{"title":"Parotitis: An approach for general practitioners.","authors":"Anthony Pham, Rafia Alam, Neil Foden","doi":"10.31128/AJGP-11-24-7475","DOIUrl":"10.31128/AJGP-11-24-7475","url":null,"abstract":"<p><strong>Background: </strong>Parotitis, inflammation of the parotid glands, is a clinically significant presentation with a wide range of aetiologies that can result in systemically unwell patients.</p><p><strong>Objective: </strong>The aim of this article is to: (1) outline the assessment of parotitis and distinguish features relevant to determining the aetiology; (2) discuss the role of imaging in parotitis and other serological tests; (3) provide treatment principles and management approaches in treating parotitis in the general practice setting; and (4) identify key features that necessitate referral to an ear, nose and throat service or escalation in treatment.</p><p><strong>Discussion: </strong>When encountering parotitis in the primary care setting, a comprehensive history and examination is necessary to evaluate the patient, direct further ancillary investigations and to plan treatment. Differentiating between the well and unwell patient with parotitis is essential in determining whether investigation and treatment can be performed in the primary care setting versus the hospital setting.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"649-653"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001964","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}
Paul Tait, Kristen Aylmer, Louis Christie, Karen Cooper, Lee Fong, Chien-Che Lin, Anthony Marinucci, Kate Reed, Georgina Taylor, Megan Tremlett, Penelope Tuffin, Liz Reymond
{"title":"A National Core Community Palliative Care Medicines List for managing end-of-life symptoms.","authors":"Paul Tait, Kristen Aylmer, Louis Christie, Karen Cooper, Lee Fong, Chien-Che Lin, Anthony Marinucci, Kate Reed, Georgina Taylor, Megan Tremlett, Penelope Tuffin, Liz Reymond","doi":"10.31128/AJGP-06-24-7327","DOIUrl":"10.31128/AJGP-06-24-7327","url":null,"abstract":"<p><strong>Background: </strong>Australians with life-limiting conditions can, with appropriate support, have a home death, if that is their choice. General practitioners (GPs) are essential for coordinating care and managing symptoms. Necessary medicines must be quickly available to provide responsive symptom management in the terminal phase. GPs can facilitate prompt availability of medicines by working collaboratively with pharmacists who have a shared understanding of the required medicines.</p><p><strong>Objective: </strong>This article explains the development of, and provides information about, the National Core Community Palliative Care Medicines List.</p><p><strong>Discussion: </strong>A group of healthcare professionals with community palliative care expertise (Expert Group) compared the medicines to manage terminal phase symptoms against a set of criteria, choosing four core medicines based on their ability to manage symptoms, cost and ease of use. Creating a standardised National Core Community Palliative Care Medicines List supports clinical communication by providing an accepted baseline for symptom management; however, it should not replace communication between prescribers and pharmacists; rather, it should support collaborative practices.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"643-646"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001953","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}
{"title":"Art and the humanity of general practice.","authors":"Richard Hays","doi":"10.31128/AJGP-11-24-7462","DOIUrl":"https://doi.org/10.31128/AJGP-11-24-7462","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"665-668"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001890","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}
Ingrid Bindicsova, Katherine Brain, Fiona J Hodson, Leanne M Hides, Melissa A Day
{"title":"A qualitative analysis of a nationally representative survey of the state of chronic non-cancer pain management in Australia.","authors":"Ingrid Bindicsova, Katherine Brain, Fiona J Hodson, Leanne M Hides, Melissa A Day","doi":"10.31128/AJGP-08-24-7387","DOIUrl":"10.31128/AJGP-08-24-7387","url":null,"abstract":"<p><strong>Background and objectives: </strong>Although general practitioners (GPs) are the first-line treatment providers for chronic non-cancer pain (CNCP) in Australia, the experience of patients in this context is not well documented. This study explored patients' experiences with GPs managing their CNCP.</p><p><strong>Method: </strong>Qualitative responses to two open-ended questions about GP care from adult respondents (n=200) to Chronic Pain Australia's 2021 National Pain Survey were thematically analysed.</p><p><strong>Results: </strong>Five themes emerged regarding valued GP skills and attributes: effective treatment; communication with patients; common therapeutic factors; shared expertise; and the importance of mental health. Five themes regarding patients' needs emerged: access to services; access to medication treatment options; the importance of GPs staying up to date; communication; and common therapeutic factors.</p><p><strong>Discussion: </strong>A critical need exists to raise GPs' awareness about the expectations and unmet needs of people living with CNCP. Addressing patients' needs early in their journey might result in better GP-patient relationships and cooperation, and more effective treatment.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"611-620"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001930","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}
{"title":"Erratum.","authors":"","doi":"10.31128/AJGP-07-24-7354e","DOIUrl":"https://doi.org/10.31128/AJGP-07-24-7354e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"330"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001971","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}
{"title":"The value of whole-person integrative medicine in Australian primary care.","authors":"Ivan Shen, Ziyue Victor Zhu, George Wen-Gin Tang","doi":"10.31128/AJGP-07-24-7335","DOIUrl":"10.31128/AJGP-07-24-7335","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"662-664"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001901","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}
Sarah Shepherd, Jacqueline Penney, Sarah Prior, Bradley Williams, Lyndal Bond, Kathryn Ogden
{"title":"General practitioner training pathways in Tasmania: A qualitative study on the experiences, enablers and barriers.","authors":"Sarah Shepherd, Jacqueline Penney, Sarah Prior, Bradley Williams, Lyndal Bond, Kathryn Ogden","doi":"10.31128/AJGP-09-24-7422","DOIUrl":"10.31128/AJGP-09-24-7422","url":null,"abstract":"<p><strong>Background and objectives: </strong>General practitioner (GP) recruitment strategies have been explored in previous research and are vital to workforce development. This study explores factors that influence engagement with Tasmanian GP training pathways and hence GP workforce recruitment and supply.</p><p><strong>Method: </strong>Eighteen interviews investigated the experiences of Tasmanian GP trainees, supervisors and trainee support personnel to explore enablers and barriers to training engagement.</p><p><strong>Results: </strong>Factors influencing training engagement included aspects of trainees' personal lives, professional career-related factors and elements of training support. Personal aspects included family dynamics, health and finances. Professional factors included perceptions of GP careers, remuneration and stigma. Training support factors related to complex interactions between the trainee and the training organisation, supervisors, medical educators, practices and peers.</p><p><strong>Discussion: </strong>Personal aspects are non-modifiable; however, professional factors and training support features can be targeted to foster engagement with GP training pathways. Considering training as a complex system is helpful in translating this evidence into practice.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"621-626"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001945","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}
Elizabeth J Robinson, Lakshmi Manoharan, Benjamin C Cowie, David M Lister
{"title":"Inequities in COVID-19 antiviral dispensation in Victoria, Australia: A retrospective cohort study using linked data.","authors":"Elizabeth J Robinson, Lakshmi Manoharan, Benjamin C Cowie, David M Lister","doi":"10.31128/AJGP-06-24-7312","DOIUrl":"10.31128/AJGP-06-24-7312","url":null,"abstract":"<p><strong>Background and objectives: </strong>Oral antiviral therapies are recommended for treatment of COVID-19 in people vulnerable to severe outcomes. This study examined COVID-19 antiviral dispensation and incidence of severe outcomes among eligible Victorians by socioeconomic status and cultural and linguistic diversity.</p><p><strong>Method: </strong>A retrospective analysis was conducted using linked population data. Dispensation of COVID-19 antiviral treatment (molnupiravir or nirmatrelvir/ritonavir) is described, stratified by socioeconomic and culturally and linguistically diverse (CALD) status between 1 January and 30 June 2023 in Victorian residents aged ≥70 years. Rates of severe COVID-19 outcomes (hospitalisation or death) were also calculated from 1 November 2022 to 30 April 2023.</p><p><strong>Results: </strong>Victorians living in areas of increasing socioeconomic disadvantage had steadily reduced COVID-19 antiviral dispensation in both CALD and non-CALD groups, with lower rates in CALD groups across all socioeconomic levels. The rate of severe COVID-19 outcomes showed the opposite trend.</p><p><strong>Discussion: </strong>This analysis suggests that treatment access and outcomes are inequitable in Victorians eligible for COVID-19 antivirals. Increasing equity is a public health imperative.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"589-594"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001915","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}
Apichai Wattanapisit, Nicholas Pimlott, Charlie Guiang, Kulamakan Kulasegaram, Chirk Jenn Ng, Chaisiri Angkurawaranon, Abbas Ghavam-Rassoul
{"title":"Supporting family medicine residents to publish: A call for action.","authors":"Apichai Wattanapisit, Nicholas Pimlott, Charlie Guiang, Kulamakan Kulasegaram, Chirk Jenn Ng, Chaisiri Angkurawaranon, Abbas Ghavam-Rassoul","doi":"10.31128/AJGP-07-24-7358","DOIUrl":"10.31128/AJGP-07-24-7358","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"669-670"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001928","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}
John W Adie, Nigel Barr, Nicole Masters, Michelle Murphy, Ben Adie
{"title":"Concerns identified by medical doctors working in urgent care clinic models in Australia.","authors":"John W Adie, Nigel Barr, Nicole Masters, Michelle Murphy, Ben Adie","doi":"10.31128/AJGP-08-24-7394","DOIUrl":"https://doi.org/10.31128/AJGP-08-24-7394","url":null,"abstract":"<p><strong>Background and objectives: </strong>Since 2019, numerous urgent care clinic (UCC) models have been introduced to Australia. This study investigates concerns raised by medical doctors working in UCC models.</p><p><strong>Method: </strong>A convenience sample of medical doctors working in UCC models in Australia since 1 July 2023 were invited to participate in a custom-designed 22-item online survey. This was advertised through The Royal Australian College of General Practitioners (RACGP), The Royal New Zealand College of Urgent Care (RNZCUC), corporate general practices, UCC peer groups and on LinkedIn.</p><p><strong>Results: </strong>Overall, 52 responses were received. Descriptive statistics and qualitative descriptive content analysis was used to identify concerns raised by participants, which included: capacity, accreditation standard, qualifications and experience of medical doctors and nurse practitioners, training, funding, public education and UCCs taking work general practitioners (GPs) could do if appropriately funded.</p><p><strong>Discussion: </strong>Four practical solutions to the seven concerns were: (1) adoption of Medicare Benefits Schedule UCC item numbers for UCCs and general practices; (2) introducing recognition of extended skills for UCC medical doctors through the RACGP; (3) developing an Australian UCC standard; and (4) increased public health campaigns.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"603-610"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001898","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}