The European Journal of General Practice

List of Papers (Total 262)

Vitamin D status in the adult population of Bursa-Turkey.

Vitamin D, along with parathyroid hormone (PTH) and calcitonin, is an important hormone that affects bone and calcium metabolism. To evaluate the vitamin D status and its seasonal variation in the adult population of Bursa. Since there is not enough ...

Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study.

Metabolic Syndrome (MetS) is a clustering of abdominal obesity, hypertriglyceridaemia, low HDL cholesterol, hyperglycaemia and hypertension. Early identification of MetS is important for preventing cardiovascular disease (CVD). MetS has not been systematically ...

Optimising individual and community involvement in health decision-making in general practice consultations and primary care settings: A way forward.

The World Health Organisation Alma-Ata Declaration on Primary Healthcare, and the more recent Astana Declaration from the Global Conference on Primary Healthcare, emphasise the involvement of individuals and communities in health decision-making about ...

Identifying multimorbid patients with high care needs - A study based on electronic medical record data.

Patients with multimorbidity who frequently contact the general practice, use emergency care or have unplanned hospitalisations, may benefit from a proactive integrated care intervention. General practitioners are not always aware of who these ‘high ...

Academic general practice/family medicine in times of COVID-19 - Perspective of WONCA Europe.

COVID-19 outbreak has significantly changed all aspects of general practice in Europe. This article focuses on the academic challenges for the discipline, mainly in the field of education, research, and quality assurance. The efforts of the European Region ...

Availability of point-of-care culture and microscopy in general practice - does it lead to more appropriate use of antibiotics in patients with suspected urinary tract infection?

Urinary tract infection (UTI) is a common condition in general practice, and urine culture can help reduce inappropriate antibiotic prescriptions. In case of delay of the result, antibiotic treatment can be guided by one or more point-of-care (POC) tests. ...

C-reactive protein influences the doctor's degree of suspicion of pneumonia in primary care: a prospective observational study.

In primary care, the diagnosis of pneumonia is often based on history and clinical examination alone. However, a previous study showed that the general practitioner’s degree of suspicion correlates well with findings on chest X-ray, when the C-reactive ...

Adverse events of targeted therapies reported by patients with cancer treated in primary care.

Targeted Therapies (TT) are among the therapeutic innovations for cancer treatment in outpatient settings. TT-related Adverse Events (AEs) are a source of loss of opportunity for patients if their management is inappropriate. The objective of this study ...

Serological testing for Lyme Borreliosis in general practice: A qualitative study among Dutch general practitioners.

Background: Concerns are raised about missed, delayed and inappropriate diagnosis of Lyme Borreliosis. Quantitative descriptive studies have demonstrated non-adherence to the guidelines for testing for Lyme Borreliosis.Objectives: To gain insight into ...

The first pelvic examination: A rite of passage for the women. A qualitative study about French women.

Background: French general practitioners (GP) and gynaecologists can make use of recommendations when performing a patient’s first pelvic examination. The indications and techniques for this examination are clear. The relational aspects and experience ...

Resilience in family caregivers of patients diagnosed with advanced cancer - unravelling the process of bouncing back from difficult experiences, a hermeneutic review.

Despite the risk for developing mental disorders, most of advanced cancer patients’ family caregivers undergo a resilient process throughout the caregiving period. Research on resilience in caregivers of advanced cancer patients is scarce and ...

Communication between Dutch community nurses and general practitioners lacks structure: An explorative mixed methods study .

Community nurses and general practitioners evaluate their patient-related communication to be poor. However, their actual communication has hardly been investigated and specific strategies for improvement are unclear.To explore actual community nurse-general ...

Cancer screening and follow-up in general practice: A French nationwide cross-sectional study.

The overall activity of general practitioners (GPs) related to cancer screening and follow-up is poorly documented.To describe cancer screening and follow-up activities carried out in general practice and analyse them according to the socio-economic characteristics ...

SERIES: eHealth in primary care. Part 3: eHealth education in primary care.

Education is essential to the integration of eHealth into primary care, but eHealth is not yet embedded in medical education. In this opinion article, we aim to support organisers of Continuing Professional Development (CPD) and teachers delivering medical ...

Improving the quality of antibiotic prescribing through an educational intervention delivered through the out-of-hours general practice service in Ireland.

Antibiotic resistance is a threat to our health and health systems. Up to 70% of antibiotics are prescribed in general practice. In Ireland, Out-of-hours (OOH) services are mostly provided by co-operatives of GPs and the 11 main OOH centres cover up ...

Lessons on the COVID-19 pandemic, for and by primary care professionals worldwide.

The COVID-19 pandemic has modified organisation and processes of primary care. In this paper, we aim to summarise experiences of international primary care systems. We explored personal accounts and findings in reporting on the early experiences from ...

Childhood fever: Parental paracetamol administration after consulting out-of-hours general practice.

Background: Current guidelines emphasise prudent use of paracetamol in febrile children without pain. Little evidence is available on paracetamol administration by parents in general and post-GP-consultations.Objectives: To investigate if and how often ...

Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study.

Background: The implementation of primary care for mental health is often insufficient, which leaves its mark on staff. A team-based approach of mental healthcare prevents poor staff morale. A community health centre (CHC), therefore, set up a project ...

Pertussis diagnostic practices of general practitioners in the Netherlands: A survey study.

Background: Pertussis testing is most important when transmission to vulnerable groups is likely. Patients with signs and symptoms suggestive of pertussis are prevalent in primary care, yet general practitioners’ (GPs) reasons (not) to test for ...