Family practice
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The optimal control of type 2 diabetes (T2D) is defined by the innate mastery of self-management behaviours. This study is designed to condense the lived experiences of people with T2D in relation to factors 'exterior' to themselves into a universal self-management inventory (Assessment of Self-Management Questionnaire in Diabetes Mellitus-External Reality; ASQ-DM-EX). ⋯ The ASQ-DM-EX is a novel and holistic inventory that broadens the scope of diabetes assessment absent from contemporary self-management tools.
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The lack of an adequate primary care physician workforce has been a decades-long challenge facing the delivery of healthcare in the United States of America (USA). Previous research has highlighted how strengthening the nation's primary care infrastructure is a critical part of improving the nation's health. ⋯ But, little attention has been focused on how the primary care workforce may affect health disparities. This commentary highlights the importance of the provision of primary care services for populations that experience health disparities, ways that the primary care workforce shortage affects these populations, and potential solutions to expand the reach of the current workforce and to build a diverse workforce to meet the growing needs of the increasingly diverse US population.
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Healthcare providers often lack awareness, knowledge, and confidence in managing vulvodynia, which can lead to difficulties with diagnosis and treatment for individuals with the condition. ⋯ An online educational toolkit tailored to community-based primary care settings supports the management of patients with vulvodynia by family physicians. Our findings lay the foundation for the upscaling of this tool.