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Australian Journal of General Practice最新文献

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Streamlining documentation in patient electronic medical records: An example of chlamydia consultation shortcuts. 简化患者电子病历中的文件记录：以衣原体咨询快捷方式为例。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-01-24-7112
Meredith Temple-Smith, Deborah Bateson, Jane S Hocking, Lena Sanci, Jacqueline Coombe, Jane L Goller, Helen Bittleston, Stephanie Munari, Kathleen McNamee
{"title":"Streamlining documentation in patient electronic medical records: An example of chlamydia consultation shortcuts.","authors":"Meredith Temple-Smith, Deborah Bateson, Jane S Hocking, Lena Sanci, Jacqueline Coombe, Jane L Goller, Helen Bittleston, Stephanie Munari, Kathleen McNamee","doi":"10.31128/AJGP-01-24-7112","DOIUrl":"https://doi.org/10.31128/AJGP-01-24-7112","url":null,"abstract":"<p><strong>Background: </strong>Australian general practitioners encounter a vast array of health issues in their clinical practice. High-quality clinical record keeping is crucial to support continuity of care for patients and decision making for clinicians. Many clinical software programs used in general practice contain shortcut features that allow insertion of pre-stored, editable text into progress notes. These can be used to support documentation of specific health issues.</p><p><strong>Objective: </strong>Drawing on our experience within a research project seeking to strengthen chlamydia management in general practice, this article describes the co-design, implementation and use of documentation shortcuts for chlamydia management.</p><p><strong>Discussion: </strong>Shortcuts are useful as a memory prompt and timesaver for general practice clinicians. It is important that they do not replace clinical acumen and judgement. General practices using our chlamydia management shortcuts found them easy to set up, that they acted as a prompt for best practice chlamydia management and that they integrated well with the general practice workflow.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382422","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
Contraception for women over 40: A comprehensive guide. 40 岁以上女性的避孕方法：综合指南。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-04-23-6803
Alex Polyakov, Michelle Emerson
{"title":"Contraception for women over 40: A comprehensive guide.","authors":"Alex Polyakov, Michelle Emerson","doi":"10.31128/AJGP-04-23-6803","DOIUrl":"https://doi.org/10.31128/AJGP-04-23-6803","url":null,"abstract":"<p><strong>Background: </strong>Women in their 40s experience significant reproductive health changes, requiring personalised contraception to avoid unintended high-risk pregnancies and adapt to changing health conditions.</p><p><strong>Objective: </strong>This article examines optimal contraceptive choices for women in their 40s, considering effectiveness, ease of use, non-contraceptive benefits, side effects, contraindications and re-evaluation or discontinuation timings.</p><p><strong>Discussion: </strong>Contraceptive choices for women in their 40s vary depending on their family planning status, underlying health conditions and risk factors. Long-acting reversible contraceptives, permanent sterilisation and progestogen-only methods (excluding depot medroxyprogesterone acetate) are preferred options for women who have completed their families. Hormonal contraceptives can help manage menstrual disorders and bone health issues while providing endometrial protection during menopause. Regular contraceptive reviews should be conducted, and options adapted as needed.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382409","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
Prostate cancer survivorship of Australian men living with prostate cancer: Patient support programs in Australia. 澳大利亚男性前列腺癌患者的生存状况：澳大利亚的患者支持计划。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-02-24-7141
Brian Ng Hung Shin, Handoo Rhee, Eric Chung
{"title":"Prostate cancer survivorship of Australian men living with prostate cancer: Patient support programs in Australia.","authors":"Brian Ng Hung Shin, Handoo Rhee, Eric Chung","doi":"10.31128/AJGP-02-24-7141","DOIUrl":"https://doi.org/10.31128/AJGP-02-24-7141","url":null,"abstract":"<p><strong>Background: </strong>Treatment for prostate cancer (PC) is associated with adverse effects, especially in patients receiving androgen deprivation therapy (ADT). The Australian Government, non-governmental organisations and pharmaceutical companies responsible for marketing ADT have initiated and sponsored various strategic support programs for patients diagnosed with PC.</p><p><strong>Objective: </strong>This professional article provides an overview of available PC patient support programs in Australia to assist general practitioners (GPs) to direct patient referrals and optimise clinical care.</p><p><strong>Discussion: </strong>These PC support programs provide useful assistance on educational materials, decision support, clinical care management and referral to specialised services (eg continence advice, sexual health counselling and psychological support). More concerted efforts and smarter investment in PC survivorship programs are necessary to engage, educate and improve the lives of men living with PC more effectively.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382418","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
General practitioners' experiences delivering essential care services during the 2020 and 2021 COVID-19-related lockdowns. 全科医生在 2020 年和 2021 年与 COVID-19 相关的封锁期间提供基本医疗服务的经验。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-04-23-6795
Danielle Mazza, Pallavi Prathivadi, Mridula Shankar, Asvini Subasinghe, Jennie Raymond, Cathy Grech
{"title":"General practitioners' experiences delivering essential care services during the 2020 and 2021 COVID-19-related lockdowns.","authors":"Danielle Mazza, Pallavi Prathivadi, Mridula Shankar, Asvini Subasinghe, Jennie Raymond, Cathy Grech","doi":"10.31128/AJGP-04-23-6795","DOIUrl":"https://doi.org/10.31128/AJGP-04-23-6795","url":null,"abstract":"<p><strong>Background and objectives: </strong>The UK provided guidance for general practitioners (GPs) to deliver essential care services during the COVID-19 pandemic. Our objective was to describe local GP experiences and approaches to delivering care while similar formal guidance in Australia was unavailable.</p><p><strong>Method: </strong>Two hundred and ninety-one GPs who practised during the March 2020 to December 2021 COVID-19 lockdowns in Melbourne and Sydney undertook an electronic survey exploring perceptions of essential care service delivery. The provision of care by Australian practices was compared to UK Royal College of General Practitioners' recommendations.</p><p><strong>Results: </strong>Of 274 completed surveys, Australian GP practices were 60% concordant with UK guideline recommendations. There was a large shift towards telehealth service provision across the board, from diagnosis to follow-up. Most care continued if it was deliverable through telehealth or had urgent or time-sensitive need.</p><p><strong>Discussion: </strong>Local guidance for delivery of essential care services should be developed for future calamities, informed by GPs' experience practising during the COVID 19 pandemic and considering Australian contextual factors.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382412","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
Respiratory syncytial virus prevention is finally here: An overview of safety. 预防呼吸道合胞病毒终于来了：安全概述
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-06-24-7314
Ingrid Laemmle-Ruff, Nigel W Crawford
{"title":"Respiratory syncytial virus prevention is finally here: An overview of safety.","authors":"Ingrid Laemmle-Ruff, Nigel W Crawford","doi":"10.31128/AJGP-06-24-7314","DOIUrl":"https://doi.org/10.31128/AJGP-06-24-7314","url":null,"abstract":"<p><strong>Background: </strong>A number of respiratory syncytial virus (RSV) prevention products have recently been approved in Australia. These products focus on highest risk groups, aiming to prevent RSV disease in young infants and older adults. While not currently included in the National Immunisation Program (NIP), an RSV vaccine (Arexvy, GlaxoSmithKline [GSK]) is available privately for adults ≥60 years, and some Australian jurisdictions have commenced RSV monoclonal antibody (nirsevimab) programs for infants in 2024.</p><p><strong>Objective: </strong>This article summarises safety data regarding RSV prevention products approved in Australia, including vaccines for adults ≥60 years, maternal vaccines and monoclonal antibodies for infants.</p><p><strong>Discussion: </strong>Clinical trial data found these products were largely well tolerated, with most local and systemic reactions being mild-moderate and short-lived. Proportions of serious adverse events were low. While very rare, potential safety signals being further assessed include risk of preterm birth following the maternal vaccine (Abrysvo, Pfizer) and Guillain-Barré syndrome (GBS) following RSV vaccines in older adults (Abrysvo and Arexvy). Close monitoring of these adverse events of special interest via post-licensure surveillance is underway.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382419","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
Syphilis the great mimic: Forgotten but not gone. 梅毒是伟大的模仿者：被遗忘，但并未消失。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-06-23-6858
Sarah Huffam, Eugene Athan, Duncan E Campbell, Erika Uribe, Nomvuyo Mothobi, Michael Muleme
{"title":"Syphilis the great mimic: Forgotten but not gone.","authors":"Sarah Huffam, Eugene Athan, Duncan E Campbell, Erika Uribe, Nomvuyo Mothobi, Michael Muleme","doi":"10.31128/AJGP-06-23-6858","DOIUrl":"https://doi.org/10.31128/AJGP-06-23-6858","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382423","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
No place for complacency. 不能沾沾自喜
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-10-24-1234e
Claire Denness
{"title":"No place for complacency.","authors":"Claire Denness","doi":"10.31128/AJGP-10-24-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-10-24-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382416","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
Carrier rates of group A streptococci in Australian wet tropics and their impact on the clinical usefulness of throat swabs. 澳大利亚湿热带地区的 A 群链球菌携带率及其对咽拭子临床用途的影响。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-10-01 DOI: 10.31128/AJGP-02-24-7159
Ronny K Gunnarsson, Ulrich Orda, Bradley Elliott, Clare Heal
{"title":"Carrier rates of group A streptococci in Australian wet tropics and their impact on the clinical usefulness of throat swabs.","authors":"Ronny K Gunnarsson, Ulrich Orda, Bradley Elliott, Clare Heal","doi":"10.31128/AJGP-02-24-7159","DOIUrl":"https://doi.org/10.31128/AJGP-02-24-7159","url":null,"abstract":"<p><strong>Background and objectives: </strong>Rapid point-of-care tests (POCT) are likely to assist with the detection of group A streptococci (GAS), but their usefulness is determined by the presence of carriers of GAS. This is insufficiently explored in the wet tropics.</p><p><strong>Method: </strong>This study included 77 patients attending primary care in the wet tropics complaining of a sore throat, and 49 healthy controls. Carrier rates of GAS and the positive and negative etiological predictive values (P-EPV and N-EPV, respectively) of a POCT were calculated.</p><p><strong>Results: </strong>The carrier rates were 8.3% among healthy children and 2.7% for adults. The P-EPV for children was 71% (95% confidence interval [CI]: 0.0-100%) and for adults it was 85% (95% CI: 0.0-100%). The corresponding N-EPV was 99% (95% CI: 95-100%) for children and 99% (95% CI: 98-100%) for adults.</p><p><strong>Discussion: </strong>N-EPV, ruling out GAS, was sufficiently high with narrow CIs to allow for defining a stopping rule to avoid unnecessary antibiotic prescribing.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382408","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
Retina-predicted cardiovascular disease score: A new lens for assessing cardiovascular risk in general practice. 视网膜预测心血管疾病评分：全科医生评估心血管风险的新视角。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-09-01 DOI: 10.31128/AJGP-09-23-6969
Malcolm Clark, Wenyi Hu, Jacqueline Henwood, Mingguang He
{"title":"Retina-predicted cardiovascular disease score: A new lens for assessing cardiovascular risk in general practice.","authors":"Malcolm Clark, Wenyi Hu, Jacqueline Henwood, Mingguang He","doi":"10.31128/AJGP-09-23-6969","DOIUrl":"https://doi.org/10.31128/AJGP-09-23-6969","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127312","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
Editorial. 社论
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-09-01 DOI: 10.31128/AJGP-09-24-1234e
David Wilkinson
{"title":"Editorial.","authors":"David Wilkinson","doi":"10.31128/AJGP-09-24-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-09-24-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127301","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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