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InnovAiT: Education and inspiration for general practice最新文献

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GP continuity: The keystone of general practice 全科医生的连续性：全科医生的基石
InnovAiT: Education and inspiration for general practice Pub Date : 2024-04-24 DOI: 10.1177/17557380241246742
Dr Kate Sidaway-Lee, Professor Sir Denis Pereira Gray, Dr Nada Khan, Lispeth Abraham, Professor Philip Evans
{"title":"GP continuity: The keystone of general practice","authors":"Dr Kate Sidaway-Lee, Professor Sir Denis Pereira Gray, Dr Nada Khan, Lispeth Abraham, Professor Philip Evans","doi":"10.1177/17557380241246742","DOIUrl":"https://doi.org/10.1177/17557380241246742","url":null,"abstract":"Continuity of care has long been recognised as a core feature of general practice. Relational continuity is associated with multiple, overlapping benefits for patients, doctors and society. Continuity increases trust, patient satisfaction and adherence to advice, while reducing hospital use and deaths. Repeated consultations are needed with a patient for a GP to acquire enough ‘accumulated knowledge’ to develop a sense of continuing responsibility. This fosters GP sensitivity and mutual understanding, which enable GPs to provide ‘higher-level’ quality of care. However, the level of continuity is reducing in UK general practice. This article provides the context of international research on continuity of care and describes ways to improve continuity.","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"64 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663984","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
The diagnosis of adrenal insufficiency and its implications in primary care 肾上腺功能不全的诊断及其对初级保健的影响
InnovAiT: Education and inspiration for general practice Pub Date : 2024-04-13 DOI: 10.1177/17557380241245367
Dr Daniel Fleming
{"title":"The diagnosis of adrenal insufficiency and its implications in primary care","authors":"Dr Daniel Fleming","doi":"10.1177/17557380241245367","DOIUrl":"https://doi.org/10.1177/17557380241245367","url":null,"abstract":"Adrenal insufficiency can be clinically challenging to diagnose, due to relatively low incidence rates in the European population. It is a condition requiring active consideration to achieve diagnosis. The main pathologies discussed here are primary adrenal insufficiency (PAI) and tertiary adrenal insufficiency. PAI is also commonly termed Addison’s disease. Secondary adrenal insufficiency is not considered in detail in this article. The article will address the underlying pathophysiology, presentation and investigation of adrenal insufficiency. It will also consider iatrogenic adrenal insufficiency and management of adrenal insufficiency in the primary care setting.","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"60 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140707978","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
Fits and funny turns in adults 成人发作和滑稽转折
InnovAiT: Education and inspiration for general practice Pub Date : 2024-04-13 DOI: 10.1177/17557380241245366
Dr Zubair Ahmed Siddiqui, Dr Abdishakur Mohamed Ali
{"title":"Fits and funny turns in adults","authors":"Dr Zubair Ahmed Siddiqui, Dr Abdishakur Mohamed Ali","doi":"10.1177/17557380241245366","DOIUrl":"https://doi.org/10.1177/17557380241245366","url":null,"abstract":"Blackouts and syncope, often colloquially termed ‘fits and funny turns’, are common presentations in the adult population, with studies showing that up to 50% of the UK population may experience a blackout in their lifetime. This presentation encompasses a wide range of potential causes, which creates a diagnostic challenge for the clinician. An incorrect diagnosis can have a significant impact on the patient by delaying treatment, increasing the risk to their health and in some cases may even affect a person’s employment. As such, a deep understanding of the assessment, causes, and management is vital for any GP. This article delves into the intricacies of these episodes, shedding light on their causes, presentation, and implications for patient care.","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140709054","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
Faltering growth 增长乏力
InnovAiT: Education and inspiration for general practice Pub Date : 2024-04-13 DOI: 10.1177/17557380241246244
Dr Bradley Harris
{"title":"Faltering growth","authors":"Dr Bradley Harris","doi":"10.1177/17557380241246244","DOIUrl":"https://doi.org/10.1177/17557380241246244","url":null,"abstract":"The monitoring of growth is perhaps the longest-standing health surveillance practice in paediatrics, with routine assessments of height and weight occurring throughout childhood. Faltering from these predicted centiles will often result in a review in primary care accompanied by heightened parental anxiety. Although a drop in growth velocity may well be normal for an individual, it may also be the first warning sign of underlying pathology. The challenge for clinicians is to differentiate what is normal from faltering growth that occurs as the culmination of underlying medical, environmental, or psychosocial factors. This article gives an overview of growth and its assessment, alongside current UK criteria for faltering growth and an approach for its management in primary care.","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"29 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140707183","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
Hygge 舒适
InnovAiT: Education and inspiration for general practice Pub Date : 2024-04-03 DOI: 10.1177/17557380241242725
R. Draper
{"title":"Hygge","authors":"R. Draper","doi":"10.1177/17557380241242725","DOIUrl":"https://doi.org/10.1177/17557380241242725","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"26 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140747727","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: 1
Ischaemic heart disease and physical activity 缺血性心脏病与体育锻炼
InnovAiT: Education and inspiration for general practice Pub Date : 2024-04-02 DOI: 10.1177/17557380241239548
Dr Frank O’Leary
{"title":"Ischaemic heart disease and physical activity","authors":"Dr Frank O’Leary","doi":"10.1177/17557380241239548","DOIUrl":"https://doi.org/10.1177/17557380241239548","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"22 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140754015","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
AKT answer relating to global primary care challenges 与全球初级保健挑战有关的 AKT 答案
InnovAiT: Education and inspiration for general practice Pub Date : 2024-03-30 DOI: 10.1177/17557380241233133e
{"title":"AKT answer relating to global primary care challenges","authors":"","doi":"10.1177/17557380241233133e","DOIUrl":"https://doi.org/10.1177/17557380241233133e","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140361460","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
AKT question relating to migrant healthcare 有关移民医疗保健的 AKT 问题
InnovAiT: Education and inspiration for general practice Pub Date : 2024-03-30 DOI: 10.1177/17557380241233133
A. Kotecha
{"title":"AKT question relating to migrant healthcare","authors":"A. Kotecha","doi":"10.1177/17557380241233133","DOIUrl":"https://doi.org/10.1177/17557380241233133","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"40 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140364265","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
AKT question relating to vaccinations in migrant populations 与流动人口疫苗接种有关的 AKT 问题
InnovAiT: Education and inspiration for general practice Pub Date : 2024-03-30 DOI: 10.1177/17557380241233133f
A. Kotecha
{"title":"AKT question relating to vaccinations in migrant populations","authors":"A. Kotecha","doi":"10.1177/17557380241233133f","DOIUrl":"https://doi.org/10.1177/17557380241233133f","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"25 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140364673","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
AKT question relating to global primary care challenges 与全球初级保健挑战有关的 AKT 问题
InnovAiT: Education and inspiration for general practice Pub Date : 2024-03-30 DOI: 10.1177/17557380241233133d
A. Kotecha
{"title":"AKT question relating to global primary care challenges","authors":"A. Kotecha","doi":"10.1177/17557380241233133d","DOIUrl":"https://doi.org/10.1177/17557380241233133d","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"23 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140364488","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
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