Scandinavian journal of primary health care
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Scand J Prim Health Care · Sep 2023
Management of children with non-acute abdominal pain and diarrhea in Dutch primary care: a retrospective cohort study based on a routine primary care database (AHON).
To describe the testing, prescription, referral, and follow-up management by general practitioners (GPs) for children presenting with non-acute abdominal pain and/or diarrhea in primary care. ⋯ One-third of children received diagnostic testing or a medicine prescription. Few had a follow-up consultation and >10% was referred to pediatric care. Future research should explore the motivations of GPs why and which children receive diagnostic and medical interventions.
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Scand J Prim Health Care · Sep 2023
ReviewCritical components of social prescribing programmes with a focus on older adults - a systematic review.
The aim of this study was to identify and evaluate critical components within social prescribing programmes that can impact loneliness, health, or well-being among older adults. ⋯ The three critical components identified may prove useful in further research, evaluation, or implementation of social prescribing programmes. Important aspects for further evaluation are discussed.
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Scand J Prim Health Care · Sep 2023
Insomnia management in Dutch general practice: a routine care database study.
To explore insomnia management in general practice, with a focus on sleep medication prescription. ⋯ Although the guidelines advocate non-pharmacological treatment and warn against unwarranted sleep medication, it is still very common in Dutch general practice to prescribe medication, even at the first sleep consultation. Prescriptions frequently include unrecommended and off-label drugs or repeated BZRA prescriptions.
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Scand J Prim Health Care · Sep 2023
Are doctors using more preventive medication for cardiovascular disease? A Swedish cross-sectional study.
Despite decreasing mortality from cardiovascular disease (CVD), there are persistent inequities in mortality between socioeconomic groups. Primary preventative medications reduce mortality in CVD; thus, inequitable treatments will contribute to unequal outcomes. Physicians might contribute to inequality by prescribing preventative medication for CVD to themselves in a biased manner. ⋯ We found an inequity in prescribed preventative CVD medications, which favoured physicians over non-physicians.