Commentary on: “How do chronically ill patients evaluate their medical care? An observational study with 46919 patients in 676 primary care practices” [Goetz, K., Campbell, S., Willms, S., Rochon, J., Klingenberg, A. & Szecsenyi, J. (2011). International

2011 ◽  
Vol 1 (2) ◽  
Author(s):  
Antje Miksch
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Medical Care ◽  
Chronically Ill ◽  
Care Practices ◽  
Primary Care Practices ◽  
Chronically Ill Patients

Observational study of ezetimibe discontinuation in primary care practices in the UK

2013 ◽  
Vol 29 (12) ◽  
pp. 1737-1745
Author(s):  
Gillian C. Hall ◽  
Vian Amber ◽  
Chris O’Regan ◽  
Kevin Jameson
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Care Practices ◽  
The Uk ◽  
Primary Care Practices

scholarly journals Feasibility and acceptability of breath research in primary care: a prospective, cross-sectional, observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e044691
Author(s):  
Georgia Woodfield ◽  
Ilaria Belluomo ◽  
Piers R Boshier ◽  
Annabelle Waller ◽  
Maya Fayyad ◽  
...  
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Phase Iii ◽  
Study Phase ◽  
Cross Sectional ◽  
Hub And Spoke ◽  
Breath Testing ◽  
Care Practices ◽  
Primary Care Practices ◽  
Recruitment Model

ObjectivesTo examine the feasibility and acceptability of breath research in primary care.DesignNon-randomised, prospective, mixed-methods cross-sectional observational study.SettingTwenty-six urban primary care practices.Participants1002 patients aged 18–90 years with gastrointestinal symptoms.Main outcome measuresDuring the first 6 months of the study (phase 1), feasibility of patient enrolment using face-to-face, telephone or SMS-messaging (Short Message Service) enrolment strategies, as well as processes for breath testing at local primary care practices, were evaluated. A mixed-method iterative study design was adopted and outcomes evaluated using weekly Plan-Do-Study-Act cycles, focus groups and general practitioner (GP) questionnaires.During the second 6 months of the study (phase 2), patient and GP acceptability of the breath test and testing process was assessed using questionnaires. In addition a ‘single practice’ recruitment model was compared with a ‘hub and spoke’ centralised recruitment model with regards to enrolment ability and patient acceptability.Throughout the study feasibility of the collection of a large number of breath samples by clinical staff over multiple study sites was evaluated and quantified by the analysis of these samples using mass spectrometry.Results1002 patients were recruited within 192 sampling days. Both ‘single practice’ and ‘hub and spoke’ recruitment models were effective with an average of 5.3 and 4.3 patients accrued per day, respectively. The ‘hub and spoke’ model with SMS messaging was the most efficient combined method of patient accrual. Acceptability of the test was high among both patients and GPs. The methodology for collection, handling and analysis of breath samples was effective, with 95% of samples meeting quality criteria.ConclusionsLarge-scale breath testing in primary care was feasible and acceptable. This study provides a practical framework to guide the design of Phase III trials examining the performance of breath testing in primary care.

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