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Journal of primary health care最新文献

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Carbohydrate intake in T2DM. T2DM 的碳水化合物摄入量。
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC24042
Rosemary M Hall
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引用次数: 0
Do decision aids improve clinical practice? 决策辅助工具能否改善临床实践?
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC24043
Vanessa Jordan
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引用次数: 0
Doing the 'bread and butter' of general practice well in uncertain times. 在不确定时期做好全科医生的 "面包和黄油"。
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC24044
Tim Stokes, Felicity Goodyear-Smith
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引用次数: 0
Are patients with type 2 diabetes in the Waikato District provided with adequate education and support in primary care to self-manage their condition? A qualitative study. 怀卡托地区的 2 型糖尿病患者是否在初级保健中获得了足够的教育和支持,以自我管理病情?一项定性研究。
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC23141
Rebekah Crosswell, Kimberley Norman, Shemana Cassim, Valentina Papa, Rawiri Keenan, Ryan Paul, Lynne Chepulis

Introduction In Aotearoa New Zealand (NZ), type 2 diabetes (T2D) is predominantly managed in primary care. Despite established guidelines, patients are often suboptimally managed, with inequitable health outcomes. To date, few NZ studies have evaluated the primary care management of T2D at the time of diagnosis. Aim This study aims to explore patients' the provision of education and delivery of care to patients at the time of diagnosis, which is a crucial time in the disease trajectory. Methods Participants were recruited from a Māori health provider in the Waikato District, and diagnosed with T2D after January 2020. Patients were texted a link to opt into a survey (larger study) and then registered interest by providing contact details for an interview (current study). Semi-structured interviews were conducted and were audio recorded, transcribed, and thematically analysed. Results In total, 11 participants aged 19-65 years completed the interviews (female n  = 9 and male n  = 20); the comprised Māori (n  = 5), NZ European (n  = 5) and Asian (n  = 1) participants. Three overarching themes were identified, including: (1) ineffective provision of resources and education methods; (2) poor communication from healthcare practitioners; and (3) health system barriers. Discussion Evidently, there are difficulties in primary care diabetes mellitus diagnosis and management. Improvements could include locally relevant resources tailored to patients' experiences and cultural identities. Utilising whānau support and a non-clinical workforce, such as health navigators/kaiāwhina, will drastically address current workforce issues and assist patient self-management. This will allow improved diagnosis experiences and better health outcomes for patients and whānau.

导言:在新西兰奥特亚罗瓦,2 型糖尿病(T2D)主要由初级医疗机构负责管理。尽管制定了相关指南,但患者往往得不到最佳管理,造成不公平的健康结果。迄今为止,新西兰很少有研究对 T2D 诊断时的初级医疗管理进行评估。目的 本研究旨在探讨患者在确诊时的教育和护理提供情况,这是疾病轨迹中的关键时期。方法 从怀卡托地区的一家毛利医疗机构招募参与者,并在 2020 年 1 月之后诊断出患有 T2D。患者会收到短信链接,选择参加调查(大型研究),然后通过提供详细联系信息来登记是否有兴趣参加访谈(当前研究)。研究人员进行了半结构式访谈,并对访谈内容进行了录音、转录和主题分析。结果 共有 11 名年龄在 19-65 岁之间的参与者完成了访谈(女性 9 人,男性 20 人);其中包括毛利人(5 人)、新西兰欧洲人(5 人)和亚洲人(1 人)。研究发现了三个重要主题,包括:(1)资源和教育方法的无效提供;(2)医疗从业人员的沟通不畅;以及(3)医疗系统的障碍。讨论 显然,基层医疗机构在糖尿病诊断和管理方面存在困难。改进措施可包括根据患者的经历和文化特性提供与当地相关的资源。利用whānau支持和非临床劳动力,如健康导航员/kaiāwhina,将极大地解决目前的劳动力问题,并帮助患者进行自我管理。这将改善诊断体验,为患者和土著居民带来更好的健康结果。
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引用次数: 0
Inequities in medicines use are probably much worse than we thought. 药品使用的不公平现象可能比我们想象的要严重得多。
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC23114
Pauline Norris, Simon Horsburgh, Gemma Waterhouse-Perry, Patti Napier
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引用次数: 0
New Zealand's slow uptake of carbohydrate-reduction in type 2 diabetes management. 新西兰在 2 型糖尿病管理中对减少碳水化合物摄入量的认识缓慢。
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC24011
Marcus Hawkins, Caryn Zinn
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引用次数: 0
Excision pathways for keratinocyte cancers diagnosed by teledermatology: a retrospective review. 通过远程皮肤学诊断的角质细胞癌的切除途径:回顾性研究。
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC23098
J P Tirado-Perez, A Oakley, R Gansel

Introduction The New Zealand population has one of the highest incidences of skin cancer in the world. Hospital waiting lists for surgical excision of keratinocytic skin cancers (basal cell carcinoma and squamous cell carcinoma) are lengthy, and increasingly, excisions are undertaken in primary care. Teledermatology, in response to general practitioners' electronic referrals (e-referrals), can improve clinical communication between general practitioners and dermatologists. Aim The aim of this study was to evaluate an excision pathway for keratinocytic cancers diagnosed by teledermatology. Methods A retrospective observational descriptive review of a 3-month cohort of primary care e-referrals was undertaken. Results Three hundred and fifty eight suspected keratinocytic cancers (KCs) were diagnosed by teledermatology; histology reports confirmed KC in 201 of 267 excisions (75%). The majority (77.2%) were excised by general practitioners an average of 25 days after the dermatologist's recommendation. The rest were excised by plastic surgeons in private (3.4%) or at a public hospital (19.5%) after an average of 40 or 134 days, respectively. Discussion E-referral pathways are now widely implemented. However, the ideal workflow for skin cancer management is unknown. We have demonstrated in New Zealand that surgery can be undertaken in primary care within a month of a teledermatology diagnosis and excision recommendation. Conclusion This study reports prompt excision of KCs by general practitioners after an e-referral and a teledermatology response.

导言 新西兰是世界上皮肤癌发病率最高的国家之一。医院等待角化细胞皮肤癌(基底细胞癌和鳞状细胞癌)切除手术的时间很长,越来越多的切除手术在基层医疗机构进行。针对全科医生的电子转诊(电子转诊),远程皮肤病学可以改善全科医生和皮肤病医生之间的临床沟通。目的 本研究旨在评估通过远程皮肤科诊断的角化细胞癌的切除路径。方法 对为期 3 个月的初级医疗电子转诊进行回顾性观察描述。结果 远程皮肤科诊断出 358 例疑似角化细胞癌(KC);267 例切除术中有 201 例(75%)的组织学报告证实为角化细胞癌。大多数患者(77.2%)是在皮肤科医生建议后平均 25 天由普通医生进行切除的。其余患者分别在平均 40 天或 134 天后由私立整形外科医生(3.4%)或公立医院整形外科医生(19.5%)进行切除。讨论 目前,电子转诊途径已广泛应用。然而,皮肤癌治疗的理想工作流程仍是未知数。我们已在新西兰证明,在获得远程皮肤科诊断和切除建议后的一个月内,可在初级医疗机构进行手术。结论 本研究报告显示,全科医生在接到电子转诊和远程皮肤病学回复后可迅速对 KC 进行切除。
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引用次数: 0
Primary care clinicians should proactively take up latest AI-based technology: Yes. 初级保健临床医生应积极采用基于人工智能的最新技术:是的。
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC24035
Chester Holt-Quick
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引用次数: 0
Primary care clinicians should proactively take up latest AI-based technology: No. 初级保健临床医生应积极采用基于人工智能的最新技术:不
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2024-03-01 DOI: 10.1071/HC24033
Luke Bradford
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引用次数: 0
Prompting lifestyle interventions to promote weight loss is safe, effective and patient-centred: No. 通过生活方式干预来促进减肥是安全、有效和以患者为中心的:否。
IF 1.2 Q4 PRIMARY HEALTH CARE Pub Date : 2023-12-01 DOI: 10.1071/HC23163
Angela Ballantyne, Denise Steers, Lesley Gray
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引用次数: 0
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Journal of primary health care
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