Family practice
-
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.
-
There is a growing need to realize high-quality end-of-life care at home that respects the patient's wishes. ⋯ Patient-centredness in home medical care facilitates the initiation of ACP participation.
-
Multicenter Study
A programme for early diagnosis of atrial fibrillation: a multi-centre study in primary care.
Atrial fibrillation (AF) is a morbid disease whose complications can be prevented if prompt and correctly treated. ⋯ An intervention programme consisting of health education, systematic auscultation and opportunistic ECG by a primary care provider is a useful method for the early diagnosis of AF.
-
Multicenter Study
Overall mortality in older people receiving physician-led home visits: a multicentre prospective study in Japan.
Japan has the most rapidly ageing population in the world. The Japanese government has, therefore, promoted physician-led home health care for frail and disabled people. ⋯ Overall mortality in physician-led home visits in Japan was described and mortality risk factors identified. Public assistance receipt was associated with lower mortality.
-
Multicenter Study
Scope of health problems managed by general practitioners in Mali and France: awaiting practice transition in sub-Saharan Africa?
Minimal data are available on the clinical activity of general practitioners (GPs) in Africa. ⋯ Africa is currently at the crossroads where chronic conditions carried with the epidemiological transition are progressing, while the burden of communicable diseases is still overwhelming. Along with the enhancing medicalization of primary care in Mali, the transition of practices is just emerging.