The European Journal of General Practice

List of Papers (Total 262)

Cardiovascular risk management in patients with severe mental illness or taking antipsychotics: A qualitative study on barriers and facilitators among dutch general practitioners.

Patients with severe mental illness (SMI) or receiving treatment with antipsychotics (APs) have an increased risk of cardiovascular disease. Cardiovascular risk management (CVRM) increasingly depends on general practitioners (GPs) because of the shift ...

Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative study.

Screening of colorectal cancer (CRC) can reduce incidence and mortality. First-degree relatives (FDRs) of patients with CRC or advanced adenoma before the age of 65 (index patients) are at increased risk of CRC; however, the guidelines for screening of ...

What are the main motivating factors for young general practitioner trainees to work in rural areas in the Czech Republic?

The global health workforce suffers long-term understaffing in remote and underserved areas. To attract young doctors for rural work, it is necessary to identify the main motivating factors.The pilot survey with 201 general practitioner trainees in the ...

Digital technologies in primary care: Implications for patient care and future research.

Digital health is the convergence of digital technologies with health, healthcare, living, and society. Contrasting with the slow trend during the last decades, in the last few years, we have observed an expansion and widespread adoption and implementation. ...

Frequency and management of emergencies in primary care offices: A cross-sectional study in northwestern Germany.

Little literature exists on emergencies within primary care offices.We aimed to study the occurrence of emergencies and confidence in dealing with them among primary care physicians (PCPs) in Germany.We conducted a cross-sectional study among all PCPs ...

Learning objectives of Belgian general practitioner trainees regarding their hospital training: A qualitative study.

In Europe, hospital training is integrated in the postgraduate curriculum of General Practitioners (GPs) according to the European Directives. However, little is known about the specific learning objectives of GP trainees during this training.This exploratory ...

Antibiotic deprescribing: Spanish general practitioners' views on a new strategy to reduce inappropriate use of antibiotics in primary care.

A doctor may recommend that a patient stop an antibiotic course before its scheduled completion time if further treatment may cause more harm than benefit.This study explores general practitioners’ (GP) opinions about the use of antibiotic deprescribing ...

GPs' involvement in specialised palliative home care: A mixed methods study in Germany.

General practitioners (GPs) are important providers of palliative home care (PHC). To deliver adequate palliative care, cooperation with specialised PHC teams is necessary. Specialised PHC is a type of care for severely ill patients by specialised providers. ...

Primary mental healthcare for adults with mild intellectual disabilities: a Dutch database study.

General practitioners (GPs) are increasingly confronted with people with both mild intellectual disability (MID) and mental health (MH) problems. Little is known about the type of MH problems for which people with MID visit their GP and the care provided.To ...

The ill physician who self-discloses: What do patients think?

Physicians with a serious illness face difficult decisions about revealing this sensitive information to patients. Self-disclosure of illness is a largely unexplored topic, particularly from the patient’s perspective.To learn about patients’ ...

Ultrasound in primary care: Consensus recommendations on its applications and training. Results of a 3-round Delphi study.

The introduction of portable and pocket ultrasound scanners has potentiated the use of ultrasound in primary care, whose many applications have been studied, analyzed and collected in the literature. However, its use is heterogeneous in Europe and there ...

Patient involvement in the encounter between general practice and patients with a chronic disease. Results of a scoping review focusing on type 2 diabetes and obstructive pulmonary disease.

Research has shown improved health outcomes when patients are involved in managing their health conditions and when their individual needs are considered.This scoping review aimed to map the existing research regarding chronic disease patients’ ...

Correction.

Slowing dementia symptoms - a qualitative study on attitudes and experiences of general practitioners in Germany.

There is currently no cure for dementia but general practitioners (GPs) have therapeutic options available to counteract the progression of mild cognitive impairment, including drug and non-drug treatment. So far, few studies have investigated treatment ...

General practitioners' perspectives on discontinuation of long-term antidepressants in nursing homes.

Long-term use of antidepressant drugs (AD), much longer than recommended by guidelines, in nursing homes (NH) is common. NH home residents may have a relatively higher risk of adverse events. Moreover, in an NH setting nursing staff and relatives are ...

Help-seeking behaviour in primary care of men and women with a history of abuse: A Dutch cohort study.

Previous studies show an association between a history of abuse and higher care demand. However, studies in general practice regarding help-seeking behaviour by patients (mainly male patients) with a history of abuse are scarce.To analyse help-seeking ...

The impact of an intensive care unit admission on the health status of relatives of intensive care survivors: A prospective cohort study in primary care.

Relatives of intensive care unit (ICU) survivors may suffer from various symptoms after ICU admittance of their relative, known as post-intensive care syndrome-family (PICS-F). Studies regarding PICS-F have been performed but its impact in primary care ...

Stop smoking advice by practice assistants after routine cervical screening in general practice: A qualitative exploration of potential barriers and enablers.

Cervical screening could be an appropriate routine moment to provide female smokers with tailored stop smoking advice. In Dutch general practice, cervical smears are performed by practice assistants.This study was performed in preparation for a randomised ...

Improved health status of severe COPD patients after being included in an integrated primary care service: A prospective cohort study.

Chronic obstructive pulmonary disease (COPD) is a prevalent lung disease. It is assumed that severe patients will receive better treatment in specialised care centres but the prevalence of severe COPD in primary care is high. Integrated primary care services ...

Family history tools for primary care: A systematic review.

Many medical family history (FH) tools are available for various settings. Although FH tools can be a powerful health screening tool in primary care (PC), they are currently underused.This review explores the FH tools currently available for PC and evaluates ...

Safety netting advice for respiratory tract infections in out-of-hours primary care: A qualitative analysis of consultation videos.

General practitioners (GPs) use safety netting advice to communicate with patients when and how to seek further help when their condition fails to improve or deteriorate. Although many respiratory tract infections (RTI) during out-of-hours (OOH) care ...

Added value of CRP to clinical features when assessing appendicitis in children.

The diagnostic value of C-reactive protein (CRP) for appendicitis in children has not been evaluated in primary care. As biochemical responses and differential diagnoses vary with age, separate evaluation in children and adults is needed.To determine ...

Chronic hepatitis C: Diagnosis and treatment made easy.

Hepatitis C Virus (HCV) is a common cause of chronic liver disease and its ensuing complications. In the last years, there has been a revolution of the treatment for patients with HCV regarding efficacy, simplicity, safety and duration of treatment. The ...

Series: Practical guidance to qualitative research. Part 5: Co-creative qualitative approaches for emerging themes in primary care research: Experience-based co-design, user-centred design and community-based participatory research.

This article, the fifth in a series aiming to provide practical guidance for qualitative research in primary care, introduces three qualitative approaches with co-creative characteristics for addressing emerging themes in primary care research: experience-based ...