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Perceived barriers and facilitators to implementing a weight management programme in a primary care setting in Singapore: a qualitative study. 新加坡初级保健机构实施体重管理计划的障碍和促进因素:一项定性研究。
IF 2.6
BMC primary care Pub Date : 2025-09-26 DOI: 10.1186/s12875-025-02940-9
Rachel Li Cui Lim, Swetha S Kumar, Chirk Jenn Ng
{"title":"Perceived barriers and facilitators to implementing a weight management programme in a primary care setting in Singapore: a qualitative study.","authors":"Rachel Li Cui Lim, Swetha S Kumar, Chirk Jenn Ng","doi":"10.1186/s12875-025-02940-9","DOIUrl":"10.1186/s12875-025-02940-9","url":null,"abstract":"<p><strong>Background: </strong>Obesity, a growing problem worldwide and locally, is a risk factor for many chronic conditions. Weight loss has been shown to improve health outcomes and weight management programmes are effective in achieving weight loss. However, the effectiveness and sustainability of weight management programmes are variable. The six-month, seven-touch-point Weight Management Programme (WeightWise) is a locally developed multidisciplinary programme based on the latest evidence and expert opinion. This study aimed to explore the perceived barriers and facilitators to delivering WeightWise prior to its implementation in the Singapore public primary care setting (polyclinics).</p><p><strong>Methods: </strong>Between September 2023 and January 2024, a qualitative study was conducted across two polyclinics designated to pilot WeightWise. Twenty-six healthcare practitioners, including clinic directors, doctors, nurses, dietitians and physiotherapists, who would be involved in running WeightWise or referring patients to WeightWise, were interviewed by the researchers using an interview guide, in either a focus group or individually. Interviews were audio-recorded, transcribed verbatim, checked and analysed thematically using the NVivo software.</p><p><strong>Results: </strong>The participants in this study expressed a gap in weight management in primary care and found WeightWise relevant and timely. However, they highlighted potential barriers to implementing WeightWise in terms of patient enrolment and programme delivery. For enrolment to WeightWise, the participants were concerned about a lack of prioritisation by the practitioners on weight management, time constraint, complex referral criteria and pricing. However, they highlighted potential facilitators to enrolment including targeting young and motivated patients, as well as identifying eligible patients at pre-consult vitals measurement stations. For WeightWise delivery, the perceived barriers were: increased workload for nurses, difficulty in accessing information on community exercise programmes, lack of weight management knowledge amongst practitioners, inconvenient programme timings and uncertainty in long-term benefits of WeightWise. The perceived facilitators to delivering WeightWise were: the use of remote care modalities, preventive care awareness through Healthier SG (a national health initiative), training programmes for practitioners and continuous peer support for patients.</p><p><strong>Conclusion: </strong>This study identified the need to focus on both enrolment and delivery when implementing WeightWise. It also identified low prioritisation of weight management, lack of practitioner knowledge, lack of resources and costs as key barriers when implementing a weight management programme. Tailored healthcare professionals training, additional resources and cost analysis is recommended before its implementation.</p><p><strong>Clinical trial number: </strong>Not appli","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"290"},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Edmonton frail scale: a feasibility study on assessing frailty among older adults with multimorbidity in Norwegian primary health care. 埃德蒙顿虚弱量表:挪威初级卫生保健中评估多病老年人虚弱的可行性研究。
IF 2.6
BMC primary care Pub Date : 2025-09-26 DOI: 10.1186/s12875-025-02996-7
Turid Rimereit Aarønes, Kristin Taraldsen, Are Hugo Pripp, Linda Aimée Hartford Kvæl
{"title":"The Edmonton frail scale: a feasibility study on assessing frailty among older adults with multimorbidity in Norwegian primary health care.","authors":"Turid Rimereit Aarønes, Kristin Taraldsen, Are Hugo Pripp, Linda Aimée Hartford Kvæl","doi":"10.1186/s12875-025-02996-7","DOIUrl":"10.1186/s12875-025-02996-7","url":null,"abstract":"<p><strong>Background: </strong>The growing prevalence of multimorbidity and frailty, driven by an ageing population and changing health trends, is placing significant pressure on healthcare systems. Frailty assessments provide valuable insights into patient vulnerability, allowing for early interventions to prevent functional decline and reduce hospitalisations. Despite their importance, standardised frailty assessment instruments are not widely used in primary care. This study investigated the feasibility of using one such instrument, the multidimensional Edmonton Frail Scale (EFS), in Norwegian primary healthcare.</p><p><strong>Methods: </strong>This feasibility study involved 14 healthcare professionals (10 physiotherapists and four nurses) from primary healthcare in three Norwegian municipalities. Participants were trained to use the EFS to assess and generate frailty scores. Four focus group interviews explored these professionals' experiences of using the EFS with home-dwelling older adults with multimorbidity. The EFS scores were analysed with descriptive statistics, and the interview data underwent reflexive thematic analysis.</p><p><strong>Results: </strong>Through interview analysis, we identified three main themes: (i) enabling collaborative planning, (ii) facilitating comprehensive assessments, and (iii) integrating and understanding EFS competently. The assessment of frailty using the EFS among home-dwelling older adults with multimorbidity (n = 86) revealed scores ranging from 2 to 14, with 2% of these adults categorised as fit, 18% as pre-frail and 80% as frail. Most participants failed the clock test, and many had been hospitalised in the past year. Despite these challenges, 83% reported very good or fair self-perceived health, though the EFS scores indicated significant dependency in daily activities. Polypharmacy was common, with three-quarters of patients taking five or more medications. Additionally, recent weight loss, mobility issues and sadness or depression were frequently reported.</p><p><strong>Conclusions: </strong>The EFS supported collaborative care planning by identifying frailty domains, facilitating tailored interventions to address challenges such as polypharmacy, mobility issues, emotional well-being, and dependency in daily activities. The themes of collaborative care, comprehensive assessments, and competent integration highlight the EFS's potential as a multidimensional instrument for routine use in primary care. With proper healthcare professional training, the EFS can promote person-centred care, improve overall care quality and support the early detection and prevention of complications, addressing the complex needs of older adults with multimorbidity.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"289"},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enabling general practice research in singapore: A qualitative exploration of barriers, facilitators and solutions. 新加坡的全科实践研究:障碍、促进因素和解决方案的定性探索。
IF 2.6
BMC primary care Pub Date : 2025-09-26 DOI: 10.1186/s12875-025-02964-1
Xin Hui Sam, Glenys Shu Wei Quak, Aik Chen Edwin Chng, Eng Sing Lee, Jo-Anne Manski-Nankervis
{"title":"Enabling general practice research in singapore: A qualitative exploration of barriers, facilitators and solutions.","authors":"Xin Hui Sam, Glenys Shu Wei Quak, Aik Chen Edwin Chng, Eng Sing Lee, Jo-Anne Manski-Nankervis","doi":"10.1186/s12875-025-02964-1","DOIUrl":"10.1186/s12875-025-02964-1","url":null,"abstract":"<p><strong>Background: </strong>The importance of primary care research in informing clinical practice and policy is well demonstrated. In the Singapore setting, the majority of research occurs in public institutions called polyclinics as opposed to the private general practice setting where approximately 80% of primary care clinical service provision takes place. There is a need to increase research in the private general practice setting to ensure that findings are relevant to this setting. This study aimed to explore the barriers, facilitators and motivations impacting on Singaporean GP's involvement in research with a view to optimising the structure and supports offered by SPARK, a practice-based research network (PBRN).</p><p><strong>Methods: </strong>GPs were recruited from SPARK network, research collaborators and networks of the researchers. Semi-structured interviews were conducted face to face or via zoom and audio recorded. Interviews were transcribed and then thematic analysis was conducted using a deductive and inductive approach.</p><p><strong>Results: </strong>Fifteen GPs participated in the study. Four major themes (motivators, barriers, facilitators, PBRN) and 14 subthemes were identified from the interviews. Whilst there were barriers at the GP, practice, system and individual research project levels, there were strong intrinsic (altruism, alignment with personal interest) and extrinsic (better patient care, job enrichment, enhancing primary care) motivators. Important facilitators included practice support, funding, streamlining of research practices, collaboration and acknowledgement of the contribution of GPs. PBRNs could support this through providing research infrastructure underpinned by communication and relationships and the sharing of research outcomes.</p><p><strong>Conclusions: </strong>There is acknowledgement that research conducted in the Singapore general practice environment is important, but barriers such as time, financial support and lack of systemic structures exist which limit participation. PBRNs, such as SPARK, can play a role in bridging the existing gap between clinical experience and academic expertise. The findings of this study will inform future SPARK activities to build a dynamic general practice research environment in Singapore.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"292"},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shift in therapeutic approaches in patients with hypercholesterolemia - a secondary data analysis. 高胆固醇血症患者治疗方法的转变——一项次要数据分析。
IF 2.6
BMC primary care Pub Date : 2025-09-25 DOI: 10.1186/s12875-025-02982-z
Elena Zink, Jost Steinhäuser, Paul-Georg Blickle, Wolfgang C G von Meißner, Christoph Strumann
{"title":"Shift in therapeutic approaches in patients with hypercholesterolemia - a secondary data analysis.","authors":"Elena Zink, Jost Steinhäuser, Paul-Georg Blickle, Wolfgang C G von Meißner, Christoph Strumann","doi":"10.1186/s12875-025-02982-z","DOIUrl":"10.1186/s12875-025-02982-z","url":null,"abstract":"<p><strong>Background: </strong>Atherosclerotic cardiovascular disease is a leading cause of death and hypercholesterolemia is one relevant risk factor. There are two established guidelines for the management of high cholesterol in general practice in Germany, one of these is from the European Society of Cardiology (ESC). This analysis examines whether treatment modalities and clinical outcomes in German primary care have changed after the publication of the 2019 ESC (European Society of Cardiology)/EAS (European Atherosclerosis Society) guidelines on dyslipidaemia.</p><p><strong>Methods: </strong>A retrospective cohort study (2001-2023) with data extracted from electronic health record systems of 17 primary care practices. The Data was used to compare drug treatment and outcomes before and after 2019, the year of the ESC guideline publication. Multilevel regression analysis was used to assess the effects of the new guidelines, accounting for time trends and patient- and practice-level factors.</p><p><strong>Results: </strong>Statin prescriptions for 23,322 patients with hypercholesterolemia increased from 6% in 2001 to 27% in 2023, with an increase in treatment intensity after 2012. Despite general reductions in total and LDL cholesterol, cardiovascular events remained unchanged, while reported complaints associated with side effects increased. Multilevel regression showed more prescriptions after the new ESC/EAS guidelines, with no effect on treatment intensity or outcomes.</p><p><strong>Conclusion: </strong>Following the publication of the new ESC/EAS guideline, a modest rise in statin prescriptions has been documented. However, despite improved lipid profiles, clinically relevant events did not decrease yet, and side effects increased, questioning the benefit of tailoring statin therapy to lower lipid thresholds in real world data so far.</p><p><strong>Trial registration: </strong>German Clinical Trials Register: DRKS00032936. Registration Date: October 30, 2023.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"287"},"PeriodicalIF":2.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Performance evaluation of a point of care capillary blood test for C-reactive protein in community healthcare. 社区卫生保健护理点c反应蛋白毛细管血液试验的效果评价。
IF 2.6
BMC primary care Pub Date : 2025-09-25 DOI: 10.1186/s12875-025-02972-1
Matthew Atkins, Kirsty Bartlett, Karen Marriott, Debbie Plant, Sarah Measures, Clarisse Lagman, Christina Newbould, Pete McGrane, Emma Leaver
{"title":"Performance evaluation of a point of care capillary blood test for C-reactive protein in community healthcare.","authors":"Matthew Atkins, Kirsty Bartlett, Karen Marriott, Debbie Plant, Sarah Measures, Clarisse Lagman, Christina Newbould, Pete McGrane, Emma Leaver","doi":"10.1186/s12875-025-02972-1","DOIUrl":"10.1186/s12875-025-02972-1","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"288"},"PeriodicalIF":2.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between coping of the primary caregiver and the adolescent patient with cancer. 主要照顾者的应对与青少年癌症患者的关系。
IF 2.6
BMC primary care Pub Date : 2025-09-24 DOI: 10.1186/s12875-025-02965-0
Jaramillo Villanueva Leonel, Mario Enrique Rendón Macías, Ana Ríos Covian
{"title":"Association between coping of the primary caregiver and the adolescent patient with cancer.","authors":"Jaramillo Villanueva Leonel, Mario Enrique Rendón Macías, Ana Ríos Covian","doi":"10.1186/s12875-025-02965-0","DOIUrl":"10.1186/s12875-025-02965-0","url":null,"abstract":"<p><strong>Background: </strong>Coping mechanisms help individuals face adversity, remain stable over time, and can be generalized to various circumstances. Two types are typically distinguished: the active style, aimed at resolving problems, and the passive style, focused on emotional regulation. We hypothesized that passive coping of the primary caregiver (hereafter, primary caregiver [PC]) would affect the adaptive coping of his or her adolescent child with cancer (hereafter, adolescent with cancer [AC]).</p><p><strong>Objective: </strong>To analyze coping styles in adolescents with cancer (ACs) and their primary caregivers (PCs).</p><p><strong>Materials and methods: </strong>This was an analytical cross-sectional study including 116 pairs of an adolescent with cancer (AC) and a primary caregiver (PC). The adolescents completed the Adolescent Coping Scale (ACS), applicable to those aged 9-17 years, while the caregivers completed the Coping Strategies Inventory (CSI).</p><p><strong>Results: </strong>49% (57/116) of the pairs both used the active coping style, and 14% showed the passive style in both members. No agreement was found between the coping styles of the AC and PC (Kappa = 0.15, 95% confidence interval [CI]: 0.13-0.14, p = 0.13). The multivariate analysis explained 61% of the variance (Nagelkerke pseudo R2 = 0.61; likelihood ratio = 191.4; p = 0.003).</p><p><strong>Conclusions: </strong>Passive coping by the primary caregiver occurred with low frequency, and active coping was favored, similar to that of the adolescent with cancer.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"286"},"PeriodicalIF":2.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Creating and sustaining enabling systems and communities to address social needs: protocol for a living lab social prescribing study. 创建和维持使系统和社区能够满足社会需求:生活实验室社会处方研究的协议。
IF 2.6
BMC primary care Pub Date : 2025-09-24 DOI: 10.1186/s12875-025-02993-w
Candice Oster, Ashleigh Powell, Claire Hutchinson, Sahar Faghidno, Svetlana Bogomolova
{"title":"Creating and sustaining enabling systems and communities to address social needs: protocol for a living lab social prescribing study.","authors":"Candice Oster, Ashleigh Powell, Claire Hutchinson, Sahar Faghidno, Svetlana Bogomolova","doi":"10.1186/s12875-025-02993-w","DOIUrl":"10.1186/s12875-025-02993-w","url":null,"abstract":"<p><strong>Background: </strong>Social needs - such as housing, income, food security, and social connectedness - have a significant effect on health and wellbeing. One way to address social needs is through social prescribing, which involves screening for unmet needs (e.g., during healthcare appointments) and providing referrals to social and community services. For social prescribing to be effective, it must address both individual needs as well as support the social and community services that are required to meet these needs. The objective of this study is to adopt a place-based framework that combines: (1) individual-level referral for social needs, with (2) community and stakeholder engagement to determine community assets, resources, networks, and need to inform model development.</p><p><strong>Methods: </strong>The study will be conducted in three-phases across two low-socioeconomic Australian communities, underpinned by the 'enabling places' theoretical framework. Phase 1 will involve identifying key elements that enable place-based social prescribing using photovoice methods with health and social care providers and community members. Outcomes will inform co-design workshops to develop a place-based social prescribing model of care that is augmented by technology to facilitate integration across health, social, and community services. In Phase 2, the co-designed model will be implemented in the two communities. Phase 3 will involve a mixed methods approach to the evaluation of the model's implementation, effectiveness, and social return on investment.</p><p><strong>Discussion: </strong>The study aims to foster place-based initiatives and community development, a missing element in much of the social prescribing discourse. It is anticipated that outcomes will contribute to the design and implementation of social prescribing models that are tailor-made for Australian communities, systems, and funding systems.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"285"},"PeriodicalIF":2.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence in the prescription of acute medical treatments in primary healthcare - comparison of the performance of family physicians and ChatGPT. 人工智能在初级卫生保健急症医疗处方中的应用——家庭医生与ChatGPT绩效比较
IF 2.6
BMC primary care Pub Date : 2025-09-22 DOI: 10.1186/s12875-025-02963-2
Bárbara Lemos Pereira Simão, Carolina Moura Pereira, Mariana Jácome, Catarina Oliveira, Laura Martins Ferreira, José Miguel Paiva, Carlos Braga, Carlos Seiça Cardoso
{"title":"Artificial intelligence in the prescription of acute medical treatments in primary healthcare - comparison of the performance of family physicians and ChatGPT.","authors":"Bárbara Lemos Pereira Simão, Carolina Moura Pereira, Mariana Jácome, Catarina Oliveira, Laura Martins Ferreira, José Miguel Paiva, Carlos Braga, Carlos Seiça Cardoso","doi":"10.1186/s12875-025-02963-2","DOIUrl":"10.1186/s12875-025-02963-2","url":null,"abstract":"<p><strong>Introduction: </strong>Artificial intelligence (AI) is increasingly being recognized as a transformative force in healthcare, showing significant promise in supporting healthcare professionals. AI has many applications in healthcare, including providing real-time decision support, diagnosing diseases, and advancing personalized medicine. However, clinical trials and further research are needed to evaluate the practical effectiveness of AI in primary healthcare.</p><p><strong>Objective of the study: </strong>This study aims to assess the accuracy of ChatGPT, an AI-powered chatbot, in therapeutic decision-making during acute disease consultations in primary care and compare its performance to that of general family physicians. The goal was to determine how well ChatGPT could replicate the decisions made by physicians based on standard clinical guidelines.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted at three primary healthcare units in the Central Region of Portugal. The analysis involved three phases: (1) collecting data from healthcare professionals, (2) gathering therapeutic proposals from ChatGPT v3.5 based on physician-defined diagnoses, and (3) comparing the treatments proposed by both ChatGPT v3.5 and the physicians, using the Dynamed platform as the gold standard for correct prescriptions.</p><p><strong>Results: </strong>Out of a total of 860 consultations, 138 were excluded due to non-compliance with the inclusion criteria. The analysis showed that the diagnostic accuracy of ChatGPT v3.5 and physicians co-occurred in 26.2% of cases. In 29.1% of cases, there was no agreement between the AI and the physicians' diagnoses. The therapeutic decisions made by ChatGPT v3.5 were correct in 55.6% of the cases, while physicians made correct decisions in 54.3% of the cases. The therapeutic decisions of ChatGPT v3.5 were incorrect in 5.2% of the cases, compared to 11% for physicians. Furthermore, the therapeutic proposals of ChatGPT v3.5 were 'approximate' to the correct treatment in 24% of the cases, while physicians had a 17.1% approximation rate.</p><p><strong>Conclusion: </strong>This study suggests that AI - specifically ChatGPT v3.5 - can match or even outperform physicians in terms of therapeutic decision accuracy, with a similar or slightly better success rate than human doctors. This highlights the potential for AI to act as an effective auxiliary tool rather than a replacement for healthcare professionals. AI is most effective when used in collaboration with healthcare professionals, augmenting their capabilities and improving overall healthcare delivery. Ultimately, AI can serve as a powerful aid to healthcare professionals, helping improve patient care and healthcare outcomes, particularly in primary care.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"284"},"PeriodicalIF":2.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
General practitioners' involvement in inpatient medical rehabilitation in Germany: a scoping review. 全科医生参与住院病人医疗康复在德国:范围审查。
IF 2.6
BMC primary care Pub Date : 2025-09-18 DOI: 10.1186/s12875-025-03007-5
Malte Klemmt, Katharina van Baal, Maria Bonin, Stephanie Stiel
{"title":"General practitioners' involvement in inpatient medical rehabilitation in Germany: a scoping review.","authors":"Malte Klemmt, Katharina van Baal, Maria Bonin, Stephanie Stiel","doi":"10.1186/s12875-025-03007-5","DOIUrl":"10.1186/s12875-025-03007-5","url":null,"abstract":"<p><strong>Background: </strong>The German rehabilitation system has some peculiar features, such as the predominance of inpatient medical rehabilitation. Most patients receive inpatient rehabilitation due to chronic illnesses like chronic backpain or psychosomatic diseases. General practitioners play a special role in the German healthcare system as they are often the first point of contact for health issues. The study aims to provide an overview of the involvement of general practitioners in inpatient medical rehabilitation in Germany as well as identifying barriers and facilitators. By doing this, a basis for optimizing general practitioners' involvement can be generated.</p><p><strong>Methods: </strong>A scoping review was conducted to ascertain the current state of scientific knowledge, employing the methodological approach of the Joanna Briggs Institute. The search was carried out between February and March 2024. Eight databases were screened: PubMed, Web of Science Core Collection, PubPsych, EBSCOhost, BeLit, LIVIVO, ProQuest, and German National Library. Publications in German and English in the publication period from 1980 to February 2024 were sought. A thematic analysis was conducted to evaluate the included publications. The research process and generation of findings were recorded utilizing the PRISMA-ScR checklist.</p><p><strong>Results: </strong>The search resulted in a total of 2231 records, of which 102 were screened on a full text level. Fifty-four publications were included in the review. Following the thematic analysis, fourteen themes were identified and assigned to four topic areas. In the area of access, general practitioners take on a gatekeeper function (addressed by 10 publications) among other things. In follow-up care, there is involvement in prescription (5 publications), like referral to outpatient medical specialists. Barriers to involvement relate, for example, to a lack of knowledge on the part of general practitioners (10 publications) and facilitators include education and training (10 publications).</p><p><strong>Conclusions: </strong>The results confirm the important role of general practitioners in providing access to inpatient medical rehabilitation in Germany and follow-up care. However, various barriers for general practitioners' involvement were revealed. In order to maintain and optimize the involvement, further scientific research and efforts based on this in practice are necessary, involving relevant stakeholders.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"283"},"PeriodicalIF":2.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dementia in primary care: a qualitative study with general practitioners and caregivers with and without migration backgrounds. 初级保健中的痴呆症:一项有或没有移民背景的全科医生和护理人员的定性研究。
IF 2.6
BMC primary care Pub Date : 2025-09-16 DOI: 10.1186/s12875-025-02952-5
Nele Kornder, Nicole Lindner, Meinert Ehm, Felix Rachor, Cheng Wieli Shan, Stefan Bösner, Veronika van der Wardt
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