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Primary-care research is not a lost cause (1004)
A Viewpoint in this week's issue of THE LANCET addresses the state of primary-care research worldwide. Primary care includes the medical services provided by general practitioners (family physicians) and internists, with the aims of providing patients with a broad range of health care over a period of time and coordinating the care the patient... view more... (2004-09-08)
Primary care practitioners need to become genetically literate
Increasing availability of DNA based tests and demand by patients for genetic information and advice mean that primary care practitioners will need to become genetically literate. A paper in this week's BMJ discusses the implications of genetic advances for primary care. Currently, the most important elements for primary care are prediction of... view more... (2001-04-24)
ACPM recommends primary care have systems in place for screening and treating depression
The American College of Preventive Medicine (ACPM) supports the recommendations of the US Preventive Services Task Force (USPSTF) that primary care providers should screen all adults for depression, and further recommends that all primary care providers should have systems in place to ensure the accurate diagnosis and treatment of this condition. view more (2009-10-07)
Patients prefer care from a nurse practitioner than from a doctor
Patients are more satisfied with care from a nurse practitioner than from a doctor, finds a study in this week’s BMJ. view more (2002-04-03)
Insufficient evidence for depression screening in primary care
The latest issue of Effective Health Care focuses on strategies to improve the recognition and management of depression in primary care. Depression is one of the most common reasons for consultation in general practice and is a condition that can be effectively treated. And yet depression often goes unrecognised in up to 50% of attending... view more... (2002-10-11)
Older patients with major depression live longer with appropriate treatment, Penn study shows
Older patients with major depression whose primary care physicians team with depression care managers are 45% less likely to die within a 5-year time period than older adults with major depression who receive their care in primary care practices where there are no depression care managers. view more (2007-05-15)
Is Primary-care Research A Lost Cause? (p 977)
This week's editorial discusses the status of primary-care research, and is critical of leaders in family medicine who have failed to identify a clear course of action for future research in this crucial area. Primary-care researchers have voiced concerns that their discipline is complex, and that as researchers they are misunderstood by academia,... view more... (2003-03-20)
Trained nurses can provide 'doctor-quality' primary care
Shifting care from doctors to nurses is one way of meeting the demand caused by ageing populations, rising expectations and reforms that move care from hospitals to primary care. While patient satisfaction can increase, the change may not always save money. view more (2005-04-15)
Calls to prevent chronic disease 'juggernaut'
Health leaders have called for action in reforming primary health care to tackle the 'juggernaut' of chronic disease issues about to hit the health system at a meeting in Melbourne. view more (2005-10-25)
Editorial says primary care system must change how it approaches dementia
In an editorial in the November issue of the Journal of General Internal Medicine, geriatrics researchers from the Indiana University School of Medicine, the Indiana University Center for Aging Research and the Regenstrief Institute, Inc. say that primary care doctors, the physicians seen by most older adults, cannot meet the needs of the growing... view more... (2007-10-16)
Depression care improved
German researchers from the Institutes for General Practice in Frankfurt / Main and Jena have achieved positive results from a sustainable intervention in the primary care practice (Annals of Internal Medicine, volume 151, number 6, Sep. 15, 2009). The view more (2009-09-17)
Primary care provides patients with better outcomes at lower cost
A white paper, How is a Shortage of Primary Care Physicians Affecting the Quality and Cost of Medical Care?, released today by the American College of Physicians (ACP) documents the value of primary care by reviewing 20 years of research. view more (2008-11-20)
Mental health treatment extends lives of older patients with diabetes and depression
Researchers at the University of Pennsylvania School of Medicine report that older adults with diabetes and depression are half as likely to die over a 5-year period when they receive depression care management than depressed patients with diabetes who do not receive depression care management. view more (2007-12-06)
Patient expectations of care may exceed government targets
Patients may have expectations for access to primary care in excess of current government targets, finds a study in this week's BMJ. Patients also have high expectations of continuity of care. Researchers analysed data from general practice research studies and routine quality assessment activities undertaken by practices and primary care trusts.... view more... (2003-01-29)
Study examines quality and duration of primary care visits
Adult primary care visits have increased in quality, duration and frequency between 1997 and 2005, according to a report in the November 9 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. view more (2009-11-10)
Screening for behavioral health first step to getting treatment
Health plans seldom require screening for substance abuse and mental health in primary care even though it can improve detection, according to a new Brandeis University study published in the July issue of the Journal of General Internal Medicine. view more (2007-07-11)
Should primary care doctors assess safety of older drivers?
In an editorial published in the April issue of the Journal of General Internal Medicine, Malaz Boustani, M.D., M.P.H., of the Indiana University Center for Aging Research and the Regenstrief Institute, Inc. writes that assessing the safety of older drivers is not a responsibility that should reside with the primary care physician. view more (2007-04-17)
Women with chronic kidney disease more likely than men to go undiagnosed
Woman are at particular risk of their primary care physicians delaying diagnosis of chronic kidney disease (CKD), according to a paper being presented at the American Society of Nephrology's 42nd Annual Meeting and Scientific Exposition in San Diego, California. view more (2009-11-02)
Targets for preventing heart disease put huge strain on UK general practice
Primary care teams in England face a huge and unrealistic increase in workload in order to meet the goals of the national service framework for coronary heart disease, finds a study in this week's BMJ. Researchers at Nottingham University used computerised records from 18 general practices to identify two groups of patients aged 35-74: those with... view more... (2001-08-01)
Treating oft ignored non-cancer health issues after cancer diagnosis prolongs survival
Receiving treatment for non-cancer health issues while being treated by specialists for cancer improves cancer survival rates according to a study published in the December 20 issue of the Journal of Clinical Oncology. view more (2007-12-28)
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