Australian Journal of General Practice最新文献

Navigating the risk of stroke and bleeding in atrial fibrillation. 房颤卒中和出血风险的导航。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-02-25-7554

Rawa Osman, Jarrah Anderson, Annette Katelaris, Sally Dooley, Jonathan Dartnell

引用次数: 0

A case of cutaneous metastatic breast cancer. 皮肤转移性乳腺癌1例。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-08-23-6939

Brenda Ngo, Katherine Darch, Jim Muir

引用次数: 0

Provision of a remote telehealth opioid substitution therapy clinic in a regional Victorian community. 在维多利亚州的一个地区社区提供远程远程保健阿片类药物替代治疗诊所。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-11-24-7467

Sarah Garry, Paul MacCartney, Dean Membrey, Rhonda Gallienne, Pauline Molloy, Thileepan Naren

{"title":"Provision of a remote telehealth opioid substitution therapy clinic in a regional Victorian community.","authors":"Sarah Garry, Paul MacCartney, Dean Membrey, Rhonda Gallienne, Pauline Molloy, Thileepan Naren","doi":"10.31128/AJGP-11-24-7467","DOIUrl":"https://doi.org/10.31128/AJGP-11-24-7467","url":null,"abstract":"Background: Patient demand for alcohol and other drug services currently far outstrips the capacity of the sector, a challenge that becomes more pronounced in regional and rural areas where specialist services are minimal.Objective: This paper describes a model of a telehealth-based opioid substitution therapy (OST) clinic, established in partnership between three Victorian health services. A retrospective file audit was conducted of the electronic medical records of patients enrolled through the clinic.Discussion: With local coordination, the clinic has reviewed and commenced 23 patients on OST, all via telehealth consultations with addiction medicine specialists based remotely. The clinic's preliminary successes supporting patients on OST locally demonstrates an innovative solution to a longstanding problem. The small sample size requires that further study is necessary; however, the feasibility of this model shows how patients in regional and rural areas can have similar access to OST as their metropolitan counterparts.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 5","pages":"311-314"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033282","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

Special Editorial: Artificial intelligence - Transformative technology. 特别社论：人工智能——变革性技术。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-05-25-4567e

Brendon Evans

引用次数: 0

The early detection of breast cancer: An update from the Red book. 乳腺癌的早期发现：红皮书的更新。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-01-25-7538

Danielle Mazza, Jon Emery

{"title":"The early detection of breast cancer: An update from the Red book.","authors":"Danielle Mazza, Jon Emery","doi":"10.31128/AJGP-01-25-7538","DOIUrl":"https://doi.org/10.31128/AJGP-01-25-7538","url":null,"abstract":"Background: Breast cancer is the most common cancer affecting women and a leading cause of cancer-related deaths in Australia. Early detection through regular screening significantly improves survival rates and treatment outcomes.Objective: This article provides an updated overview of breast cancer screening recommendations from The Royal Australian College of General Practitioners' (RACGP) 'Guidelines for preventive activities in general practice' (Red book), emphasising the critical role of general practitioners (GPs) in assessing individual risk and guiding preventive strategies.Discussion: GPs should undertake an individualised risk assessment with each patient. Understanding risk levels enables personalised screening and prevention recommendations. While women with dense breasts are more likely to benefit from supplemental screening modalities, there is currently insufficient evidence to recommend routine supplemental screening for this patient group. Lifestyle factors significantly impact breast cancer risk and patients should be counselled about this. Technological advancements and personalised medicine will continue to shape breast cancer detection and management moving forward.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 5","pages":"272-275"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008747","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

HeartConnect: Integrating primary care and specialist cardiology for rapid access and better patient and healthcare practitioner experiences. HeartConnect：整合初级保健和专科心脏病学，以实现快速访问和更好的患者和医疗保健从业人员体验。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-05-24-7251

Yvonne Zurynski, Genevieve Dammery, Chrishan Nalliah, Simon Willcock, Catherine Smillie, Sanjyot Vagholkar, Walter Kmet, Shalini Wijekulasuriya, Sue Barry, Deborah Pallavicini, Gilbert Knaggs, Isabelle Meulenbroeks, Chloe Zurynski, Francisco Lopez

{"title":"HeartConnect: Integrating primary care and specialist cardiology for rapid access and better patient and healthcare practitioner experiences.","authors":"Yvonne Zurynski, Genevieve Dammery, Chrishan Nalliah, Simon Willcock, Catherine Smillie, Sanjyot Vagholkar, Walter Kmet, Shalini Wijekulasuriya, Sue Barry, Deborah Pallavicini, Gilbert Knaggs, Isabelle Meulenbroeks, Chloe Zurynski, Francisco Lopez","doi":"10.31128/AJGP-05-24-7251","DOIUrl":"https://doi.org/10.31128/AJGP-05-24-7251","url":null,"abstract":"Background and objectives: This study evaluates an innovative model of care, HeartConnect, which aims to improve timely access to specialist cardiology services and greater collaboration between general practitioners (GPs) and cardiologists.Method: HeartConnect was co-designed by GPs, cardiologists, researchers, patients and practice managers. A mixed-methods evaluation was performed. Details of referrals and HeartConnect appointments were collected. In total, 15 patients and six health providers were surveyed and/or interviewed.Results: Ninety-five patients consented to the research (n=57 male; n=38 female; mean age 53.8 [standard deviation 19.5] years). Referrals were for review of symptoms (52%), clinical management (12%) and assessment of high-risk patients (10%). Patients were seen within two days if the appointment was made by the GP. In 91% of cases, follow-up letters were sent back to the GP on the same day. Analysis of survey and interview data showed that the model was considered acceptable.Discussion: HeartConnect shows promise for reducing waiting times and enhancing collaboration between specialist cardiologists and GPs.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 5","pages":"296-302"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048924","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

An update on breast cancer prevention. 乳腺癌预防的最新进展。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-10-24-7437

Sandy Minck

引用次数: 0

The other side. 另一边。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-05-01 DOI: 10.31128/AJGP-10-24-7429

Richard Hays

引用次数: 0

The many identities of the female breast. 女性乳房的多重身份。