Family practice
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Few studies have examined the association between mental health and satisfaction with primary care services in community-dwelling older adults. ⋯ Mental health was consistently associated with low satisfaction within dimensions of care. Results support the need for increased attention when delivering care to older adults with mental health problems.
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Atrial fibrillation (AF) is often asymptomatic, and screening is not routinely undertaken. ⋯ A health care program of case finding is feasible and is associated with a significant increase in the prevalence and incidence of AF. The results depend on factors such as the ease of access to health care, age, place of residence and comorbidities.
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Observational Study
The role of mental disease on the association between multimorbidity and medical expenditure.
Multimorbidity is the presence of two or more chronic diseases and is associated with increased adverse outcomes, including hospitalization, mortality and frequency of use of medical institutions. ⋯ Multimorbidity is associated with high medical expenditure in Japan. Mental diseases may contribute to increased medical costs.
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Vaccination postponement is an important contributing factor to low vaccination coverage. The causes of vaccine postponement are numerous, but the presence of viral infection, whether febrile or not, is the most frequent cause. ⋯ In children presenting with an infection, vaccination postponement is widely used by GPs and paediatricians. Simplification of the vaccination catch-up process and clear and consistent recommendations on the indications and modalities for vaccination postponement would be useful.