease. Primary care physicians would benefit from higher levels of nutrition knowledge and skills to effectively support patients to improve their dietary behaviours and health conditions, leading to a positive impact on public health.

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Attitudes and barriers towards conducting research amongst primary care physicians in Bahrain: a cross-sectional study

BMC Family Practice ◽

10.1186/s12875-019-0911-1 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 4

Author(s):

Abeer J. Khalaf ◽

Aysha I. Aljowder ◽

Meead J. Buhamaid ◽

Mona F. Alansari ◽

Ghufran A. Jassim

Keyword(s):

Primary Care ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Conducting Research

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Relation between primary care physician supply and diabetes care and outcomes: a cross-sectional study

CMAJ Open ◽

10.9778/cmajo.20150065 ◽

2016 ◽

Vol 4 (1) ◽

pp. E80-E87 ◽

Cited By ~ 5

Author(s):

T. Kiran ◽

R. H. Glazier ◽

M. A. Campitelli ◽

A. Calzavara ◽

T. A. Stukel

Keyword(s):

Primary Care ◽

Primary Care Physician ◽

Diabetes Care ◽

Cross Sectional Study ◽

Care Physician ◽

Physician Supply ◽

Sectional Study ◽

Cross Sectional

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Assessment of patients' medical fitness to drive by primary care physicians: A cross-sectional study

Traffic Injury Prevention ◽

10.1080/15389588.2016.1274029 ◽

2017 ◽

Vol 18 (5) ◽

pp. 488-492 ◽

Cited By ~ 6

Author(s):

Ghassan A. Alkharboush ◽

Faisal A. Al Rashed ◽

Ahmed H. Saleem ◽

Ibrahim S. Alnajashi ◽

Aljohara S. Almeneessier ◽

...

Keyword(s):

Primary Care ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Sectional Study ◽

Fitness To Drive ◽

Cross Sectional ◽

Medical Fitness

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Continuing Medical Education for Primary Care Physicians in Israel: A Cross-Sectional Study

Journal of Biomedical Education ◽

10.1155/2013/843691 ◽

2013 ◽

Vol 2013 ◽

pp. 1-10

Author(s):

Pesach Shvartzman ◽

Howard Tandeter ◽

Daniel Vardy ◽

Eran Matz ◽

Anthony Heymann ◽

...

Keyword(s):

Primary Care ◽

Medical Education ◽

Continuing Medical Education ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Personal Initiative ◽

Rural Clinic ◽

Self Administered Questionnaire

Acquiring a medical degree is only the beginning of a prolonged learning process. At some point, formal studies end, and continuing medical education (CME) may be left to personal initiative. To assess lifetime learning (LL) and CME among primary care physicians in Israel, a self-administered questionnaire, based on the Jefferson Scale of Physician Lifelong Learning (JSPLL), was mailed to 4,104 primary care physicians. A total of 979 completed the study, 53.4% males with a mean age of 51.8 ± 8.3 (range 31–79). A logistic regression model showed that male gender (OR = 1.5, P<0.05), teaching (OR = 4.5, P<0.0001), and not working in a rural clinic (OR = 0.6, P<0.01), increased the LL score. The results of the study demonstrate a need to address special subgroups that have a lower tendency to engage in LL activities. Policymakers should develop strategies to increase these physicians' interest in LL activities and the accessibility of these activities to them, including the availability of LL resources at home so physicians can get updates at their convenience. Primary care physicians should also be encouraged to become involved in teaching of any type, as this is a facilitating factor for LL activities.

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Clinical information needs and access in primary health care: a comparative cross-sectional study of rural and non-rural primary care physicians

Health Information & Libraries Journal ◽

10.1111/hir.12121 ◽

2015 ◽

Vol 32 (4) ◽

pp. 287-299 ◽

Cited By ~ 10

Author(s):

Salman Bin Naeem ◽

Rubina Bhatti

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Care Physicians ◽

Information Needs ◽

Clinical Information ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Rural Primary Care ◽

Primary Health

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Knowledge, Attitudes, and Practices towards Diabetic Retinopathy among Primary Care Physicians of Saudi Arabia: A Multicenter Cross-Sectional Study

Healthcare ◽

10.3390/healthcare9121697 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1697

Author(s):

Ashokkumar Thirunavukkarasu ◽

Abdulmohsen Khaled Almulhim ◽

Faisal Ahmed Albalawi ◽

Ziyad Muharib Alruwaili ◽

Ola Ali Almajed ◽

...

Keyword(s):

Primary Care ◽

Saudi Arabia ◽

Diabetic Retinopathy ◽

Work Experience ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices

Primary care physicians play a vital role in preventing the progression of diabetic retinopathy (DR) from the initial stages to the late stages. This questionnaire-based analytical cross-sectional study was carried out to assess the knowledge, attitude, practices, and their correlation among 274 randomly selected primary care physicians in Saudi Arabia. Among the studied population, high knowledge, attitudes, and practice scores were observed in 21.5%, 15%, and 29.2% of the physicians, respectively. The mean knowledge score was significantly higher among the age group of less than 30 years (p = 0.031) and the female gender (p = 0.012). The attitude scores were significantly higher among the Saudi physicians (p = 0.027) and those with PHC work experience of less than five years (p < 0.001). Regarding the practices, a significant association was found among the age group of less than 30 years (p = 0.019) and Saudi physicians (p = 0.003). There was a significant positive correlation between knowledge (correlation coefficient (r) = 0.739, p < 0.001) and attitude (r = 0.479, p = 0.007) with the practice scores. It is recommended that targeted continuous medical education, workshops, and seminars are conducted on the prevention and care of DR among primary care physicians. Furthermore, an exploratory multicenter study that involves primary care physicians belonging to all ministries and private sectors is warranted.

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