Sophia Martin, Sarah Jansen, Annalisa Toole, Aletha Ward
{"title":"Exploring access to medicinal cannabis through general practitioners in Australia.","authors":"Sophia Martin, Sarah Jansen, Annalisa Toole, Aletha Ward","doi":"10.31128/AJGP-02-24-7155","DOIUrl":"https://doi.org/10.31128/AJGP-02-24-7155","url":null,"abstract":"<p><strong>Background and objectives: </strong>Patient access to medicinal cannabis (MC) is impacted by several factors, despite legalisation of it for medicinal and related scientific purposes in 2016. This scoping review aimed to examine the barriers and enablers to accessing MC through general practitioners (GPs) in Australia.</p><p><strong>Method: </strong>Scientific and grey literature meeting inclusion criteria were identified from 2016 to 2023, resulting in 11 papers and 40 webpages being included in this review.</p><p><strong>Results: </strong>Many GPs reported inadequate knowledge surrounding MC, forming a barrier to their approachability to discussion with patients. Living rurally and earning less money were barriers to patients' ability to seek MC. Telehealth cannabis clinics lessened geographical barriers, but not financial barriers.</p><p><strong>Discussion: </strong>Although stigma and demographic access barriers to MC are decreasing with cultural, industry and healthcare system shifts, inequitable access is still occurring due to the economic burden on patients. GPs reported having difficulties in navigating the prescribing process and accessing the most up-to-date evidence for clinical use due to time scarcity.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"101-108"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568827","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":"Health anxiety and somatosensory amplification in adolescents with unexplained chest pain: A comparative study.","authors":"Berna Gündeş, Yasemin Özkaya, Tülay Demircan, Yusuf Adnan Güçlü, Kayı Eliaçık","doi":"10.31128/AJGP-12-23-7074","DOIUrl":"https://doi.org/10.31128/AJGP-12-23-7074","url":null,"abstract":"<p><strong>Background and objectives: </strong>Chest pain of unknown origin in adolescents might be related to biopsychosocial factors. The aim of this study is to identify the relationship between somatic amplification of bodily sensations and health anxiety in adolescents with unexplained chest pain.</p><p><strong>Method: </strong>The study analysed 111 adolescents with unexplained chest pain at a paediatric cardiology outpatient clinic from June to September 2018, along with a control group of 78 cases. Participants completed a questionnaire featuring the somatosensory amplification scale and a short health anxiety inventory.</p><p><strong>Results: </strong>When comparing the total scores on the somatosensory amplification scale, it was observed that health anxiety and general anxiety scores were higher in the chest pain group. Additionally, the prevalence of suicidal thoughts was found to be more common among adolescents experiencing chest pain.</p><p><strong>Discussion: </strong>Our results highlight the significance of general practitioners taking into account psychosocial factors in adolescents who present with unexplained chest pain and collaborating with them to recognise and address anxiety and suicidal ideation.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"117-121"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568828","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":"Management of tuberculosis infection in a general practice setting: An implemented model of care.","authors":"Justin T Denholm, Ann-Marie Baker, Amy VJ Peachey, Fouad Dawood, Bee Cochran","doi":"10.31128/AJGP-05-24-7250","DOIUrl":"10.31128/AJGP-05-24-7250","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis infection (TBI) is an asymptomatic state in which people have been exposed to Mycobacterium tuberculosis, but not yet developed active disease. Most Australian models of care for TBI have been based in tertiary clinics, but people from affected communities consistently would prefer to receive care in a general practice setting.</p><p><strong>Objective: </strong>This project aimed to develop and implement a model of care for providing safe and effective management of TBI in general practice settings. We describe a pilot program, including training, algorithms for management and resource development, to support holistic care.</p><p><strong>Discussion: </strong>More than 20 general practices and pharmacies in south-eastern Melbourne have now adopted this model of care, involving community-based education, diagnosis and treatment, which has been integrated into existing practice approaches. A range of resources is now available to support general practice clinics in providing TBI care, including both professional development and patient-facing materials.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"153-156"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568829","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":"Beyond the clinic door: That which is between.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"158"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568823","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":"Book review: Better Born Lucky Than Brilliant: Life of a country doctor and naturalist.","authors":"Taleitha Atkins","doi":"10.31128/AJGP-11-24-7471","DOIUrl":"https://doi.org/10.31128/AJGP-11-24-7471","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"160"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568825","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":"March 2025 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"87-89"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568830","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":"Wherever medicine is loved, there is also a love of humanity.","authors":"Rim Ghali","doi":"10.31128/AJGP-3-25-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-3-25-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"85"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568835","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}
Chris Hayes, Laura Bruggink, Hema Rajappa, Katherine Brain, Matthew Pols
{"title":"A cumulative strain model for chronic pain and multimorbidity.","authors":"Chris Hayes, Laura Bruggink, Hema Rajappa, Katherine Brain, Matthew Pols","doi":"10.31128/AJGP-02-24-7145","DOIUrl":"10.31128/AJGP-02-24-7145","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain often occurs amidst multimorbidity. The proposed cumulative strain model postulates diverse but interlinked biological mechanisms of strain playing a role in the causation of multiple chronic conditions, including chronic pain. Modulators of strain include mindbody, connection, activity, nutrition and biomedical aspects. These modulators can be targeted therapeutically to bring a shift towards wellness.</p><p><strong>Objective: </strong>The aim of this paper is to highlight common mechanisms underpinning chronic conditions and prompt consideration of how these mechanisms might be targeted therapeutically in primary care.</p><p><strong>Discussion: </strong>The recognition of common underlying mechanisms and treatments for chronic conditions, including chronic pain, opens the way for consideration of generic chronic condition programs in primary care, and hence a reduced requirement for condition-specific specialist referrals.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"129-133"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568822","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":"Psychological medicine.","authors":"Rim Ghali","doi":"10.31128/AJGP-3-25-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-3-25-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"85"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568368","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":"Beyond the clinic door: You know it when.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 3","pages":"159"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568824","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}