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Australian Journal of General Practice最新文献

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The difference the system makes.
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-09-24-7413
Ashvini Munindradasa, Kirsty Douglas
{"title":"The difference the system makes.","authors":"Ashvini Munindradasa, Kirsty Douglas","doi":"10.31128/AJGP-09-24-7413","DOIUrl":"10.31128/AJGP-09-24-7413","url":null,"abstract":"<p><strong>Background: </strong>Obesity is prevalent and tertiary prevention of the complications of obesity can be provided through publicly funded obesity management clinics (PFOMCs) as well as private obesity or general practice clinics.</p><p><strong>Objective: </strong>This article uses two case studies of patients living with obesity managed by the same general practitioner (with a special interest in obesity) to highlight the differences in care in a PFOMC compared to a privately billed general practice clinic.</p><p><strong>Discussion: </strong>The case studies demonstrate that care provided by both systems have different barriers related to wait times, delivery of care, cost and access to multidisciplinary care for the patient and different remuneration for the doctor. Reducing the effects of obesity and its complications must include primary and secondary prevention strategies in addition to the tertiary management provided by medically supervised weight management clinics in public or private settings.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"186-190"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774917","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
Contemporary issues involving obesity and weight management.
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-04-25-1234e
Chris Dickie
{"title":"Contemporary issues involving obesity and weight management.","authors":"Chris Dickie","doi":"10.31128/AJGP-04-25-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-04-25-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"165"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774830","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 Culture Map: Decoding how people think, lead, and get things done across cultures.
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-09-24-7410
Marisa Magiros, Catherine Casey
{"title":"The Culture Map: Decoding how people think, lead, and get things done across cultures.","authors":"Marisa Magiros, Catherine Casey","doi":"10.31128/AJGP-09-24-7410","DOIUrl":"https://doi.org/10.31128/AJGP-09-24-7410","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"239-240"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774915","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
Bariatric surgery.
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-10-24-7432
Hamish Shilton
{"title":"Bariatric surgery.","authors":"Hamish Shilton","doi":"10.31128/AJGP-10-24-7432","DOIUrl":"10.31128/AJGP-10-24-7432","url":null,"abstract":"<p><strong>Background: </strong>In 2023, 15,985 primary bariatric operations were performed in Australia, with sleeve gastrectomy (SG) accounting for 80% of cases. Bariatric surgery offers better long-term weight loss and comorbidity resolution compared with any other treatments, with low morbidity and mortality rates.</p><p><strong>Objective: </strong>This paper evaluates the efficacy, indications, outcomes and long-term considerations of bariatric surgery. It compares the current surgical procedures, SG, Roux-en-Y gastric bypass (RYGB) and one-anastomosis gastric bypass (OAGB), along with alternative weight-loss treatments, focusing on the important aspects for an Australian general practitioner.</p><p><strong>Discussion: </strong>Bariatric surgery remains the most effective treatment for people with obesity, initially achieving 30% total weight loss (TWL) with sustained long-term outcomes. Both SG and RYGB show similar TWL rates at five years (23.7% vs 27.2%). Complication rates are low (1.5-4.8%), and surgery significantly improves or resolves comorbidities, particularly diabetes. Endoscopic and pharmacological treatments are emerging alternatives but lack the long-term efficacy of surgery.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"202-206"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774826","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
Online teaching materials and medical student impressions of general practice: Lots of rules and guidelines?
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-05-24-7253
Nancy Sturman, Ben Mitchell, Rhys Cameron, Hayley Thomas, Michaela Kelly, David King
{"title":"Online teaching materials and medical student impressions of general practice: Lots of rules and guidelines?","authors":"Nancy Sturman, Ben Mitchell, Rhys Cameron, Hayley Thomas, Michaela Kelly, David King","doi":"10.31128/AJGP-05-24-7253","DOIUrl":"10.31128/AJGP-05-24-7253","url":null,"abstract":"<p><strong>Background and objectives: </strong>Little is known about how didactic online learning materials curated by general practice faculty influence medical student impressions of general practice.</p><p><strong>Method: </strong>Individual interviews and focus group discussions with third- and fourth-year University of Queensland medical students, who had completed their general practice placements, explored student engagement with course materials, and impressions of general practice. Overarching themes were determined by constantly comparing theoretical memos with original data and descriptive codes.</p><p><strong>Results: </strong>Student decisions whether to use materials were based on perceptions of examinability, efficiency, relevance to their placement and teaching from other specialities. Guidelines (although useful for learning) conveyed the impression that general practice was more algorithm-driven, 'prescriptive' and defensive than other specialities, reducing its intellectual challenge and attractiveness.</p><p><strong>Discussion: </strong>Online learning materials contribute to student impressions of general practice. Faculty should signpost the value-add of general practice knowledge, anticipate apparent misalignment between observed practice and formal guidelines and include other learning materials that better convey the clinical acumen of general practice work.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"229-233"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774903","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
Overall medicine burden for people on lipid-lowering therapy: Cross-sectional analysis of national pharmacy dispensing data.
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-02-24-7168
Sally Dunbar, Danny Liew, Jenni Ilomaki, Stella Talic
{"title":"Overall medicine burden for people on lipid-lowering therapy: Cross-sectional analysis of national pharmacy dispensing data.","authors":"Sally Dunbar, Danny Liew, Jenni Ilomaki, Stella Talic","doi":"10.31128/AJGP-02-24-7168","DOIUrl":"10.31128/AJGP-02-24-7168","url":null,"abstract":"<p><strong>Background and objectives: </strong>This paper describes the overall number of prescriptions and unique medicines dispensed and costs borne by a cohort of patients treated with lipid-lowering therapy and report on associations with age, concessional status and comorbidity.</p><p><strong>Method: </strong>This was a 12-month cross-sectional study using the 10% random sample of the Australian Pharmaceutical Benefits Scheme (PBS) dispensing data for 2019.</p><p><strong>Results: </strong>A high number of prescriptions and unique medicines dispensed was associated with older age, concessional status and comorbidity. Around one-quarter of patients aged 61-80 years were dispensed ≥57 prescriptions, ≥10 unique medicines and seven or more unique long-term medicines during the year. PBS status was the strongest predictor of cost borne, with one-quarter of general beneficiaries paying $760 or more.</p><p><strong>Discussion: </strong>This cohort commonly has related comorbidities resulting in multiple prescribed medicines, frequent dispensing and out-of-pocket costs. General practitioners are likely aware of patients' overall health and circumstances and can assist with periodic medicine review and the use of combination or extended-release preparations when available. Improved knowledge of the PBS safety net would be beneficial. Recent changes to the PBS will effect some reduction in dispensing frequency and cost borne by patients, but these changes could be extended.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"222-228"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774909","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
Pharmacotherapy for the management of overweight and obesity.
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-09-24-7411
Patrice Forner, Samantha Hocking
{"title":"Pharmacotherapy for the management of overweight and obesity.","authors":"Patrice Forner, Samantha Hocking","doi":"10.31128/AJGP-09-24-7411","DOIUrl":"10.31128/AJGP-09-24-7411","url":null,"abstract":"<p><strong>Background: </strong>Lifestyle intervention is the mainstay of obesity management; however, behavioural modification alone produces only modest results and attempts to create a negative energy balance are offset by a biological response to maintain weight. Pharmacotherapy is indicated as an adjunct for those living with obesity (body mass index [BMI] ≥30 kg/m2) or those who are overweight (BMI ≥27 kg/m2) with a least one weight-related complication.</p><p><strong>Objective: </strong>This article provides an update on pharmacotherapy for the management of overweight and obesity.</p><p><strong>Discussion: </strong>Pharmacotherapy is a useful adjunct for the treatment of obesity and obesity-related comorbidities. When considering pharmacotherapy, thought must be given to efficacy, contraindications, potential side effects, cost and duration of treatment.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"196-201"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774912","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
April 2025 correspondence.
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01
{"title":"April 2025 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"167-168"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774799","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
Fatigue and chronic anaemia: Could it be VEXAS syndrome?
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-02-24-7158
Natalie S Lee, Tim Y Lu
{"title":"Fatigue and chronic anaemia: Could it be VEXAS syndrome?","authors":"Natalie S Lee, Tim Y Lu","doi":"10.31128/AJGP-02-24-7158","DOIUrl":"https://doi.org/10.31128/AJGP-02-24-7158","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"219-221"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774834","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 puzzle of medicine: Insights from a case of intravascular lymphoma.
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-04-01 DOI: 10.31128/AJGP-09-24-7412
Jie Gu, Yanyan Huang
{"title":"The puzzle of medicine: Insights from a case of intravascular lymphoma.","authors":"Jie Gu, Yanyan Huang","doi":"10.31128/AJGP-09-24-7412","DOIUrl":"https://doi.org/10.31128/AJGP-09-24-7412","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 4","pages":"237-238"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774922","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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