Family practice最新文献

{"title":"Provider experiences delivering collaborative care for co-occurring opioid and mental health disorders: a qualitative study.","authors":"Jasen Christensen, Grace Hindmarch, Lizeth Cueto, Maya Rabinowitz, Valerie Carrejo, Scott Jeansonne, John Bettler, Seth Williams, Miriam Komaromy, Katherine Watkins, Karen Chan Osilla","doi":"10.1093/fampra/cmaf007","DOIUrl":"https://doi.org/10.1093/fampra/cmaf007","url":null,"abstract":"<p><strong>Background: </strong>Opioids are the primary contributor to overdose death in the USA and represent a major public health crisis despite the availability of highly effective evidence-based treatments. A co-occurring mental health disorder further complicates efforts to utilize effective treatments and leads to poorer outcomes. Collaborative care has shown promise in improving care for those with substance use disorders and those with mental health disorders. This study explores the experiences of providers participating in a randomized controlled trial of collaborative care for both opioid use disorder (OUD) and co-occurring depression and/or posttraumatic stress disorder (COD).</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with healthcare providers of collaborative care as part of a randomized controlled trial at two health systems. Interviewed participants included primary care providers, care coordinators, behavioral health providers, clinic administrators, and psychiatric consultants. Data was analyzed with content analysis to identify common themes and subthemes among experiences.</p><p><strong>Findings: </strong>Participants perceived differences between patients diagnosed with only OUD and those with COD, such as heightened stigma, greater symptom severity, and more barriers to treatment. They perceived the positive impacts of the collaborative care intervention for patients with COD and the clinics and providers caring for this population, and identified considerations for future implementation efforts.</p><p><strong>Conclusions: </strong>Although participants noted challenges in treating patients with COD compared to those with only OUD, they also perceived the benefits of using collaborative care in this complex population. Participants supported using collaborative care in the future, but noted important systems and policy suggestions needed for successful implementation.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The patient experience in a virtual peer support group for patients with type 2 diabetes and obesity during the corona virus disease 19 pandemic: interview themes from a pilot study.","authors":"Kelsey E Ufholz, James J Werner, Goutham Rao","doi":"10.1093/fampra/cmaf014","DOIUrl":"https://doi.org/10.1093/fampra/cmaf014","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes and obesity are lifelong conditions that require extensive lifestyle modifications. During the corona virus disease 19 (COVID-19) pandemic, in-person medical care was risky. Many patients suffered from isolation and loneliness. One remedy which would address both the need for obesity and diabetes-related self-management and social isolation is peer support groups. There is considerable evidence for the effectiveness of peer-led programs in weight management and in diabetes self-management. No prior study has evaluated the impact of a virtual peer support group for diabetes.</p><p><strong>Objectives: </strong>To determine the feasibility and acceptability of a virtual peer support group for patients with type 2 diabetes and obesity [body mass index (BMI) > 30 kg/m2].</p><p><strong>Methods: </strong>Patients at an urban, Midwestern healthcare system enrolled in an 18-month remote (Zoom) (November 2021-May 2023) peer support group. Weekly meetings featured peer discussions on topics related to diabetes self-management. Semi-structured interviews post-intervention underwent independent thematic analysis by two coders until a set of common themes emerged.</p><p><strong>Results: </strong>All participants expressed satisfaction and enjoyment with the study. The opportunity to connect with peers, increase awareness of the importance of diabetes management behaviors, and learn new skills were cited as meaningful. Many participants lived alone, making the social support offered by the group especially valuable.</p><p><strong>Conclusions: </strong>A long-term stand-alone virtual diabetes peer support group filled an important social and emotional need among its members, especially among those who were most isolated. To achieve long-term behavioral change and healthier outcomes, the support group may need to be paired with individual counseling.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitudes, and practice of primary care professionals regarding community activities: a descriptive study.","authors":"Diego G Mosteiro-Miguéns, Maruxa Zapata-Cachafeiro, Silvia Novío, Natalia Vieito-Pérez, Tania Alfonso-González, Almudena Rodríguez-Fernández","doi":"10.1093/fampra/cmae056","DOIUrl":"10.1093/fampra/cmae056","url":null,"abstract":"<p><strong>Background: </strong>Promoting health via a community approach is one of the most effective strategies for reducing the current incidence of chronic diseases. Primary care (PC), through the implementation of community activities (CA), has the potential to achieve this goal. Yet the implementation of CA at health centers is not standardized and is often thanks only to the voluntariness of health professionals.</p><p><strong>Objective: </strong>To ascertain the knowledge, attitudes, and practices of PC professionals regarding the implementation of CA.</p><p><strong>Methods: </strong>We carried out a cross-sectional study by circulating a self-administered online questionnaire on CA, across the period December 2022 through June 2023 in Galicia (Spain). All health professionals working in the Galician Health Service PC setting were invited to participate.</p><p><strong>Results: </strong>A total of 521 health professionals participated in the study. They included all types of PC health professionals (physicians, general and specialist nurses -midwives, pediatrics, family and community, mental health- and social workers), including residents in training. Only 14.8% and 12.5% of professionals correctly identified CAs and social prescription (SPr) interventions, respectively. Furthermore, 93.9% recognized that the development of CA in health centers was deficient. Despite this, 76.5% showed a good attitude toward participation in CA.</p><p><strong>Conclusions: </strong>PC professionals find it difficult to identify CA and SPr interventions. Therefore, it is necessary to improve the training of these professionals in the implementation of CA with a view to enhancing population health, reducing the incidence of chronic diseases, and helping lessen the healthcare burden of the health system.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19).","authors":"Esther Van Poel, Pierre Vanden Bussche, Claire Collins, Susan Lagaert, Sara Ares-Blanco, Maria Pilar Astier-Pena, Jonila Gabrani, Raquel Gomez Bravo, Kathryn Hoffmann, Zalika Klemenc-Ketis, Christian Mallen, Ana Luisa Neves, Zlata Ožvačić, Victoria Tkachenko, Dorien Zwart, Sara Willems","doi":"10.1093/fampra/cmae059","DOIUrl":"10.1093/fampra/cmae059","url":null,"abstract":"<p><strong>Background: </strong>This article aims to examine patient safety in general practice during COVID-19.</p><p><strong>Methods: </strong>In total, 5489 GP practices from 37 European countries and Israel filled in the online self-reported PRICOV-19 survey between November 2020 and December 2021. The outcome measures include 30 patient safety indicators on structure, process, and outcome.</p><p><strong>Results: </strong>The data showed that structural problems often impeded patient safety during COVID-19, as 58.6% of practices (3209/5479) reported limitations related to their building or infrastructure. Nevertheless, GP practices rapidly changed their processes, including the appointment systems. Implementation proved challenging as, although 76.1% of practices (3751/4932) developed a protocol to answer calls from potential COVID patients, only 34.4% (1252/3643) always used it. The proportion of practices reported having sufficient protected time in general practitioners' schedules to review guidelines remained consistent when comparing the pre-COVID (34.2%,1647/4813) with the COVID period (33.2%,1600/4813). Overall, 42.8% of practices (1966/4590) always informed home care services when patients were diagnosed with COVID-19, while this decreased to 30.1% for other major infectious diseases (1341/4458). Most practices reported at least one incident of delayed care in patients with an urgent condition, most often because the patient did not come to the practice sooner (60.4%, 2561/4237). Moreover, 31.1% of practices (1349/4199) always organized a team discussion when incidents happened. Overall, large variations were found across countries and patient safety indicators.</p><p><strong>Conclusions: </strong>The results demonstrated that European GP practices adopted numerous measures to deliver safe care during COVID-19. However, multilayered interventions are needed to improve infection control and GP practice accessibility in future pandemics.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing the antibiotic prescribing of Australian general practice registrars' for acute respiratory tract infections: a non-randomized controlled trial.","authors":"Alexandria Turner, Mieke L van Driel, Benjamin L Mitchell, Joshua S Davis, Amanda Tapley, Elizabeth Holliday, Jason Dizon, Paul Glasziou, Mina Bakhit, Katie Mulquiney, Andrew Davey, Katie Fisher, Emma J Baillie, Alison Fielding, Dominica Moad, Anthea Dallas, Parker Magin","doi":"10.1093/fampra/cmaf005","DOIUrl":"10.1093/fampra/cmaf005","url":null,"abstract":"<p><strong>Background: </strong>Inappropriate antibiotic prescription for self-limiting respiratory tract infections (RTIs) by general practitioner (GP) registrars (trainees) is less common than by established GPs but still exceeds evidence-based benchmarks. A 2014 face-to-face educational intervention for registrars and supervisors reduced registrars' acute bronchitis antibiotic prescription by 16% (absolute reduction). We aimed to establish the efficacy of an updated registrar/supervisor RTI-management intervention (delivered at distance) on antibiotic prescribing.</p><p><strong>Methods: </strong>A non-randomized trial using a non-equivalent control-group nested within the ReCEnT cohort study. The intervention included online educational modules, registrar and supervisor webinars, and materials for registrar-supervisor in-practice educational sessions, and focussed on acute bronchitis as an exemplar RTI. The theoretical underpinning was the 'capability, opportunity, and motivation' (COM-B) framework. The intervention was delivered to registrars and supervisors of one large educational/training organization annually from mid-2021, with pre-intervention period from 2017, and with postintervention period ending 2023. Two other educational/training organizations served as controls. The primary outcome was antibiotics prescribed for acute bronchitis. Analyses used multivariable logistic regression with predictors of interest: time (before/after intervention), treatment group, and an interaction term for time-by-treatment group, adjusted for potential confounders. The interaction term P-value was used to infer statistical significance of the intervention effect.</p><p><strong>Results: </strong>Of 4612 acute bronchitis presentations, 70% were prescribed antibiotics. There was a 6.9% absolute reduction (adjusted) of prescribing in the intervention-group compared with the control-group. This was not statistically significant (Pinteraction = .22).</p><p><strong>Conclusions: </strong>Failure to find a significant effect on prescribing suggests difficulties with scalability of this (and similar educational) innovations.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Methodological quality and clinical recommendations of guidelines on the management of dyslipidaemias for cardiovascular disease risk reduction: a systematic review and an appraisal through AGREE II and AGREE REX tools.","authors":"","doi":"10.1093/fampra/cmae055","DOIUrl":"10.1093/fampra/cmae055","url":null,"abstract":"","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect and implementation of the COVID Box, a remote patient monitoring system for patients with a COVID-19 infection in primary care: a matched cohort study.","authors":"Nicoline E van Hattem, Niels J Mijnsbergen, Hendrikus J A van Os, Bart A Mertens, Just A H Eekhof, Niels H Chavannes, Douwe E Atsma, Tobias N Bonten","doi":"10.1093/fampra/cmae045","DOIUrl":"10.1093/fampra/cmae045","url":null,"abstract":"<p><p>At the onset of the COVID-19 pandemic, the pressure on hospitals increased tremendously. To alleviate this pressure, a remote patient monitoring system called the COVID Box was developed and implemented in primary care. The aim was to assess whether the COVID Box in primary care could reduce emergency department (ED) referrals due to a COVID-19 infection. A matched cohort study was performed between December 2020 and June 2021. Patients with a COVID-19 infection in need of intensive monitoring based on the clinical judgement of their own general practitioner received the COVID Box in primary care combining home monitoring of vital parameters with daily video consultations. The control group was retrospectively matched by propensity score matching. We conducted a subgroup analysis in higher-risk patients with oxygen saturation measurements, considering oxygen saturation as a critical parameter for assessing the risk of a complicated infection. We included 205 patients, of whom 41 patients were monitored with the COVID Box (mean age 70 and 53.7% male) and 164 in the control group (mean age 71.5 and 53% male). No difference was found in ED referrals between the intervention and control groups in our primary analysis. In the subgroup analysis, we found a nonsignificant trend that remote monitoring could reduce the ED referrals. While the overall study found comparable ED referrals between groups, the subgroup analysis suggested a promising prospect in reducing ED referrals due to remote monitoring of higher-risk patients with acute respiratory disease in primary care.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determination of subclinical atherosclerosis by total plaque area in patients with diabetes and hypertension.","authors":"Mariana N Carrillo, Hernán A Pérez, Luis L Armando, J David Spence, Sonia E Muñoz, Nestor H Garcia","doi":"10.1093/fampra/cmaf010","DOIUrl":"https://doi.org/10.1093/fampra/cmaf010","url":null,"abstract":"<p><strong>Background/objective: </strong>the determination of the carotid total plaque area (TPA) is an indicator of subclinical atherosclerosis and a useful tool in early cardiovascular prevention. Classically, diabetes has been considered the most atherogenic disease, even more so than hypertension, but the incidence of stroke and heart attack is higher in patients with hypertension than in patients with diabetes alone. Therefore, in this study, we compared hypertension and diabetes with regard to the burden of atherosclerosis.</p><p><strong>Methods: </strong>a cross-sectional observational study was carried out on adults (n = 606). Those with a history of a cardiovascular event were excluded.</p><p><strong>Results: </strong>median age was 65 years (IQR 17), 58.6% women. People with diabetes and hypertension had the highest TPA (β exponent: 1.64; 95% CI 1.20-2.26), followed by people with hypertension alone (β exponent: 1.39; 95% CI 1.05-1.86), while people with diabetes alone had no differences (P = .379) with respect to the control group.</p><p><strong>Conclusion: </strong>This cross-sectional study, though limited, emphasizes the need for larger prospective studies to validate the clinical significance of these findings and highlights the importance of routine monitoring of subclinical atherosclerosis in hypertensive patients to assess the effectiveness of preventive therapy.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practice utilisation by Australian cancer patients in the last year of life.","authors":"Matthew P Grant, Damien McCarthy, Chris Kearney, Anna Collins, Vijaya Sundararajan, Joel J Rhee, Jennifer A M Philip, Jon D Emery","doi":"10.1093/fampra/cmae062","DOIUrl":"10.1093/fampra/cmae062","url":null,"abstract":"<p><strong>Objectives: </strong>General practice plays a key role in end-of-life care, yet the extent of this remains largely unknown due to a lack of detailed clinical data. This study aims to describe the care provided by General Practitioners (GPs) for people with cancer in their last year of life.</p><p><strong>Methods: </strong>Retrospective cohort study using linked routine primary care and death certificate data in Victoria, Australia. Patients were included who died from cancer between 2008 and 2017.</p><p><strong>Results: </strong>In total 7025 cancer patients were included, mean age of 74.8 yrs. 95% of patients visited their GP in the last 6 months of life, with a median of 11 general practice contacts in this period. 72% of patients visited their GP in the second-last month prior to death, and 74% in the last month of life. The majority of patients (58%) were prescribed opioids, 19% anticipatory medications, 24% received a home visit, and a small proportion had imaging (6%) in the last month and pathology (6%) in the last fortnight. Patients in regional areas had more contact with general practices in the last year of life compared to metropolitan patients (median metropolitan = 16, inner regional = 25, and outer regional = 23, P < .001). The use of GP services did not differ by cancer type.</p><p><strong>Conclusions: </strong>GP's play a central role in end-of-life care provision for cancer patients, which intensifies in the last months of life. There is room for improvement, with a proportion having little or no engagement, and low rates of home visits and anticipatory medication prescribing.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a multifaceted intervention programme on antibiotic prescribing and dispensing in four patient-centred settings in five European countries. The HAPPY PATIENT project.","authors":"Ana García-Sangenís, Jesper Lykkegaard, Malene Plejdrup Hansen, Beatriz González López-Valcárcel, Fabiana Raynal, Laura Vallejo-Torres, Lars Bjerrum, Athina Chalkidou, Jette Nygaard Jensen, Ingrid Rebnord, Bent Håkan Lindberg, Katja Taxis, Maarten Lambert, Ruta Radzeviciene, Lina Jaruseviciene, Pia Touboul Lundgren, Pascale Bruno, Vanessa Lesage, Anna Kowalczyk, Maciej Godycki-Cwirko, Christos Lionis, Maria-Nefeli Karkana, Marilena Anastasaki, Matilde Bøgelund Hansen, Jonas Kanstrup Olsen, Jens Søndergaard, Daniela Modena, Stella Mally, Laura Álvarez, Carl Llor","doi":"10.1093/fampra/cmae064","DOIUrl":"10.1093/fampra/cmae064","url":null,"abstract":"<p><strong>Background: </strong>The primary cause of antimicrobial resistance is excessive and non-indicated antibiotic use.</p><p><strong>Aim: </strong>To evaluate the impact of a multifaceted intervention aimed at various healthcare professionals (HCPs) on antibiotic prescribing and dispensing for common infections.</p><p><strong>Design and setting: </strong>Before-and-after study set in general practice, out-of-hours services, nursing homes, and community pharmacies in France, Greece, Lithuania, Poland, and Spain.</p><p><strong>Methods: </strong>Following the Audit Project Odense method, HCPs from these four settings self-registered encounters with patients related to antibiotic prescribing and dispensing before and after an intervention (February-April 2022 and February-April 2023). Prior to the second registration, the HCPs undertook a multifaceted intervention, which included reviewing and discussing feedback on the first registration's results, enhancing communication skills, and providing communication tools. Indicators to identify potentially unnecessary prescriptions and non-first-line antibiotic choices were developed, and the results of the two registrations were compared.</p><p><strong>Results: </strong>A total of 345 HCPs registered 10 744 infections in the first registration period and 10 207 infections in the second period. In general practice, participants showed a significant 9.8% reduction in unnecessary antibiotic prescriptions in the second period, whereas limited or no effect was observed in out-of-hours services and nursing homes (0.8% reduction and 4.5% increase, respectively). Pharmacies demonstrated an 18% increase in safety checks, and correct advice in pharmacies rose by 17%.</p><p><strong>Conclusion: </strong>External factors like COVID-19, antibiotic shortages, and a streptococcal epidemic impacted the intervention's benefits. Despite this, the intervention successfully improved antibiotic use in both settings.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}