Journal of primary health care最新文献

Changes to Cochrane Library access. Cochrane图书馆访问的变化。

IF 0.9

Journal of primary health care Pub Date : 2025-09-01 DOI: 10.1071/HC25156

Vanessa Jordan

引用次数: 0

Imaging in low back pain: a cross-sectional analysis of Australian early-career general practitioners' ordering of imaging for non-specific low back pain. 腰痛影像学：澳大利亚早期全科医生对非特异性腰痛影像学排序的横断面分析。

IF 0.9

Journal of primary health care Pub Date : 2025-09-01 DOI: 10.1071/HC25056

Tobias Morgan, Alexandra Sheather, Anna Ralston, Elizabeth Holliday, Jean Ball, Mieke van Driel, Andrew Davey, Adele Kincses, Amanda Tapley, Alison Fielding, Dominica Moad, Parker Magin

{"title":"Imaging in low back pain: a cross-sectional analysis of Australian early-career general practitioners' ordering of imaging for non-specific low back pain.","authors":"Tobias Morgan, Alexandra Sheather, Anna Ralston, Elizabeth Holliday, Jean Ball, Mieke van Driel, Andrew Davey, Adele Kincses, Amanda Tapley, Alison Fielding, Dominica Moad, Parker Magin","doi":"10.1071/HC25056","DOIUrl":"https://doi.org/10.1071/HC25056","url":null,"abstract":"Introduction Low back pain is a leading cause of morbidity worldwide, but its cause is often non-specific. Imaging should not take place unless there are specific 'red flag' features present, as it does not improve patient outcomes. Aim To establish prevalence and factors associated with ordering of imaging for new onset non-specific low back pain (new onset NSLBP) by early-career GPs ('registrars'). Methods Cross-sectional analysis from a subset of data from the ReCEnT study of GP registrars' clinical experiences (2010-2018). The outcome was whether imaging was ordered for a patient with new onset NSLBP. Analyses employed univariable and multivariable regression. Results A total of 2333 GP registrars (96.0% response rate) contributed data from 325,058 consultations, comprising 508,316 patient problems/diagnoses. A total of 3066 problems/diagnoses (0.6%) were new onset NSLBP. Of the 3066 new onset NSLBP problems/diagnoses, 450 (15%) had imaging ordered. In multivariable models, variables significantly associated with imaging for new onset NSLBP were patient age: 35-64 years (adjusted OR 1.55, P =0.002) or over 65 years (OR 2.32, P P =0.009), scheduling of follow-up with the registrar (OR 3.61, P P =0.013), and 'generation of learning goals' (OR 1.96, P =P P Discussion Although Australian GP registrars are taking a considered approach to imaging for NSLBP, the prevalence of imaging likely exceeds optimal levels, at significant cost and potentially poorer patient outcomes. Refinement in guidelines regarding appropriate 'red flags' for imaging may aid in the further reduction of unnecessary imaging.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 3","pages":"224-232"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Uncertain times for health research in Aotearoa New Zealand. 新西兰奥特罗阿健康研究的不确定时期。

IF 0.9

Journal of primary health care Pub Date : 2025-09-01 DOI: 10.1071/HC25162

Tim Stokes, Felicity Goodyear-Smith

引用次数: 0

A mixed-methods evaluation of an intervention for enhancing alcohol screening in adults aged 50+ attending primary health care. 对参加初级卫生保健的50岁以上成年人加强酒精筛查的干预措施的混合方法评价

IF 0.9

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24061

Andy Towers, David Newcombe, Gillian White, John McMenamin, Janie Sheridan, Juma Rahman, Alison Moore

{"title":"A mixed-methods evaluation of an intervention for enhancing alcohol screening in adults aged 50+ attending primary health care.","authors":"Andy Towers, David Newcombe, Gillian White, John McMenamin, Janie Sheridan, Juma Rahman, Alison Moore","doi":"10.1071/HC24061","DOIUrl":"10.1071/HC24061","url":null,"abstract":"Introduction Adults aged 50 years and over are drinking more than ever but primary health care (PHC) professionals find it challenging to screen them for alcohol-related harm, despite being at greater risk for harm than younger drinkers. Aim This intervention aimed to enhance alcohol screening for this cohort by (a) introducing an algorithm in the patient management system to automate detection of alcohol risk in patients and (b) providing training to support health professionals' practice of, knowledge about, and comfort with alcohol screening in this cohort. Methods Eleven PHC practices in Aotearoa New Zealand took part in this intervention, including 41 PHC health professionals. Development and integration of the automated alcohol screening process within PHC patient management systems was undertaken in parallel with health professional training approaches. Results Screening rates increased substantially at intervention initiation but fell immediately with the onset of the New Zealand COVID-19 national lockdown. Two-thirds of health professionals identified the system screening prompts, over 40% felt this changed their screening practice, and 33% increased their awareness of - and felt more comfortable screening for - alcohol-related risk in those aged 50+. Discussion We illustrated an initial increase in alcohol screening rates in those aged 50+ as a result of this intervention, but this increase could not be sustained in part due to COVID-19 disruption. However, health professionals indicated that this intervention helped many change their practice and enhanced their awareness of such risk and comfort in screening for alcohol-related risk in those aged 50+.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"167-175"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience of HPV primary screening: a cross-sectional survey of 'Let's test for HPV' study participants in Aotearoa New Zealand. HPV初级筛查的经验：新西兰奥特罗阿“让我们检测HPV”研究参与者的横断面调查。

IF 0.9

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24110

Sally B Rose, Lynn McBain, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes

{"title":"Experience of HPV primary screening: a cross-sectional survey of 'Let's test for HPV' study participants in Aotearoa New Zealand.","authors":"Sally B Rose, Lynn McBain, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes","doi":"10.1071/HC24110","DOIUrl":"10.1071/HC24110","url":null,"abstract":"Introduction In 2022-2023, a multi-region implementation study ('Let's test for HPV') was undertaken in New Zealand primary care to inform the National Cervical Screening Programme shift to human papillomavirus (HPV) primary screening in September 2023. Aim This study aimed to describe 'Let's test for HPV study participants' experiences with HPV primary screening. Method Implementation study participants were invited to complete an anonymous online survey in September 2023. Survey data were summarised using descriptive statistics. Free text comments were analysed using inductive thematic analysis. Results Forty-two percent of those invited began a survey (969/2302) and 921 were included in analyses. Respondents were aged 24-71, represented each of the three regions of New Zealand and different ethnic groups and included never and under-screened participants. Most people chose to self-test for comfort, convenience and privacy. Gaps were identified in participant understanding about HPV, how HPV testing differs from cervical cytology and the implications of HPV test results. Key topics requiring further explanation were identified by participants. Around 8% did not find self-testing easy or comfortable. Intent to screen again was high (92.4%), with greater preference for self-testing at home (48.2%) over the GP practice (33.5%). Discussion HPV primary screening incorporating the option to self-test was highly acceptable to primary care-based study participants. Despite having participated in the new pathway, knowledge gaps were evident. Clear communication from screen-takers will be key to support participant knowledge, understanding and confidence in the efficacy of HPV primary screening. Ongoing programme evaluation, including patients' perspectives, will be essential in the pursuit of equity and progress towards cervical cancer elimination.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"123-133"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What interventions support people in quitting smokeless tobacco use? 哪些干预措施支持人们戒烟使用无烟烟草？

IF 0.9

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC25097

Vanessa Jordan

引用次数: 0

Vaping and smoking in adolescents 14 and under in Aotearoa New Zealand: cross-sectional study of e-screening data. 新西兰奥特罗阿14岁及以下青少年的电子烟和吸烟：电子筛查数据的横断面研究。

IF 0.9

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24128

FanZhen Zhou, James Warren, Felicity Goodyear-Smith

{"title":"Vaping and smoking in adolescents 14 and under in Aotearoa New Zealand: cross-sectional study of e-screening data.","authors":"FanZhen Zhou, James Warren, Felicity Goodyear-Smith","doi":"10.1071/HC24128","DOIUrl":"10.1071/HC24128","url":null,"abstract":"Introduction YouthCHAT (Youth electronic Case-Finding and Help Assessment Tool) assesses lifestyle issues in young people in New Zealand (NZ) primary care settings, including questions on smoking and vaping. Aim This study aimed to assess adolescent vaping/smoking rates, reasons, and interest in help. Methods An analysis of a de-identified extract of adolescent smoking and vaping YouthCHAT responses with chi-squared testing of independence of reporting ever-smoking and ever-vaping was performed. Gender and gender-by-ethnicity differences were tested by chi-squared test for females versus males and Māori and Pacific versus NZ European. Bonferroni correction for multiple comparisons was applied by multiplying P -values by 10. Follow-up responses, including help questions, were tallied. Results Of 3462 completed YouthCHAT screens of adolescents aged ≤14 years, 753 (22%) reported ever-vaping and 427 (12%) ever-smoking (P P =0.001; 0.003, respectively). The rate of having ever-vaped and of vaping-never-smoked was higher in Māori (adjusted P P =0.005 for vaping; 0.001 for vaping-never-smoked) girls compared to NZ Europeans. For ever-vaped, 511 (68%) had felt the need to cut down. Of those who vaped in the past 3months, 120/558 (22%) wanted help. Discussion Vaping is more frequent than smoking among young NZ adolescents under 15years of age but many are open to receiving help. Relatively few adolescents are vaping to stop smoking. Tight controls of vaping products are needed to prevent e-cigarette marketing from attracting non-smoking adolescents, while ensuring access for those who wish to quit smoking.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"101-107"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Globe artichoke. 朝鲜蓟。

IF 0.9

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC25100

E Lyn Lee, Jo Barnes

引用次数: 0

He mana tō te mātauranga - knowledge is power: a qualitative study of sexual and reproductive healthcare experiences of wāhine Māori. 他提出了mātauranga -知识就是力量：性与生殖保健经验的定性研究wāhine Māori。

IF 0.9

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24103

Chelsea Harris, Susan Bidwell, Ben Hudson, Maira Patu, Christina McKerchar, Ibrahim S Al-Busaidi

{"title":"He mana tō te mātauranga - knowledge is power: a qualitative study of sexual and reproductive healthcare experiences of wāhine Māori.","authors":"Chelsea Harris, Susan Bidwell, Ben Hudson, Maira Patu, Christina McKerchar, Ibrahim S Al-Busaidi","doi":"10.1071/HC24103","DOIUrl":"10.1071/HC24103","url":null,"abstract":"Introduction Sexual and reproductive health (SRH) is important for well-being, yet Indigenous peoples, including Māori, have poorer SRH outcomes than non-Indigenous peoples. Healthcare providers (HCPs) play a critical role in enhancing patients' health literacy, directly impacting health outcomes by providing clear, accessible information and guidance. Therefore, it is important to explore the experiences that wāhine Māori (Māori women) have when interacting with HCPs and how they learn about SRH. Such research could guide interventions to improve dissemination of SRH knowledge to Māori. Aim This study aimed to explore the experiences wāhine Māori have of sexual health care and accessing SRH knowledge. Methods Wāhine were interviewed in this Kaupapa Māori study. Interviews were transcribed and coded, and thematic analysis was performed. Results Twelve wāhine were interviewed. An overarching theme, He mana tō te mātauranga (knowledge is power), was identified. There were four subthemes: being informed about contraceptive options is empowering, informed consent is important, high-stress situations call for better communication and improved dissemination of SRH knowledge is needed. The wāhine valued being well-informed about their health and options, however, their experiences of receiving information varied. Discussion Wāhine Māori want to be told more about their health and options when encountering HCPs regarding SRH. Being informed is empowering, while feeling uninformed results in a breakdown in trust in the healthcare system and inability to exercise mana motuhake (autonomy). Facilitating improved dissemination of knowledge about SRH may help improve SRH outcomes for Māori by supporting health literacy, so that Māori can make informed decisions about their health.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"146-153"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'I felt so empowered, respected and shame free.' Let's test for HPV participants' experience of HPV primary screening. “我觉得自己被赋予了权力，受到了尊重，没有了羞耻感。”让我们测试HPV参与者的HPV初级筛查经历。

IF 0.9

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24118

Sally B Rose, Lynn McBain, Susan M Garrett, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes

{"title":"'I felt so empowered, respected and shame free.' Let's test for HPV participants' experience of HPV primary screening.","authors":"Sally B Rose, Lynn McBain, Susan M Garrett, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes","doi":"10.1071/HC24118","DOIUrl":"10.1071/HC24118","url":null,"abstract":"Introduction Aotearoa New Zealand's National Screening Unit (NSU) moved to use of human papillomavirus (HPV) primary screening in November 2023. Aims This study aimed to evaluate participants' views on favourable and unfavourable elements of HPV primary screening and to seek suggestions for potential improvements. Method Primary care participants in a multi-region HPV primary screening implementation study were invited to complete an online follow-up survey in September 2023. This paper reports on qualitatively analysed responses to open-ended questions asking participants what they liked, disliked or thought could be improved for future screening participants. Results Of 2361 invitations sent, 2302 were delivered, 969 people consented to participate and 921 were included in analyses (40%, 921/2302). Respondents were 24-71 years of age, from three regions, different ethnic groups and included under-screened participants. Most had chosen to self-test (92%) and 28.9% self-tested at home. Three quarters shared comments about what they liked, with themes related to ability to self-test, avoiding cervical tests, choice, communication and support. Twenty percent described unfavourable aspects, with themes related to inadequate information, self-testing issues, inappropriate physical space and process and programme-related factors. Seven key recommendations were identified from suggestions about potential improvements for future screening participants. Conclusion Survey participants' experience of HPV primary screening was overwhelmingly positive, with choice of a self-test a clear benefit for most. Inadequate information or communication contributed to suboptimal experiences for some. Participant recommendations highlight practical steps screen-takers (and the NSU) could take to ensure screening participants receive a well-informed, affirming experience that supports ongoing participation in cervical screening.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"134-145"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0