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Australian Journal of General Practice最新文献

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June 2025 correspondence. 2025年6月通信。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01
{"title":"June 2025 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"329-330"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227618","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
Erratum. 勘误表。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-06-25-9876e
{"title":"Erratum.","authors":"","doi":"10.31128/AJGP-06-25-9876e","DOIUrl":"10.31128/AJGP-06-25-9876e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"330"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227612","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
Infant and child health. 婴儿和儿童保健。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-06-25-1234e
Brendon Evans
{"title":"Infant and child health.","authors":"Brendon Evans","doi":"10.31128/AJGP-06-25-1234e","DOIUrl":"10.31128/AJGP-06-25-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"325"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227616","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
Erratum. 勘误表。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-06-25-4321e
{"title":"Erratum.","authors":"","doi":"10.31128/AJGP-06-25-4321e","DOIUrl":"10.31128/AJGP-06-25-4321e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"330"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227610","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
Optimising the use of general practice medical records to support preconception care: A qualitative study. 优化使用全科医疗记录，以支持孕前护理：一项定性研究。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-05-24-7276
Nishadi N Withanage, Sharon James, Jessica R Botfield, Kirsten I Black, Jeana Wong, Danielle Mazza
{"title":"Optimising the use of general practice medical records to support preconception care: A qualitative study.","authors":"Nishadi N Withanage, Sharon James, Jessica R Botfield, Kirsten I Black, Jeana Wong, Danielle Mazza","doi":"10.31128/AJGP-05-24-7276","DOIUrl":"10.31128/AJGP-05-24-7276","url":null,"abstract":"<p><strong>Background and objectives: </strong>Preconception care (PCC) reduces preconception health risk factors and improves pregnancy outcomes. General practice electronic medical records (EMRs) contain valuable preconception health data. This study interviewed general practitioners (GPs) and practice nurses (PNs) to investigate their perceived acceptability and feasibility of using EMR data to identify, invite and improve PCC provision to reproductive-aged female patients at risk of adverse pregnancy outcomes.</p><p><strong>Method: </strong>Twenty semi-structured qualitative interviews were conducted with GPs and PNs and analysed using inductive reflexive thematic analysis.</p><p><strong>Results: </strong>Identifying patients with preconception health risk factors using EMRs was mostly acceptable and feasible. Recommendations included directing invitations towards women with reproductive intent, using generic language to avoid stigmatising individuals and raising awareness of the importance and availability of PCC.</p><p><strong>Discussion: </strong>As perceived by GPs and PNs, improving EMR data quality, currency of preconception health risk factors and recording reproductive intent would enhance the feasibility and acceptability of sending PCC invitations based on EMR-generated risk profiles.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"337-344"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227620","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
RACGP 2025-29 Strategy. RACGP 2025-29战略。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-06-25-5678e
David Wilkinson
{"title":"RACGP 2025-29 Strategy.","authors":"David Wilkinson","doi":"10.31128/AJGP-06-25-5678e","DOIUrl":"10.31128/AJGP-06-25-5678e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"327"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227623","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
Intervention overuse in paediatric care in Australian metropolitan general practice. 干预过度使用在儿科护理在澳大利亚大都市全科医生。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-09-24-7399
Tammy Meyers Morris, Lena Sanci, Alannah Rudkin, Cecilia Moore, Kim Dalziel, Siaw-Teng Liaw, Brendan Goodger, Gary Freed, Karen Wheeler, Stephanie Germano, Jane Le, Sonia Khano, Michael Hodgins, Harriet Hiscock, Raghu Lingam
{"title":"Intervention overuse in paediatric care in Australian metropolitan general practice.","authors":"Tammy Meyers Morris, Lena Sanci, Alannah Rudkin, Cecilia Moore, Kim Dalziel, Siaw-Teng Liaw, Brendan Goodger, Gary Freed, Karen Wheeler, Stephanie Germano, Jane Le, Sonia Khano, Michael Hodgins, Harriet Hiscock, Raghu Lingam","doi":"10.31128/AJGP-09-24-7399","DOIUrl":"10.31128/AJGP-09-24-7399","url":null,"abstract":"<p><strong>Background and objectives: </strong>General practitioner (GP)-provided low-value paediatric primary care (LVC)/intervention overuse is not routinely evaluated. The aim of this paper is to evaluate prevalence, associated GP characteristics and cost of GP-provided LVC for five common paediatric conditions.</p><p><strong>Method: </strong>Patient-level data were extracted from 22 practices in Sydney and Melbourne. GPs were surveyed and costs of LVC were evaluated.</p><p><strong>Results: </strong>LVC was provided in 628/6182 (10.2%) consultations, including antibiotics for upper respiratory tract infections (511/4469, 11.4%). GPs practising for >15 years demonstrated increased risk of providing LVC (risk difference [RD] 9.8 %; 95% confidence interval [CI]: 4.0 to 15.6), and LVC occurred less at private versus bulk billing practices (RD 7.2 %; 95% CI: 2.9 to 11.5) and with female versus male GPs (RD -4.5%; 95% CI: -8.7 to -0.4). Estimated LVC cost was $17,254.15, extrapolated to $41.2 million when applied to all Australian LVC paediatric visits.</p><p><strong>Discussion: </strong>Low-level intervention overuse continues among urban GPs. Targeted quality improvement approaches addressing associated GP characteristics might strengthen paediatric care.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"378-386"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227617","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
Erratum. 勘误表。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-06-25-5432e
{"title":"Erratum.","authors":"","doi":"10.31128/AJGP-06-25-5432e","DOIUrl":"10.31128/AJGP-06-25-5432e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"330"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227611","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
Functional abdominal pain disorders in children. 儿童功能性腹痛障碍。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-08-24-7369
Swarna Gajendran, Jay Sharma, Ajay Sharma
{"title":"Functional abdominal pain disorders in children.","authors":"Swarna Gajendran, Jay Sharma, Ajay Sharma","doi":"10.31128/AJGP-08-24-7369","DOIUrl":"10.31128/AJGP-08-24-7369","url":null,"abstract":"<p><strong>Background: </strong>Paediatric functional abdominal pain disorders (FAPDs) encompass a heterogenous group of medical conditions characterised by chronic abdominal pain that cannot be fully explained by another medical condition. It is important to have a structured approach to assessing patients as FAPDs can pose diagnostic challenges.</p><p><strong>Objective: </strong>This article summarises the clinical assessment, investigations and management of paediatric patients presenting with chronic abdominal pain suggestive of FAPDs. It discusses the importance of a biopsychosocial approach to FAPDs, outlining the recommended approach to assessing and managing patients in a primary care setting.</p><p><strong>Discussion: </strong>A diagnosis of FAPD can often be made from a thorough clinical assessment without the need for extensive investigations or referrals that can perpetuate the anxiety of patients and their family. However, it is important to identify the presence of red flag features that raise the possibility of more serious causes that must not be missed.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"363-366"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227613","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
Impact of family physician-led hospitalist intervention methods in the multidisciplinary management of hip fracture: A retrospective cohort study. 家庭医生主导的住院医师干预方法对髋部骨折多学科管理的影响：一项回顾性队列研究。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2025-06-01 DOI: 10.31128/AJGP-03-24-7215
Naoto Ishimaru, Takahiro Waki, Toshio Shimokawa, Shimpei Mizuki, Yohei Kanzawa, Takahiro Nakajima, Kenjiro Ito, Saori Kinami
{"title":"Impact of family physician-led hospitalist intervention methods in the multidisciplinary management of hip fracture: A retrospective cohort study.","authors":"Naoto Ishimaru, Takahiro Waki, Toshio Shimokawa, Shimpei Mizuki, Yohei Kanzawa, Takahiro Nakajima, Kenjiro Ito, Saori Kinami","doi":"10.31128/AJGP-03-24-7215","DOIUrl":"10.31128/AJGP-03-24-7215","url":null,"abstract":"<p><strong>Background and objectives: </strong>Hip fractures are associated with high morbidity and mortality. We compared the impacts of a hospitalist consultant model and hospitalist model on morbidity in patients with hip fractures with conventional orthopaedic surgeon-led care.</p><p><strong>Method: </strong>This retrospective cohort study included patients who underwent surgery for hip fractures between April 2017 and March 2022. The primary outcome was the rate of perioperative complications. Multivariate analysis was adjusted for age, gender and any significant variables shown in univariate analysis.</p><p><strong>Results: </strong>Of the 982 patients, 329, 224 and 429 were treated within the orthopaedic department, the hospitalist consultant model and the hospitalist model, respectively. In adjusted analysis, time to surgery was shorter within the hospitalist model (odds ratio [OR]: -0.259; 95% confidence interval [CI]: -0.502 to -0.016), but there were no differences among groups in length of stay, complications or in-hospital mortality.</p><p><strong>Discussion: </strong>A family physician-led hospitalist model might facilitate earlier surgery for hip fractures than a conventional care model.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 6","pages":"400-406"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227615","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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