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Prescription of vitamin D in neonates and infants under one year of age in Spain: an eight-year observational study. 西班牙新生儿和一岁以下婴儿的维生素D处方:一项为期8年的观察研究。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-25 DOI: 10.1186/s12875-026-03229-1
Camila Jorge-Novoa, Irene Lizano-Díez, Montserrat Viñas-Bastart, Antonio J Braza, Mónica Muñoz-Cortés, Carlos Figueiredo-Escribá, Eduardo L Mariño, Pilar Modamio
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引用次数: 0
Evaluating the technical efficiency of primary health facilities in delivering adolescent mental, sexual and reproductive health services in Burkina Faso. 评估布基纳法索初级保健设施在提供青少年心理、性和生殖健康服务方面的技术效率。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-25 DOI: 10.1186/s12875-026-03240-6
Ludovic Deo Gracias Tapsoba, Michel Adurayi Amenah, Nassirou Ibrahim, Roxane Borgès Da Silva, Ama Pokuaa Fenny, Jacob Novignon, Ziemlé Clément Meda, Herman Bazié, Annick Gladzah, Irene A Agyepong, Tim Ensor
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引用次数: 0
Sociodemographic determinants of appointment no-show in primary care: a cross-sectional study in Renca Commune, Chile (2022-2023). 社会人口统计学对初级保健预约未到的决定因素:智利Renca公社的横断面研究(2022-2023)。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-25 DOI: 10.1186/s12875-025-03170-9
Pablo Escobar-San Martín, Nataly Droguett Droguett, Vezna Sabando Franulic
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引用次数: 0
BABS (Becoming Active in Beating osteoarthritiS): a cluster randomized controlled trial evaluating an information campaign to improve osteoarthritis care and management in Dutch general practices. BABS(成为活跃在打击骨关节炎):一个集群随机对照试验评估信息活动,以改善骨关节炎护理和管理在荷兰的一般做法。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-25 DOI: 10.1186/s12875-025-03162-9
J M H Oomen, H J Schers, E Das, W J J Assendelft, S Koëter, C H van den Ende

Background: The aim of our study was to examine the effectiveness of an information campaign using behavioral change techniques (BCTs) targeting both individuals with early stage knee and hip osteoarthritis (KHOA) and healthcare providers (HCPs) to improve beliefs about non-surgical treatments, and ultimately, to optimize utilization of non-surgical treatment options in primary care.

Methods: We used a cluster randomised design with general practices serving as cluster units. Eligible patients were Dutch-speaking, aged 50-75, registered with KHOA, without joint replacement or considerable walking impairment. The primary outcome was the proportion of patients for whom treatment was restricted to primary care over 12 months as reported by patients. Secondary outcomes included quality of care, treatment beliefs, physical activity (PA), self-management, and beliefs of HCPs affiliated with participating practices. Patient participants received online questionnaires at baseline, 6 and 12 months. HCPs received online questionnaires at baseline and after 12 months. Multilevel mixed-effects logistic regression was used for the primary outcome, linear regressions with change scores were used for secondary outcomes.

Results: Fourteen general practices, 34 HCPs and 235 patient participants participated. In the intention to treat analysis (n = 211), treatment of 54 (52%) patient participants was restricted to primary care in the intervention group versus 44 (41%) in the control group (OR 1.60, 95% CI 0.88;2.84, NS). PA beliefs were less negative for the intervention group at T6 (β = -0.62, 95% CI -1.04;-0.20) and T12 (β = -0.63, 95% CI -1.23;-0.03) than for the control group. Furthermore, participants in the intervention group were more physically active at T6 (β = 1574, 95% CI 40;3108) than the control group. HCPs medication beliefs were more positive for the intervention group than the control group (β = -0.58, 95% CI 0.15;1.01). No other significant effects were found. All effect sizes were small and not clinically relevant.

Conclusion: Educating patients and HCPs using BCTs did not affect referral patterns, but might positively influence treatment beliefs in KHOA care.

Trial registration: International Clinical Trial Registry Platform (ICTRP), trial number NL9140, registration date 23-12-2020.

背景:本研究的目的是研究使用行为改变技术(bct)的信息宣传活动的有效性,该活动针对早期膝关节和髋关节骨关节炎(KHOA)患者和医疗保健提供者(HCPs),以提高对非手术治疗的信念,并最终优化非手术治疗方案在初级保健中的利用。方法:我们采用聚类随机设计,以全科医生作为聚类单位。符合条件的患者为讲荷兰语,年龄50-75岁,在KHOA登记,无关节置换术或相当大的行走障碍。主要结局是患者报告的12个月内仅接受初级保健治疗的患者比例。次要结果包括护理质量、治疗信念、身体活动(PA)、自我管理和参与实践的医护人员的信念。患者参与者在基线、6个月和12个月时接受在线问卷调查。HCPs在基线和12个月后接受在线问卷调查。主要结局采用多水平混合效应logistic回归,次要结局采用带变化分数的线性回归。结果:14名全科医生,34名HCPs和235名患者参与。在意向治疗分析(n = 211)中,干预组54例(52%)患者的治疗仅限于初级保健,对照组44例(41%)(OR 1.60, 95% CI 0.88;2.84, NS)。干预组在T6 (β = -0.62, 95% CI -1.04;-0.20)和T12 (β = -0.63, 95% CI -1.23;-0.03)时的PA信念低于对照组。此外,干预组的参与者在T6时比对照组更活跃(β = 1574, 95% CI 40;3108)。干预组的HCPs用药信念高于对照组(β = -0.58, 95% CI 0.15;1.01)。没有发现其他显著的影响。所有的效应量都很小,没有临床相关性。结论:使用BCTs教育患者和HCPs不会影响转诊模式,但可能会积极影响KHOA护理的治疗信念。试验注册:国际临床试验注册平台(ICTRP),试验号NL9140,注册日期23-12-2020。
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引用次数: 0
Higher suicidality among primary care patients who have opioid use disorder and co-occurring depression and/or PTSD. 患有阿片类药物使用障碍并伴有抑郁症和/或创伤后应激障碍的初级保健患者自杀率较高。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-24 DOI: 10.1186/s12875-026-03217-5
Miriam Komaromy, Lisa S Meredith, Maya Rabinowitz, Colleen McCullough, Lauren Kelly, Beth Ann Griffin, Sapna Mendon-Plasek, Katherine E Watkins
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引用次数: 0
War and wellness: health-system barriers and access-constrained medication adherence for diabetes, hypertension, and dyslipidemia in the West bank, Palestine (2025). 战争与健康:巴勒斯坦西岸糖尿病、高血压和血脂异常的卫生系统障碍和获取受限的药物依从性(2025)。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-24 DOI: 10.1186/s12875-026-03234-4
Lamees Salameh, Amer Shtaya, Nehaya Abu Ya'qoub, Omar Younis, Suha Hamshari
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引用次数: 0
Patient experience among individuals who availed services from selected primary medical care institutions supported by the primary health care system strengthening project in Sri Lanka. 在斯里兰卡初级卫生保健系统加强项目的支持下,从选定的初级医疗保健机构获得服务的个人的患者经验。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-21 DOI: 10.1186/s12875-026-03230-8
Nadeeka K Chandraratne, Pruthu Thekkur, Manoj Fernando, Divya Nair, Amila Chandrasiri, Deepika Eranjanie Attygalle, Hideki Higashi, Jayasundara Bandara, Anthony D Harries
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引用次数: 0
Influence of a clinical decision support system on the anticoagulation treatment knowledge, attitude and practice of general practitioners and their using experience: a mixed method study. 临床决策支持系统对全科医生抗凝治疗知识、态度、行为及其使用经验的影响:一项混合方法研究
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-20 DOI: 10.1186/s12875-026-03205-9
Xueying Ru, Tianhao Wang, Jian Gao, Hua Yang, Junling Gao, Bin Kong, Ge Yuan, Qiyan Yang, Yunhui Ma, Zhigang Pan
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引用次数: 0
Mapping policies, regulations, and practice supports for medical office assistants in primary care: a scoping review. 测绘政策、法规和实践支持的医疗办公室助理在初级保健:范围审查。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-20 DOI: 10.1186/s12875-026-03222-8
Jennifer Shuldiner, Apira Ragunathan, Jawairia Mohammed, Alan Katz, Meena Andiappan, David Barber, Amanda Condon, Gary Garber, Tara Kiran, Sylvia Hysong, Jill Schoon, Danielle Martin, Sabrina T Wong, Noah Ivers
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引用次数: 0
Evaluation of primary care physicians' knowledge, attitudes, and awareness levels regarding age-related macular degeneration. 评价初级保健医生对老年性黄斑变性的知识、态度和意识水平。
IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-19 DOI: 10.1186/s12875-026-03228-2
Hasan Öncül, Betül Dertsiz Kozan, Umut Dağ, Mehtap Çağlayan, Mehmet Fuat Alakuş, Cengiz Temel, Elif Sedanur Utlu
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引用次数: 0
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BMC primary care
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