Family practice
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Observational Study
Variation in general practice referral rate to acute medicine services and association with hospital admission. A retrospective observational study.
Variation in general practice (GP) referral rates to outpatient services is well described however variance in rates of referral to acute medical units is lacking. ⋯ High variation in GP practice referral rate for acute medical assessment is incompletely explained by practice population socioeconomic factors and negatively associates with need for urgent inpatient care. Identifying modifiable factors influencing referral rate may provide opportunities to facilitate community-based care and reduce congestion on acute unscheduled care pathways.
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Randomized Controlled Trial Multicenter Study
Effectiveness of antitussives, anticholinergics, and honey versus usual care in adults with uncomplicated acute bronchitis: a multiarm randomized clinical trial.
Despite the frequent use of symptomatic therapies in cough, evidence of their benefits is lacking. ⋯ The symptomatic treatment evaluated has shown to be ineffective against cough.
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Multicenter Study
The attitudes and expectation of caregivers of febrile child receiving medical services: a multicenter survey in Thailand.
Most caregivers may visit pediatric outpatient clinics with high concern of fever and improper antipyretic use. However, studies of concern about fever in Asian countries are still limited. ⋯ Caregivers' high concern of fever existed in Thailand. This may lead to unnecessary high doses of antipyretics. In clinical practice, the high concern of fever is a challenge for caregivers and pediatric health care providers. A better understanding of fever and its consequence should be advocated for proper management of the child's fever.
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This study investigated the reliability and convergent validity of the PFFS-Malay version (PFFS-M) among patients (with varying educational levels), caregivers, and health care professionals (HCPs). PFFS-M cutoffs for frailty severity were developed. ⋯ PFFS-M is a reliable and valid tool with frailty severity scores now established for use of this tool in primary care clinics.