Browsing by Subject "Primary Care"
Now showing items 1-18 of 18
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Clinical prediction tools to identify patients at highest risk of myeloma in primary care: a retrospective open cohort study
(2021-04)Background Patients with myeloma experience substantial delays in their diagnosis, which can adversely affect their prognosis. Aim To generate a clinical prediction rule to identify primary care patients who are at highest ... -
Clinician perspectives on having point of care tests made available to them during out of hours home visiting
(2021-12)Background: Little is known about clinicians' perspectives on the use of point of care (POC) tests in assessment of acute illness during primary care out of hours (OOH) care. During a service improvement project, POC tests ... -
Closing the circle: a key collaborative opportunity for general practice and psychiatry
(2021-11)Two of the authors were general practitioners (GPs) in the 1980s, when there was much interest in consultation, stimulated by the psychoanalyst Michael Balint. Around one in five psychiatrists worked in consultation ... -
Closing the circle: a key collaborative opportunity for general practice and psychiatry
(2021-12)Two of the authors were general practitioners (GPs) in the 1980s, when there was much interest in consultation, stimulated by the psychoanalyst Michael Balint. Around one in five psychiatrists worked in consultation ... -
Data-Driven Identification of Unusual Prescribing Behavior: Analysis and Use of an Interactive Data Tool Using 6 Months of Primary Care Data From 6500 Practices in England
(2023-04)Background: Approaches to addressing unwarranted variation in health care service delivery have traditionally relied on the prospective identification of activities and outcomes, based on a hypothesis, with subsequent ... -
Diagnostic accuracy and clinical impact of natriuretic peptide screening for the detection of heart failure in the community: a protocol for systematic review and meta-analysis [version 2; peer review: awaiting peer review]
(2019-12)Introduction: Patients diagnosed with heart failure in primary care have a better prognosis than those diagnosed in hospital. However, most cases are missed in the community. Recent attention has focussed on the potential ... -
Extended follow-up of a short total diet replacement programme: results of the Doctor Referral of Overweight People to Low Energy total diet replacement Treatment (DROPLET) randomised controlled trial at 3 years
(2021-07)To test the long-term effectiveness of a total diet replacement programme (TDR) for routine treatment of obesity in a primary care setting. Methods This study was a pragmatic, two-arm, parallel-group, open-label, ... -
Extraction of CPRD additional clinical data using R [version 1; peer review: awaiting peer review]
(2020-09)The Clinical Practice Research Datalink is a nation-wide database of primary healthcare data records in England (UK) linked to several health services. A visit to a health practitioner can result in the digital storing of ... -
Factors associated with the prescribing of high-dose opioids in primary care: a systematic review and meta-analysis
(2020-03)Background The risks of harms from opioids increase substantially at high doses, and high-dose prescribing has increased in primary care. However, little is known about what leads to high-dose prescribing, and studies ... -
How to manage self-harm in primary care
(2023-01)Mental health specialist nurse Karen Lascelles explains how to approach patients who are self-harming and offer appropriate care and support in line with new NICE guidance. -
Identifying individuals at risk of developing psychosis: A systematic review of the literature in primary care services
(2023-01)Psychosis and related disorders are a major public health issue. Early identification and prevention for those at high risk (at-risk-mental-state, ARMS) is important. General practitioners (GPs) are often the first point ... -
The influence of perceived accessibility and expertise of healthcare professionals, and service austerity, on mothers' decision-making
(2020-07)Mothers often make key decisions regarding their children's health. They hold core beliefs and attitudes towards healthcare providers, relying on healthcare services to provide sup-port, advice and reassurance. It is crucial ... -
Out-of-hours primary care end of life prescribing: a data linkage study
(2019-05)Objectives: Out-of-hours (OOH) primary care services are contacted in the last 4 weeks of life by nearly 30% of all patients who die, but OOH palliative prescribing remains poorly understood. Our understanding of prescribing ... -
Paediatric contacts with the UK out-of-hours primary care service and contact outcomes: a regional service evaluation
(2020-07)Background Demand on hospital emergency departments for paediatric problems is increasing. However, the volume and nature of paediatric health demands placed on other parts of the urgent care system have not been explored. ... -
Predicting poor outcomes in children aged 1–12 with respiratory tract infections: A systematic review
(2021-04)Background Demand for NHS services is high and rising. In children respiratory tract infections (RTI) are the most common reason for consultation with primary care. Understanding which features are associated with good ... -
The prognostic value of national early warning scores (NEWS) during transfer of care from community settings to hospital: a retrospective service evaluation
(2020-06)Background The National Early Warning Score (NEWS) calculated from physiological observations provides a simple away to identify and respond to the deteriorating patient. There is increasing interest in the application of ... -
Real-world effect of antidepressants for depressive disorder in primary care: protocol of a population-based cohort study
(2020-06)Introduction Clinical guidelines recommend antidepressants as the first line of treatment for adults with moderate-to-severe depression. Randomised trials provide the best evidence on the comparative effectiveness of ... -
Value of monitoring negative emotional bias in primary care in England for personalised antidepressant treatment: a modelling study
(2019-11)Depressed patients often focus on negative life events. Effective antidepressant therapy reverses this negative emotional bias (NEB) within 1 week. Clinical therapeutic effect usually requires 4–6 weeks. The value of ...