Australian Journal of General Practice最新文献

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Childhood asthma in Melbourne's inner west: Emergency department visits and parental perspectives on enablers and barriers of care. 儿童哮喘在墨尔本内西区:急诊科访问和父母的观点对护理的促进因素和障碍。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-05-25-7687
Harriet Hiscock, Danny Csutoros, Yichao Wang, Rachel L Peters, Louis B Irving, Sarath Ranganathan, Peter D Sly, Clare Walter, Mallery Crowe, Georgie Frykberg, Suzanne Mavoa, Luke Knibbs, Aria Huang, Sunny Nguyen, Shaoke Lei, Dwan Vilcins, Mike Forrester, Kate Lycett, Katherine Chen
{"title":"Childhood asthma in Melbourne's inner west: Emergency department visits and parental perspectives on enablers and barriers of care.","authors":"Harriet Hiscock, Danny Csutoros, Yichao Wang, Rachel L Peters, Louis B Irving, Sarath Ranganathan, Peter D Sly, Clare Walter, Mallery Crowe, Georgie Frykberg, Suzanne Mavoa, Luke Knibbs, Aria Huang, Sunny Nguyen, Shaoke Lei, Dwan Vilcins, Mike Forrester, Kate Lycett, Katherine Chen","doi":"10.31128/AJGP-05-25-7687","DOIUrl":"https://doi.org/10.31128/AJGP-05-25-7687","url":null,"abstract":"<p><strong>Background and objectives: </strong>In Australia, asthma is the most common chronic childhood disease, with prevalence and care varying across communities. In three local government areas (LGAs) in Melbourne's inner west, we compared childhood asthma-related emergency department (ED) visits to Victoria overall, and explored parents' perceived enablers and barriers to community-based asthma care.</p><p><strong>Method: </strong>We used an administrative dataset (2007-19) and a cross-sectional survey of parents across six primary schools in the three LGAs (2022-23). Descriptive analysis was conducted to present childhood asthma-related ED rates, and asthma control, management practices, parental perceived asthma care enablers and barriers. Differences in these measures across LGAs were also examined.</p><p><strong>Results: </strong>Childhood asthma-related ED visit rates were 26-53% higher in the three LGAs compared with Victoria overall. Parents (n = 545) identified general practitioners (GPs), pharmacists and EDs as the most helpful resources, but faced barriers to community-based asthma care, such as fear during asthma flare-ups, difficulty accessing GPs, and concerns about medication side effects.  DISCUSSION: Melbourne's inner west has disproportionately higher asthma-related ED presentation rates. This warrants further investigation and development of strategies to improve community-based asthma care and reduce triggers, including air pollution.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"306-313"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846083","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}
引用次数: 0
Horizon scan 2035: Digital health and the future of general practice. 地平线扫描2035:数字健康和全科医疗的未来。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-10-25-7863
Darran Foo, Janice Tan, Amandeep Hansra
{"title":"Horizon scan 2035: Digital health and the future of general practice.","authors":"Darran Foo, Janice Tan, Amandeep Hansra","doi":"10.31128/AJGP-10-25-7863","DOIUrl":"https://doi.org/10.31128/AJGP-10-25-7863","url":null,"abstract":"<p><strong>Background: </strong>Digital health has become core clinical infrastructure in Australian general practice. Artificial intelligence (AI), genomics and simulation technologies are converging with workforce, demographic and equity pressures to reshape care delivery.</p><p><strong>Objective: </strong>To describe key digital technologies likely to shape general practice to 2035. To identify system shifts needed for safe and equitable integration. To outline 'no regrets' actions.</p><p><strong>Discussion: </strong>General practice is moving from episodic to continuous data-enabled care supported by AI, genomics, digital twins and wellness technologies. These tools promise more personalised and preventive care but risk widening inequity and creating new governance, accountability and cyber-security challenges. Investment in digital and genomic literacy, interoperable infrastructure, ethical governance and equity-by-design is essential to maintain trust and professional standards.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"278-280"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846133","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}
引用次数: 0
Augmenting apprenticeship: A discussion paper on integrating generative artificial intelligence into postgraduate general practice training. 增强学徒制:关于将生成式人工智能整合到研究生全科实习培训中的讨论文件。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-09-25-7824
Tanisha Jowsey, Michael Tran, Lambert Schuwirth, Alexandra Davidson
{"title":"Augmenting apprenticeship: A discussion paper on integrating generative artificial intelligence into postgraduate general practice training.","authors":"Tanisha Jowsey, Michael Tran, Lambert Schuwirth, Alexandra Davidson","doi":"10.31128/AJGP-09-25-7824","DOIUrl":"https://doi.org/10.31128/AJGP-09-25-7824","url":null,"abstract":"<p><strong>Background: </strong>Generative artificial intelligence (GenAI) is rapidly transforming medical education. In general practice training, GenAI offers new opportunities to scaffold learning, support autonomy and enhance access to knowledge.</p><p><strong>Objective: </strong>This article identifies use cases, learning value, risk management, necessary guardrails and a framework for the safe and effective implementation of GenAI in postgraduate general practice training.</p><p><strong>Discussion: </strong>Postgraduate general practice learners differ from undergraduates in their self- directed, assessment-driven and apprenticeship- based learning. GenAI can simulate dialogic engagement, personalising feedback and supporting reflective practice. GenAI adds genuine learning value by promoting higher- order thinking, supporting self- directed learning and enhancing access, particularly in rural or remote contexts. However, risks include epistemic opacity, skill decay, bias and erosion of humanistic learning. GenAI should augment, not replace, human mentorship and relational learning. Thoughtful integration, guided by pedagogical and ethical frameworks, can support the development of competent, empathetic and future-ready general practitioners.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"268-272"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846058","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}
引用次数: 0
Artificial intelligence-enhanced continuing professional development: Building digital capability in general practice. 人工智能增强的持续专业发展:在全科实践中建立数字能力。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-09-25-7823
Tanisha Jowsey, Michael Tran, Lambert Schuwirth, Alexandra Davidson
{"title":"Artificial intelligence-enhanced continuing professional development: Building digital capability in general practice.","authors":"Tanisha Jowsey, Michael Tran, Lambert Schuwirth, Alexandra Davidson","doi":"10.31128/AJGP-09-25-7823","DOIUrl":"https://doi.org/10.31128/AJGP-09-25-7823","url":null,"abstract":"<p><strong>Background: </strong>Healthcare is on the cusp of major digital transformation through artificial intelligence (AI). This transformation is reshaping general practice, requiring general practitioners to develop new digital competencies. Continuing professional development (CPD) must evolve to support this shift.</p><p><strong>Objective: </strong>The aim of this article is to outline key aspects of effective CPD and ways in which AI can enhance CPD concerning digital capability in general practice.  DISCUSSION: AI tools exist that are custom built to support adaptive learning, self-assessment and administrative automation, enabling more efficient and reflective CPD. They can personalise content, support diverse learning styles and reduce barriers to engagement. However, ethical implementation is essential to preserve professional autonomy and ensure transparency, data privacy and equity. A pragmatic CPD framework should align AI innovations with digital competency development and practitioner needs, fostering a culture of lifelong learning and adaptability.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"273-277"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846085","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}
引用次数: 0
The Medical Certificate of Cause of Death: Accurate completion. 死因医学证明:准确填写。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-04-25-76382
Michaela Kelly, Adam Griffin, Katherine Robinson, Gary Hall
{"title":"The Medical Certificate of Cause of Death: Accurate completion.","authors":"Michaela Kelly, Adam Griffin, Katherine Robinson, Gary Hall","doi":"10.31128/AJGP-04-25-76382","DOIUrl":"https://doi.org/10.31128/AJGP-04-25-76382","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"314-317"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846159","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}
引用次数: 0
Gaming disorder: Practical tips for general practice. 游戏障碍:一般实践的实用技巧。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-04-25-7647
Ignatius Eric Hadinata, Anne Saunders, Erin Stephens
{"title":"Gaming disorder: Practical tips for general practice.","authors":"Ignatius Eric Hadinata, Anne Saunders, Erin Stephens","doi":"10.31128/AJGP-04-25-7647","DOIUrl":"https://doi.org/10.31128/AJGP-04-25-7647","url":null,"abstract":"<p><strong>Background: </strong>Globally, the gaming industry generates more revenue than the music, film and gambling industries combined. Australia ranks first globally in gaming market penetration. People game for various reasons. Defining harmful gaming, however, can be challenging.</p><p><strong>Objective: </strong>General practice can often be the first point of contact for patients who engage in harmful gaming. The aim of this article is to provide practical tools for screening, diagnosing and managing gaming disorders in general practice.</p><p><strong>Discussion: </strong>When a patient presents to general practice with likely harms from gaming, it is useful to assess the patient's problem against a validated screening tool. A comprehensive assessment, assisted by the timeline followback tool, may assist with a comprehensive risk assessment and biopsychosocial formulation, which informs an individualised treatment plan.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"282-288"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846063","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}
引用次数: 0
Digital medicine - catch this next wave in. 数字医疗——赶上下一波浪潮。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-05-26-1234e
Brendon Evans
{"title":"Digital medicine - catch this next wave in.","authors":"Brendon Evans","doi":"10.31128/AJGP-05-26-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-05-26-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"245"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846061","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}
引用次数: 0
Digital general practice. 数字化全科医疗。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-05-26-1234e
Brendon Evans
{"title":"Digital general practice.","authors":"Brendon Evans","doi":"10.31128/AJGP-05-26-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-05-26-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"245"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846088","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}
引用次数: 0
May 2026 correspondence. 2026年5月通信。
IF 1.7 4区 医学
{"title":"May 2026 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"249-25"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846143","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}
引用次数: 0
Evidence to inform practice: Telehealth and antibiotic prescribing. 证据为实践提供信息:远程医疗和抗生素处方。
IF 1.7 4区 医学
Australian Journal of General Practice Pub Date : 2026-05-01 DOI: 10.31128/AJGP-06-25-7728
Parker Magin, Alexandria Turner, Yu Michelle Gao
{"title":"Evidence to inform practice: Telehealth and antibiotic prescribing.","authors":"Parker Magin, Alexandria Turner, Yu Michelle Gao","doi":"10.31128/AJGP-06-25-7728","DOIUrl":"https://doi.org/10.31128/AJGP-06-25-7728","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"55 5","pages":"318"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846145","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}
引用次数: 0
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