Australian Journal of General Practice最新文献_第10页

How is gout currently managed, and is there interest in changing the way we deliver care? A qualitative exploratory study. 痛风目前是如何治疗的？一项定性探索性研究。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-09-23-6980

Elizabeth Hoon, Jessie Edwards, Philip Robinson, Debra Rowett, Nigel Stocks, Helen I Keen, Catherine L Hill

{"title":"How is gout currently managed, and is there interest in changing the way we deliver care? A qualitative exploratory study.","authors":"Elizabeth Hoon, Jessie Edwards, Philip Robinson, Debra Rowett, Nigel Stocks, Helen I Keen, Catherine L Hill","doi":"10.31128/AJGP-09-23-6980","DOIUrl":"10.31128/AJGP-09-23-6980","url":null,"abstract":"Background and objectives: This study aimed to understand how gout is currently managed in Australian primary care and to assess the level of interest in changing the delivery of care for gout.Method: This pragmatic qualitative study was conducted among Australian general practitioners (GPs), pharmacists and adults living with gout. Semi-structured interviews were conducted and analysed using thematic analysis.Results: The key theme identified was that chronic gout has low priority compared to managing other conditions, and management is often responsive to patient action. Lack of confidence was expressed about medication regimens for multimorbidities. Regarding changing care delivery, there was widespread interest in enhancing pharmacists' role in providing medication reviews and guidance, but there were conflicting views between some pharmacists and GPs about clinical decisions and prescribing arrangements.Discussion: Interpreting findings based on Wagner's chronic care model, it is apparent that there are multiple potential opportunities to change practice that might improve gout management.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11","pages":"864-871"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585281","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 art of effective communication between family physicians and their adolescent patients: Challenges and solutions. 家庭医生与青少年患者之间有效沟通的艺术：挑战与解决方案。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-07-23-6894

Basel Ayoub

{"title":"The art of effective communication between family physicians and their adolescent patients: Challenges and solutions.","authors":"Basel Ayoub","doi":"10.31128/AJGP-07-23-6894","DOIUrl":"https://doi.org/10.31128/AJGP-07-23-6894","url":null,"abstract":"Background: Healthcare delivery and excellent health outcomes for teenagers depend on the establishment of effective communication between family physicians and adolescent patients. However, communicating with adolescents can be challenging due to their stage of development and unique needs. By implementing effective communication strategies and fostering a positive environment, family doctors can build trust, enhance patient participation and ultimately improve health outcomes for their adolescent patients.Objective: This article explores the value of excellent communication in the healthcare of teenagers, identifies potential barriers that family doctors might encounter and provides solutions to overcome these challenges.Discussion: Adolescence is a critical developmental stage marked by physical, emotional and social changes, making effective communication particularly challenging. During this phase, adolescents might face various health concerns, including mental health issues, substance use, sexual health and chronic diseases. This emphasises the importance of tailoring communication strategies to connect with the adolescent mind. Active listening, using age-appropriate language, incorporating technology, empathy, promoting autonomy and shared decision making are tools to open communication bridges between healthcare providers and their adolescent patients.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11","pages":"831-834"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585341","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 anatomy of coercive practices in healthcare settings. 医疗机构中强制做法的剖析。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-12-23-7051

Robert D Schweitzer, Cherie Sonnenburg, Rohani Mitchell

{"title":"The anatomy of coercive practices in healthcare settings.","authors":"Robert D Schweitzer, Cherie Sonnenburg, Rohani Mitchell","doi":"10.31128/AJGP-12-23-7051","DOIUrl":"10.31128/AJGP-12-23-7051","url":null,"abstract":"Background: In healthcare settings, there can be a fine distinction between genuine performance management and vexatious complaints occurring in the context of bullying. The most common manifestation of such behaviour involves repetitive interpersonal abusive behaviours within the context of a power hierarchy. These interactions might well be experienced as bullying behaviour; however, the interpersonal dynamics underpinning such behaviours remains largely unexplored.Objective: This paper offers a psychological perspective on bullying and harassment and adopts a psychodynamic case study approach, utilising a case vignette involving a senior and junior doctor within a general practice context. Conflict can be mitigated by understanding the intra- and interpersonal dynamics that interfere with rational performance management.Discussion: Psychological processes such as projection, displacement and projective identification are useful in understanding the genesis of bullying and harassment within demanding workplaces. Reflecting upon the psychological processes underpinning such conflict might help mitigate coercive workplace behaviour.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11 Suppl","pages":"S137-S141"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632539","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

How to use community HealthPathways: Practical tips to support decision making in the consulting room. 如何使用社区健康之路：支持诊室决策的实用技巧。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-02-24-7134

Edwin Kruys, Jon Harper

{"title":"How to use community HealthPathways: Practical tips to support decision making in the consulting room.","authors":"Edwin Kruys, Jon Harper","doi":"10.31128/AJGP-02-24-7134","DOIUrl":"10.31128/AJGP-02-24-7134","url":null,"abstract":"Background: Community HealthPathways are clinical decision support tools, combining evidence-based guidelines with local service and referral information, collaboratively developed and collated by primary care and hospital clinicians. HealthPathways is being implemented throughout Australia, New Zealand and the UK, and often plays a role in supporting local service redesign and integrated care.Objective: This article summarises the background and benefits of community HealthPathways and provides tips to support decision making in the consulting room. The article highlights the influence a community of clinicians can have on service redesign through developing and publishing HealthPathways.Discussion: Clinical information-seeking is often done during consultations, and having access to evidence-based, decision support tools like HealthPathways can facilitate consistency of best practice clinical care across jurisdictions and streamline referrals to local health services. Through the process of collaboration, HealthPathways supports integration of health services. Knowledge about the structure of HealthPathways and how to find information is useful for busy clinicians to aid decision support at the point of care.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11 Suppl","pages":"S132-S136"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632512","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 acute, progressive, asymmetrical pruritic eruption. 一种急性、进行性、不对称的瘙痒性疹子。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-03-24-7183

Raghu Vasanthan, Gayle Ross, Patrick Mahar, Rosemary Nixon

引用次数: 0

Rapid cycle evaluation of a program to enhance the readiness and response to family violence in general practices. 对一项计划进行快速周期评估，以加强一般实践中对家庭暴力的准备和应对。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-09-23-6964

Melinda Gill, Louise Greenstock

{"title":"Rapid cycle evaluation of a program to enhance the readiness and response to family violence in general practices.","authors":"Melinda Gill, Louise Greenstock","doi":"10.31128/AJGP-09-23-6964","DOIUrl":"https://doi.org/10.31128/AJGP-09-23-6964","url":null,"abstract":"Background and objectives: The research evaluated an introductory‑level training program to improve the readiness of general practices in regional Victoria to identify and support victim-survivors of family and domestic violence (FDV).Method: Mixed methods research was conducted in parallel with a co-design process to optimise the program over three iterations using a rapid-cycle evaluation approach, with data collected to assess early indicators of the program's effectiveness.Results: Six practices participated in the training sessions. Post-training surveys demonstrated significant changes in their perceived readiness to respond to FDV, with five main themes emerging from the qualitative analysis, including navigating the multiple layers of complexity, providing victim-centred care, tailoring the program to the needs of practices, the program's influence on staff, and recommendations.Discussion: The research confirmed that the project achieved its aim of developing a training program that improved the readiness of general practices to identify and support victim-survivors.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11","pages":"817-823"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585340","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 vulvar ulcer that did not heal: An approach to vulvar ulceration in a postmenopausal woman. 久治不愈的外阴溃疡：绝经后妇女外阴溃疡的治疗方法。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-09-23-6956

Ana Rita de Oliveira Coelho, Jaquelina Soares Santos

引用次数: 0

Sarcopenia in general practice: Towards improving muscle health screening, assessment and management in Australia. 全科医学中的 "肌肉疏松症"：努力改善澳大利亚的肌肉健康检查、评估和管理。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-12-23-7062

Robin M Daly, Chris Bollen, Jane Bollen, Linda Govan, David Scott, Simon Willcock, Linda Xu, Solomon Yu

{"title":"Sarcopenia in general practice: Towards improving muscle health screening, assessment and management in Australia.","authors":"Robin M Daly, Chris Bollen, Jane Bollen, Linda Govan, David Scott, Simon Willcock, Linda Xu, Solomon Yu","doi":"10.31128/AJGP-12-23-7062","DOIUrl":"https://doi.org/10.31128/AJGP-12-23-7062","url":null,"abstract":"Background: An estimated one in five Australians aged 60 years and older have sarcopenia, marked by progressive and accelerated loss in muscle mass, strength and function. Sarcopenia is associated with considerable healthcare costs and a myriad of adverse health outcomes, including increased risk of death. Despite its clinical importance, muscle health is often overlooked in routine clinical practice, hindering diagnosis and treatment.Objective: In July 2023, eight representatives from Australia's primary care and research communities convened to discuss barriers to sarcopenia screening, assessment and management within routine clinical practice. Solutions were proposed to improve the implementation of muscle health assessment and management in general practice. This article summarises the key discussions and outcomes from this meeting.Discussion: Strategies to improve the implementation of muscle health assessment and management in general practice include (1) improving public awareness; (2) professional education; (3) provision of tools and resources; (4) advocacy and policy; and (5) increasing collaborative efforts between healthcare professionals, professional societies, universities, electronic medical record software vendors and the government.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 10","pages":"751-755"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382420","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

Creutzfeldt-Jakob disease: From presentation to palliative care. 克雅氏病：从发病到姑息治疗

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-09-23-6955

Debra Scott, Suzanne Solvyns, David Ralston, Mariese A Hely

引用次数: 0

Inaccuracy of cardiovascular disease calculators in Australian primary healthcare software. 澳大利亚初级医疗保健软件中的心血管疾病计算器不准确。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-09-23-6975

Jason Agostino, Karl Skewes, Deborah Wong, Andrea Timothy, Rosemary Wyber, Kim Greaves

引用次数: 0